Individual provider Active NPI

Lisa M Brodak, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1922044403
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
VP003902B Issued in PA
Practice address
300 Halket St
Pittsburgh, PA 15213-3108
Phone
(412) 641-8889
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP003902B PA Primary

Addresses

Primary practice location

300 Halket St
Pittsburgh, PA 15213-3108

Mailing address

300 Halket St
Pittsburgh, PA 15213-3108
Phone (412) 641-8889

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000031 PA Practitioner - Nurse Practitioner 9234189952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

207 W 7TH Ave
Upmc Greater Pittsburgh OB/GYN
Homestead, PA 15120-1001
Phone (412) 462-7934

275 Clairton Blvd
West Mifflin, PA 15236-1426
Phone (412) 650-2375

300 Halket St
Pittsburgh, PA 15213-3108

4075 Monroeville Blvd
Suite 222
Monroeville, PA 15146-2529
Phone (412) 856-6674

969 Greentree Rd
Pittsburgh, PA 15220-3328
Phone (412) 920-8175

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VP003902BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

300 Halket St
Ste 5710
Pittsburgh, PA 15213
Phone (412) 641-1000

Interoperability endpoints

  • Direct secure messaging: lisa.m.brodak@upmcdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1922044403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODAK",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP003902B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.