Life Line Community Healthcare

NPI 1598193062ActiveOrganization· Nurse Practitioner· Independence, OH

Nurse Practitioner in Independence, Ohio, registered in NPPES in October 2013. The authorized official on file is James Waters, Coo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1598193062
Status	Active
Entity type	Organization
NPI issued	Oct 21, 2013
Last updated in NPPES	Sep 21, 2026
Certified by provider	Sep 21, 2026

Specialties and licenses

Taxonomy	Code	License	State
Nurse Practitioner Primary	363L00000X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (SD); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (VT); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI); Part B Supplier - Clinic/Group Practice (WV)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (SD); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (VT); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI); Part B Supplier - Clinic/Group Practice (WV)

Medicare sources and data years

Other Nurse Practitioner providers in Independence

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Catherine Codner, NP-C
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Colleen Theresa Coleman, CNP
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Michelle Diane Davis, CNP
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Jennifer Lee Delost
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1497320790
Rebecca Leann Doubrava, APRN
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1649030958
Luann Etcher, N.P.
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1043308398
Jennifer Fontana, CNP
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1669460432
Brittany Foster
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1588221436

All Nurse Practitioner providers in Ohio →