MEDICARE: SARA BETH PENCE APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	3008771	KY
2	363LF0000X	Family Nurse Practitioner	3008771	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386051068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA BETH PENCE APRN, FNP-BC

Provider Business Mailing Address
First Line	:	650 SOUTH HIGHWAY 27 #308
Second Line	:	SUITE 5
City	:	SOMERSET
State	:	KY
Zip	:	42501
Country	:	US
Telephone Number	:	606-331-5328
Fax Number	:	859-207-6700

Provider Business Practice Location Address
First Line	:	310 W COLUMBIA ST
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42501-1618
Country	:	US
Telephone Number	:	606-331-5328
Fax Number	:	859-207-6700

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2014
Last Update Date	:	01/02/2026

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