Individual provider Active NPI

Sara Beth Pence, APRN, FNP-BC

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1386051068
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008771 Issued in KY
Practice address
310 W Columbia St
Somerset, KY 42501-1618
Phone
(606) 331-5328
Fax
(859) 207-6700
NPI assigned
Jul 15, 2014
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008771 KY
Family Nurse Practitioner 363LF0000X 3008771 KY Primary

Addresses

Primary practice location

310 W Columbia St
Somerset, KY 42501-1618

Mailing address

650 South Highway 27 #308
Suite 5
Somerset, KY 42501
Phone (606) 331-5328

Other identifiers 2

IdentifierTypeStateIssuer
7100872480MedicaidKY
7100335730MedicaidKY

Other names 1

  • Sara Beth Bullock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150520001549 KY Practitioner - Nurse Practitioner 2668792359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Hardin LN
Suite 3 1/2
Somerset, KY 42503-3812
Phone (606) 305-0928

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008771KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohana Care of Lake Cumberland, LLC Family CurrentSince Nov 29, 2022 Accepting new patients

Locations

100 Hardin Ln
Ste 3
Somerset, KY 42503
Phone (606) 305-0928

310 W Columbia St
Somerset, KY 42501
Phone (606) 331-5328

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1386051068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SOUTH HIGHWAY 27 #308",
            "address_2": "SUITE 5",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-331-5328",
            "fax_number": "859-207-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W COLUMBIA ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011618",
            "telephone_number": "606-331-5328",
            "fax_number": "859-207-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100872480",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100335730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BULLOCK",
            "middle_name": "BETH",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.