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MCKENNA RAY CAMPBELL-POTTER
NPI 1164041562
Internal Medicine - Sports Medicine in New York, NY

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
535 E 70TH ST, NEW YORK, NY 10021(212) 606-1791 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mckenna Ray Campbell-potter NPPES

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

MCKENNA RAY CAMPBELL-POTTER (NPI 1164041562) is an individual sports medicine provider in New York, New York, licensed in New York (328701) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of University Of Minnesota Medical School (2020).

NPPES Registry Identity

NPI1164041562
Entity TypeIndividualFemale
Primary Taxonomy207RS0010X
Provider Legal NameMCKENNA RAY CAMPBELL-POTTER
Location Address535 E 70TH STNew York, NY 10021-4823
Mailing Address535 E 70th StNew York, NY 10021-4823
Phone(212) 606-1791
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1164041562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License✔ Licensed in NY · 328701
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
535 E 70TH ST, New York, NY 10021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mckenna Ray Campbell-potter is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971926346
PECOS Enrollment IDI20250818001705, I20251003001480
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.

Medicare Billing Reassignment

Medicare enrollment records show Mckenna Campbell-potter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ny Society For The Relief Of Ruptured & Crippled Maintaining
Same address
Orthopaedic Surgery
535 E 70TH ST
New York, NY 10021
  • Reassigned Medicare billing, New York and New Jersey enrollments
  • Also billed through NPI 1982004529 (New Jersey)
  • 196 clinicians in this Medicare group
NPI 1902243488 (212) 774-7598

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Other Providers at the Same Location NPPES 20

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

SARAH E. MCCORD PA-C
Physician Assistant (Surgical)
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1585
MICHAEL NEWMAN SINGLETON M.D.
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1036
GRETCHEN OSTRANDER ATC
Specialist/Technologist (Athletic Trainer)
535 E 70TH ST
NEW YORK, NY 10021
New York County (203) 257-5414
AMANDA PERLMUTTER
Speech-Language Pathologist
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1137
MONICA ANIS MD
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
New York County (201) 527-7051
MARIANA SOFIA MOREIRAS
Physical Therapist
535 E 70TH ST
NEW YORK, NY 10021
New York County (917) 260-4970
DR. SHEVAUN MACKIE DOYLE MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
535 E 70TH ST
NEW YORK, NY 10021
New York County (646) 797-8816
NATISHA REGINA ROSS PA-C
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021
New York County (212) 606-1004

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 Mckenna Campbell-potter's NPI number?

The NPI number for Mckenna Campbell-potter is 1164041562. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Mckenna Campbell-potter located?

Mckenna Campbell-potter practices at 535 E 70th St, New York, NY 10021. The listed phone number is (212) 606-1791.

What is Mckenna Campbell-potter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Mckenna Campbell-potter enrolled in Medicare?

Yes. Mckenna Campbell-potter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mckenna Campbell-potter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenna Campbell-potter reassigns Medicare benefits to Ny Society For The Relief Of Ruptured & Crippled Maintaining (New York, NY). The 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 Mckenna Campbell-potter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mckenna Campbell-potter affiliated with any hospitals?

According to CMS data, Mckenna Campbell-potter is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Mckenna Campbell-potter was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.