Individual provider Active NPI

Shannon Rochelle Norman, MD

  • Pediatric Hematology & Oncology Physician
  • Anchorage, AK
National Provider Identifier
1982881421
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
7357 Issued in AK
Practice address
4100 Lake Otis Pkwy Ste 312
Anchorage, AK 99508-5231
Phone
(907) 929-3773
Fax
(907) 929-7330
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 7357 AK Primary

Addresses

Primary practice location

4100 Lake Otis Pkwy Ste 312
Anchorage, AK 99508-5231

Mailing address

1200 Airport Heights Dr Ste 101
Anchorage, AK 99508-2982
Phone (907) 917-9235

Other identifiers 1

IdentifierTypeStateIssuer
1576741MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120404000917 AK Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 0446410120 Reassigns benefits to 1 organization
I20120813000416 TX Practitioner - Pediatric Medicine 0446410120 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7357AKMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Bleeding Disorder Clinics CurrentSince Jan 2, 2020 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 16, 2012 Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 312
Anchorage, AK 99508
Phone (907) 569-3668

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

1200 Airport Heights Dr
Ste 101
Anchorage, AK 99508
Phone (907) 276-2803

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1982881421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AIRPORT HEIGHTS DR STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082982",
            "telephone_number": "907-917-9235",
            "fax_number": "907-891-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 312",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085231",
            "telephone_number": "907-929-3773",
            "fax_number": "907-929-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "SHANNON",
        "middle_name": "ROCHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "AK",
            "license": "7357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1576741",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.