DR. JACLYN MCKENNA MD
NPI 1871084509
Internal Medicine - Sports Medicine in White Plains, NY
About Dr. Jaclyn Mckenna Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACLYN MCKENNA MD (NPI 1871084509) is an individual sports medicine provider in White Plains, New York, licensed in New York (322734) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Dr. Jaclyn Mckenna Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jaclyn Mckenna reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 121 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, Connecticut and New York enrollments
- 3 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, Connecticut and New York enrollments
- 37 clinicians in this Medicare group
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 1,372 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaclyn Mckenna's NPI number?
The NPI number for Jaclyn Mckenna is 1871084509. It was assigned to this individual provider in the NPPES registry on May 29, 2018.
Where is Jaclyn Mckenna located?
Jaclyn Mckenna practices at 1133 Westchester Ave, White Plains, NY 10604. The listed phone number is (914) 821-9296.
What is Jaclyn Mckenna's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.
Is Jaclyn Mckenna enrolled in Medicare?
Yes. Jaclyn Mckenna 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 organizations bill Medicare for Jaclyn Mckenna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Mckenna reassigns Medicare benefits to 4 organizations: New York Society For The Relief Of Ruptured & Crippled Maintaining (New York, NY), New York Society For The Relief Of The Ruptured And Crippled Maintaini (New York, NY), Ny Society For The Relief Of Ruptured & Crippled Maintaining (New York, NY) and Lifespan Physician Group, Inc. (Providence, RI). Each 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 Jaclyn Mckenna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Mckenna accept?
Health plans from Anthem Blue Cross and Blue Shield list Jaclyn Mckenna 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.
Is Jaclyn Mckenna affiliated with any hospitals?
According to CMS data, Jaclyn Mckenna is affiliated with Hospital For Special Surgery.
When was this NPI record last updated?
The NPPES record for Jaclyn Mckenna was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jaclyn Mckenna, MD · NPI 1871084509
Sports Medicine physician in White Plains, New York. Individual provider, active in the CMS NPPES registry since May 29, 2018.
## Identity
- **NPI:** 1871084509 (Entity type: Individual)
- **Enumerated:** May 29, 2018
- **Primary specialty:** Internal Medicine - Sports Medicine · taxonomy 207RS0010X
- **State license:** 322734 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1133 WESTCHESTER AVE, White Plains, NY 10604-3516
- **Phone:** (914) 821-9296
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): New York Society For The Relief Of Ruptured & Crippled Maintaining (NPI 1427496652, New York, NY); New York Society For The Relief Of The Ruptured And Crippled Maintaini (NPI 1801282512, New York, NY); Ny Society For The Relief Of Ruptured & Crippled Maintaining (NPI 1902243488, New York, NY); Lifespan Physician Group, Inc. (NPI 1174484216, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871084509) · Data from the CMS NPPES public registry.