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MS. KENYA DEMETA BASS PA-C
NPI 1942387485
Physician Assistant - Medical in Fayetteville, NC

Active since November 01, 2006PECOS Enrolled
1905 SKIBO RD STE 100, FAYETTEVILLE, NC 28314(910) 864-4357(910) 221-0099 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Apr 13, 2018 (3 updates tracked since 2018).

About Ms. Kenya Demeta Bass Pa-c NPPES

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

MS. KENYA DEMETA BASS PA-C (NPI 1942387485) is an individual medical provider in Fayetteville, North Carolina, licensed in North Carolina (103419) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942387485
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KENYA DEMETA BASSCredential: PA-C
Location Address1905 SKIBO RD STE 100Fayetteville, NC 28314-0261
Mailing Address1905 Skibo Rd Ste 100Fayetteville, NC 28314-0261 · (910) 864-4357 · Fax (910) 221-0099
Phone(910) 864-4357
Fax(910) 221-0099
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1942387485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 103419
Also ListedPhysician AssistantTaxonomy 363A00000X · License 103419 (NC)
1905 SKIBO RD STE 100, Fayetteville, NC 28314
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Other Identifiers 1

Medicaid1942387485NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kenya Demeta Bass Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAMON KIMMERY ARRINGTON FNP
Nurse Practitioner
1905 SKIBO RD STE 100
FAYETTEVILLE, NC 28314
Cumberland County (910) 864-4357
MARY J TUITOEK
Nurse Practitioner (Family)
1905 SKIBO RD STE 100
FAYETTEVILLE, NC 28314
Cumberland County (910) 864-4357
METO MEDICAL PA
Internal Medicine (Obesity Medicine)
1905 SKIBO RD STE 100
FAYETTEVILLE, NC 28314
Cumberland County (910) 286-5400

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 Kenya Bass's NPI number?

The NPI number for Kenya Bass is 1942387485. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kenya Bass located?

Kenya Bass practices at 1905 Skibo Rd Ste 100, Fayetteville, NC 28314. The listed phone number is (910) 864-4357.

What is Kenya Bass's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenya Bass enrolled in Medicare?

Yes. Kenya Bass is registered in the Medicare PECOS enrollment system.

What insurance does Kenya Bass accept?

Health plans from UnitedHealthcare list Kenya Bass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenya Bass was last updated on June 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.