Sandra Kaye Benham, APRN
Individual provider Active NPI Family Nurse Practitioner · Campton, KY
NPI 1922705334 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1922705334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3018897 (KY)
- Practice address
- 850 Ky 191
Campton, KY 41301-8109 - Phone
- (731) 394-1145
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ultra Health LLC
Pineville Community Health Center Inc
Practice addresses (Care Compare)
850 Ky
Suite 191
Campton, KY 41301-8109
Phone (731) 394-1145
850 Riverview Ave
Pineville, KY 40977-1452
Phone 6063373051251
Hospital & facility affiliations
- Morgan County Arh Hospital
- Kentucky River Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230309002735 | KY | Practitioner - Nurse Practitioner | 9032582143 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3018897 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Health LLC | Current |
Accepting new patients |
Locations
850 Ky 191
Campton, KY 41301
Phone (606) 349-6181
366 S Washington St
Clinton, KY 42031
Phone (270) 653-2461
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3018897 | KY | Yes |
Addresses
Primary practice location
850 Ky 191
Campton, KY 41301-8109
Mailing address
PO Box 269084
Oklahoma City, OK 73126-9084
Phone (731) 394-1145
Other providers in Campton, KY
- Appalachian Wellness Laboratory Services
- Appalachian Wellness Primary Care LLC
- Appalachian Wellness, L.L.C.
- Adrian Clint Banks
- Alissa Leigh Bell
- Carla Bowling
- Bradford Brewer
- Jayden Elizabeth Brewer
- Jessi Jade Campbell
- Campton Pharmacare Inc
All providers in Campton, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.