NPIMap

Individual provider Active NPI

Kenneth Jewell Norris Jr., MD

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1841276102
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5912 Issued in AK
Practice address
1200 W Northern Lights Blvd Ste B
Anchorage, AK 99503-3652
Phone
(907) 212-5165
Fax
(907) 212-0950
NPI assigned
Dec 19, 2005
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD071034L PA
Family Medicine Physician 207Q00000X 5912 AK Primary

Addresses

Primary practice location

1200 W Northern Lights Blvd Ste B
Anchorage, AK 99503-3652

Mailing address

PO Box 2908
Portland, OR 97208-2908
Phone (425) 207-5155

Other practice location 1

4320 Diplomacy Dr
Suite 3121
Anchorage, AK 99508-5925
Phone (907) 729-8624

Other identifiers 1

IdentifierTypeStateIssuer
MD2374MedicaidAK

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
I20070327000620 TX Practitioner - Family Practice 5395849558 Reassigns benefits to 2 organizations
I20250724001158 AK Practitioner - Family Practice 5395849558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Care Ak LLCGroup PAC ID 2163855032, 16 clinicians

Practice addresses (Care Compare)

1200 W Northern Lights Blvd
Suite B
Anchorage, AK 99503-3652
Phone (907) 212-5165

3900 Ambassador Dr
Anchorage, AK 99508-5922
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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.77 of 100Reported as group
Quality
76.11
Promoting interoperability
100
Improvement activities
40
Cost
79.79

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 skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5912AKMDFamily Medicine Physician
MD071034LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Express Care Ak LLC CurrentSince Jul 7, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 5, 2006 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Express Care Ak LLC Family Medicine CurrentSince Jul 7, 2025 Accepting new patients
Southcentral Foundation CurrentSince Jun 1, 2015 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

1118 N Muldoon Rd
Ste 130
Anchorage, AK 99504

1200 W Northern Lights Blvd
Ste B
Anchorage, AK 99503
Phone (907) 212-5165

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

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4320 Diplomacy Dr
Ste 3121
Anchorage, AK 99508
Phone (907) 729-4310

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

1 Flight Line Rd
Port Alsworth, AK 99653
Phone (907) 781-2256

1001 S Knik Goose Bay Rd
Wasilla, AK 99654
Phone (907) 631-7800

Interoperability endpoints

  • Direct secure messaging: knorris@direct.scf.cc
  • Direct secure messaging: knorris3840405@ak.providencedirect.org

Organizations & group practices 12

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1841276102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2908",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082908",
            "telephone_number": "425-207-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W NORTHERN LIGHTS BLVD STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033652",
            "telephone_number": "907-212-5165",
            "fax_number": "907-212-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Diplomacy Dr",
            "address_2": "Suite 3121",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085925",
            "country_code": "US",
            "telephone_number": "907-729-8624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "KENNETH",
        "middle_name": "JEWELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD071034L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD2374",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.