1. Home
  2. Directory
  3. Alaska
  4. Fairbanks
  5. Family Medicine
  6. NPI Profile

MCKINLEY SPORTS MEDICINE, LLC
NPI 1407304017
Family Medicine - Sports Medicine in Fairbanks, AK

Active since September 13, 2016
3745 GEIST RD, FAIRBANKS, AK 99709(907) 456-3341(907) 456-3443 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mckinley Sports Medicine, Llc NPPES

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

MCKINLEY SPORTS MEDICINE, LLC (NPI 1407304017) is a healthcare organization registered as a sports medicine in Fairbanks, Alaska and active in the NPI registry since September 2016. The organization lists Jennifer K Malcolm, President, as its authorized official.

NPPES Registry Identity

NPI1407304017
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameMCKINLEY SPORTS MEDICINE, LLC
Location Address3745 GEIST RDFairbanks, AK 99709-3554
Mailing Address3745 Geist RdFairbanks, AK 99709-3554 · (907) 456-3341 · Fax (907) 456-3443
Phone(907) 456-3341
Fax(907) 456-3443
Organization SubpartNo
Authorized OfficialJennifer K MalcolmPresident · (907) 456-3341
Enumeration DateSeptember 13, 2016
✔ NPI 1407304017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in AK · 10040231
Definition
A family medicine physician that is 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 health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3745 GEIST RD, Fairbanks, AK 99709
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckinley Sports Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mckinley Sports Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Bethany Chernich, D.O.
Osteopathic Manipulative Medicine
NPI 1598950545
3745 GEIST RD
Fairbanks, AK 99709
(907) 456-3338
✔ PECOS✔ Accepts Medicare0.1 mi
Jennifer Malcolm, D.O.
Family Practice
NPI 1154583862
1105 SUNSET AVE
Manhattan, KS 66502
(785) 532-6544
✔ PECOS✔ Accepts Medicare2,693 mi

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

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 Mckinley Sports Medicine, LLC's NPI number?

The NPI number for Mckinley Sports Medicine, LLC is 1407304017. It was assigned to this organization in the NPPES registry on September 13, 2016.

Where is Mckinley Sports Medicine, LLC located?

Mckinley Sports Medicine, LLC is located at 3745 Geist Rd, Fairbanks, AK 99709. The listed phone number is (907) 456-3341.

What is Mckinley Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Mckinley Sports Medicine, LLC enrolled in Medicare?

Yes. Mckinley Sports Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mckinley Sports Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mckinley Sports Medicine, LLC, in Family Practice and Osteopathic Manipulative Medicine. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mckinley Sports Medicine, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mckinley Sports Medicine, LLC 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 Mckinley Sports Medicine, LLC was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.