1. Home
  2. Directory
  3. Kentucky
  4. Somerset
  5. Nurse Practitioner
  6. NPI Profile

OHANA CARE OF LAKE CUMBERLAND, LLC
NPI 1609586122
Nurse Practitioner - Family in Somerset, KY

Active since November 28, 2022CLIA 18D2273243 · Waiver
310 W COLUMBIA ST, SOMERSET, KY 42501(606) 331-5328(859) 207-6700 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2025, Nov 28, 2022 (2 updates tracked since 2022).

About Ohana Care Of Lake Cumberland, Llc NPPES

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

OHANA CARE OF LAKE CUMBERLAND, LLC (NPI 1609586122) is a healthcare organization registered as a family in Somerset, Kentucky and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Sara Beth Pence, Owner/aprn, as its authorized official.

NPPES Registry Identity

NPI1609586122
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOHANA CARE OF LAKE CUMBERLAND, LLC
Location Address310 W COLUMBIA STSomerset, KY 42501-1618
Mailing Address650 S Highway 27 # 308Somerset, KY 42501-3501 · (606) 331-5328 · Fax (859) 207-6700
Phone(606) 331-5328
Fax(859) 207-6700
Organization SubpartNo
Authorized OfficialSara Beth PenceOwner/aprn · (606) 331-5328
Enumeration DateNovember 28, 2022
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1609586122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
310 W COLUMBIA ST, Somerset, KY 42501
Open in Google Maps ↗

Other Identifiers 1

Other1386051068KY · Npi Individual

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)

Ohana Care Of Lake Cumberland, 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 Ohana Care Of Lake Cumberland, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sara Pence, APRN, FNP-BC
Nurse Practitioner
NPI 1386051068
310 W COLUMBIA ST
Somerset, KY 42501
(606) 331-5328
✔ 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2273243

Ohana Care Of Lake Cumberland, LLC · Somerset, KY
Active · expires Dec 8, 2026
CLIA Number18D2273243
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorMs. Sara Pence
Laboratory Phone(606) 331-5328
Laboratory LocationOhana Care Of Lake Cumberland, LLC310 W Columbia St, Somerset, KY 42501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ohana Care Of Lake Cumberland, LLC's NPI number?

The NPI number for Ohana Care Of Lake Cumberland, LLC is 1609586122. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Ohana Care Of Lake Cumberland, LLC located?

Ohana Care Of Lake Cumberland, LLC is located at 310 W Columbia St, Somerset, KY 42501. The listed phone number is (606) 331-5328.

What is Ohana Care Of Lake Cumberland, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ohana Care Of Lake Cumberland, LLC enrolled in Medicare?

Yes. Ohana Care Of Lake Cumberland, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ohana Care Of Lake Cumberland, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ohana Care Of Lake Cumberland, 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.

Does Ohana Care Of Lake Cumberland, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2273243) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ohana Care Of Lake Cumberland, LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.