Active NPI
Dana R Scharfenberg, FNP-BC
- Family Nurse Practitioner
- Mill Creek, WA
National Provider Identifier
1801647524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61539359
- Practice address
- 15111 Main St
Mill Creek, WA 98012-9034 - Phone
- (425) 236-2423
- Fax
- (425) 398-1415
- NPI assigned
- Mar 29, 2024
- Last updated
- Mar 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61539359 | WA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | AP61539359 | WA |
Addresses
Primary practice location
15111 Main St
Mill Creek, WA 98012-9034
Mailing address
2619 201St PL SE
Bothell, WA 98012-3320
Phone (425) 398-1415
Other practice location 1
2619 201st Pl SE
Bothell, WA 98012-3320
Phone (425) 398-1415
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.1primelife.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 17, 2026 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61539359 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primelife PLLC | Primary Care | Current | Accepting new patients |
Locations
15111 Main St
Ste 209
Mill Creek, WA 98012
Phone (425) 236-2423
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1801647524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 201ST PL SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980123320",
"telephone_number": "425-398-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15111 MAIN ST",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980129034",
"telephone_number": "425-236-2423",
"fax_number": "425-398-1415"
}
],
"practiceLocations": [
{
"address_1": "2619 201st Pl SE",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980123320",
"country_code": "US",
"telephone_number": "425-398-1415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHARFENBERG",
"first_name": "DANA",
"middle_name": "R",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61539359",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP61539359",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.1primelife.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15111 Main St",
"city": "Mill Creek",
"state": "WA",
"country_code": "US",
"postal_code": "980129034",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.