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SERENE LIFE LLC
NPI 1912518853
Nurse Practitioner - Psychiatric/Mental Health in Prescott, AZ

Active since August 13, 2020
1680 W IRON SPRINGS RD STE 103, PRESCOTT, AZ 86305(928) 362-0268(928) 421-3182 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 10, 2025, Aug 13, 2020 (2 updates tracked since 2020).

About Serene Life Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENE LIFE LLC (NPI 1912518853) is a healthcare organization registered as a psychiatric/mental health in Prescott, Arizona and active in the NPI registry since August 2020. The organization lists Inge Gisela Bundchen, President, as its authorized official.

NPPES Registry Identity

NPI1912518853
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENE LIFE LLC
Location Address1680 W IRON SPRINGS RD STE 103Prescott, AZ 86305-3313
Mailing Address845 Crystal View DrPrescott, AZ 86301-6696 · (928) 362-0268 · Fax (928) 421-3182
Phone(928) 362-0268
Fax(928) 421-3182
Organization SubpartNo
Authorized OfficialInge Gisela BundchenPresident · (928) 362-0268
Enumeration DateAugust 13, 2020
Last NPPES UpdateFebruary 27, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1912518853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1680 W IRON SPRINGS RD STE 103, Prescott, AZ 86305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serene Life Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Serene Life LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Inge Bundchen, FPMHNP-BC
Nurse Practitioner
NPI 1942532734
1680 W IRON SPRINGS RD STE 103
Prescott, AZ 86305
(928) 362-0268
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serene Life LLC's NPI number?

The NPI number for Serene Life LLC is 1912518853. It was assigned to this organization in the NPPES registry on August 13, 2020.

Where is Serene Life LLC located?

Serene Life LLC is located at 1680 W Iron Springs Rd Ste 103, Prescott, AZ 86305. The listed phone number is (928) 362-0268.

What is Serene Life LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Serene Life LLC enrolled in Medicare?

Yes. Serene Life LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serene Life LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serene Life LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serene Life LLC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.