Individual provider Active NPI

Dana R Scharfenberg, FNP-BC

  • Family Nurse Practitioner
  • Mill Creek, WA
National Provider Identifier
1801647524
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61539359 Issued in WA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
AP61539359WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primelife PLLC Primary Care CurrentSince Jan 4, 2026 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

Verify at the official NPI Registry.