NPIMap

Individual provider Active NPI

Shannon Caroline Fraser, M.D.

  • Otolaryngology Physician
  • Anchorage, AK
National Provider Identifier
1568783173
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MT197732 Issued in PA
Practice address
3841 Piper St Ste T230
Anchorage, AK 99508-4689
Phone
(907) 279-8800
Fax
(907) 279-8810
NPI assigned
Jun 17, 2010
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MT197732 PA Primary

Addresses

Primary practice location

3841 Piper St Ste T230
Anchorage, AK 99508-4689

Mailing address

3841 Piper St Ste T230
Anchorage, AK 99508-4689
Phone (907) 279-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151026001761 TX Practitioner - Otolaryngology 7911216387 Reassigns benefits to 4 organizations
I20230518000937 AK Practitioner - Otolaryngology 7911216387

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Johns Hopkins University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 University Lake Dr
Anchorage, AK 99508-4658
Phone (907) 563-2662

3900 Ambassador Dr
Anchorage, AK 99508-5922
Phone (907) 563-2662

3976 University Lake Dr
Suite 100
Anchorage, AK 99508-4644
Phone (907) 563-2662

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

4320 Diplomacy Dr
Anchorage, AK 99508-5925
Phone (907) 265-4955

4441 Diplomacy Dr
Anchorage, AK 99508-5910
Phone (907) 563-2662

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT197732PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation CurrentSince Oct 6, 2015 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Maniilaq Association CurrentSince Dec 28, 2016 Accepting new patients
Maniilaq Association CurrentSince Dec 28, 2016 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 8, 2015 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 6, 2015 Accepting new patients
Alaska Center for Ear Nose and Throat, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Tanana Chiefs Conference CurrentSince Dec 28, 2024 Accepting new patients
Maniilaq Association Current Accepting new patients
Tanana Chiefs Conference CurrentSince Dec 28, 2024 Accepting new patients

Locations

1100 E Dimond Blvd
Ste 201
Anchorage, AK 99515
Phone (907) 279-8800

3841 Piper St
Ste T230
Anchorage, AK 99508
Phone (907) 279-8800

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

122 1st Ave
Ste 106
Fairbanks, AK 99701

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

Interoperability endpoints

  • Direct secure messaging: sfraser@directaddress.net
  • Direct secure messaging: shannon.fraser.1@15989.direct.athenahealth.com

Organizations & group practices 10

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

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1568783173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T230",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084689",
            "telephone_number": "907-279-8800",
            "fax_number": "907-279-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T230",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084689",
            "telephone_number": "907-279-8800",
            "fax_number": "907-279-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "SHANNON",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT197732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.