Serene Life LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SERENE LIFE LLC

Practice address

1680 W Iron Springs Rd Ste 103
Prescott, AZ 86305-3313

Phone

(928) 362-0268

Fax

(928) 421-3182

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Inge Gisela Bundchen, NPNPI 1942532734

Title

President

Phone

(928) 362-0268

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Inge Gisela Bundchen, FPMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prescott, AZ
  • NPI 1942532734
  Medicare reassignment NPD Authorized official
• Len Douglas Balke, MD

  • Psychiatry Physician
  • Prescott, AZ
  • NPI 1992787527
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1912518853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CRYSTAL VIEW DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016696",
            "telephone_number": "928-362-0268",
            "fax_number": "928-421-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W IRON SPRINGS RD STE 103",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053313",
            "telephone_number": "928-362-0268",
            "fax_number": "928-421-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "BUNDCHEN",
        "authorized_official_first_name": "INGE",
        "authorized_official_middle_name": "GISELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-362-0268",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Seesholtz, LPC
• George Sein, M.D
• Selah Care, Inc
• Ayyasamy P Selvam, MD
• Anna Rachel Seno, LCSW
• Serenity Psychiatric Health Inc.
• Rebecca Marie Serratos
• Servant'S Heart, LLC
• Alyssa Christine Severe, MA
• Lance Robert Severson, D. C.

• Psychiatric/Mental Health Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.