Mckinley Sports Medicine, LLC
NPI 1407304017 · Sports Medicine (Family Medicine) Physician · Fairbanks, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mckinley Sports Medicine, LLC is a Sports Medicine (Family Medicine) Physician organization in Fairbanks, AK (NPI 1407304017).
Provider details
- NPI number
- 1407304017
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Malcolm, President(907) 456-3341
- License
- 10040231 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-09-13
- Last updated
- 2016-09-13
Frequently asked questions
- What is Mckinley Sports Medicine, LLC's NPI number?
- Mckinley Sports Medicine, LLC's National Provider Identifier (NPI) is 1407304017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mckinley Sports Medicine, LLC?
- Mckinley Sports Medicine, LLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Mckinley Sports Medicine, LLC located?
- Mckinley Sports Medicine, LLC's practice location on file with NPPES is 3745 Geist Rd, Fairbanks, AK 99709-3554.
- What is Mckinley Sports Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mckinley Sports Medicine, LLC is (907) 456-3341.
- Does Mckinley Sports Medicine, LLC accept Medicare?
- Mckinley Sports Medicine, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mckinley Sports Medicine, LLC?
- The authorized official listed on Mckinley Sports Medicine, LLC's NPPES record is Jennifer Malcolm, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mckinley Sports Medicine, LLC's NPI active?
- Yes — Mckinley Sports Medicine, LLC's NPI (1407304017) is active in the NPPES registry as of the last update on 2016-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.