NPIMap

Individual provider Active NPI

Kenneth Maurice Cuevas

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1457064586
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13993 Issued in NC
Practice address
2301 Robeson St Ste 301
Fayetteville, NC 28305-5641
Phone
(910) 484-4100
NPI assigned
Jan 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13993 NC Primary

Addresses

Primary practice location

2301 Robeson St Ste 301
Fayetteville, NC 28305-5641

Mailing address

2301 Robeson St Ste 301
Fayetteville, NC 28305-5641
Phone (910) 484-4100

Other practice location 1

300 E McKay St Ste D
Elizabethtown, NC 28337-9037
Phone (910) 484-4100

Other practice location 2

805 Tilghman Dr Ste B
Dunn, NC 28334-5883
Phone (910) 304-1247

Other practice location 3

4350 US 421 S
Lillington, NC 27546-6760
Phone (910) 546-7410

Other practice location 4

225 Brightwater Dr Ste 220
Lillington, NC 27546-5156
Phone (910) 304-1247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208000547 NC Practitioner - Physician Assistant 6800389826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

805 Tilghman Dr
Suite B
Dunn, NC 28334-5883
Phone (910) 304-1247

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-13993NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC CurrentSince Nov 17, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Nov 17, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Physician Assistant Current Accepting new patients

Locations

805 Tilghman Dr
Ste B
Dunn, NC 28334
Phone (910) 304-1247

300 E McKay St
Ste D
Elizabethtown, NC 28337
Phone (910) 484-4100

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

2301 Robeson St
Ste 301
Fayetteville, NC 28305
Phone (910) 484-4100

225 Brightwater Dr
Ste 220
Lillington, NC 27546
Phone (910) 304-1247

225 Brightwater Dr
Lillington, NC 27546
Phone (910) 893-4041

Interoperability endpoints

  • Direct secure messaging: kcuevas102037@capefearvalley.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1457064586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST STE 301",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055641",
            "telephone_number": "910-484-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST STE 301",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055641",
            "telephone_number": "910-484-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E McKay St Ste D",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-484-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Tilghman Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345883",
            "country_code": "US",
            "telephone_number": "910-304-1247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 US 421 S",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275466760",
            "country_code": "US",
            "telephone_number": "910-546-7410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Brightwater Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-304-1247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "KENNETH",
        "middle_name": "MAURICE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-04",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.