DR. BRENNA MAE SHACKELFORD MD
NPI 1033377833
Emergency Medicine - Hospice and Palliative Medicine in Meridian, ID

Q: What is Brenna Shackelford's NPI number?

The NPI number for Brenna Shackelford is 1033377833. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Q: What is Brenna Shackelford's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207PH0002X.

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment

520 S EAGLE RD STE 3102, MERIDIAN, ID 83642(208) 381-1615(208) 381-5141 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2024, Mar 21, 2023, May 20, 2020 (3 updates tracked since 2020).

On this page

About Dr. Brenna Mae Shackelford Md NPPES

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

DR. BRENNA MAE SHACKELFORD MD (NPI 1033377833) is an individual hospice and palliative medicine provider in Meridian, Idaho, licensed in Idaho (M-15461) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033377833

Entity TypeIndividualFemale

Primary Taxonomy207PH0002X

Provider Legal NameDR. BRENNA MAE SHACKELFORDCredential: MD

Location Address520 S EAGLE RD STE 3102Meridian, ID 83642-6352

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-8752

Phone(208) 381-1615

Fax(208) 381-5141

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2008

Enumeration DateMay 28, 2008

Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration

NPPES CertifiedAugust 6, 2024

✔ NPI 1033377833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PH0002X

License✔ Licensed in ID · M-15461

Definition

An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD19340 (HI), 01067626A (IN), 23824 (NV), A133488 (CA), M15461 (ID)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

520 S EAGLE RD STE 3102, Meridian, ID 83642

Open in Google Maps ↗

Secondary Practice Locations 3

Location 199 MDG/SGHQ, Fl 2, Rm 2576C, Attn: Credentials OfficeNellis AFB, NV 89191-6601 · Phone (702) 653-3067

Location 2221 Mahalani StWailuku, HI 96793-2526 · Phone (808) 242-2290

Location 3745 W Moana Ln Ste 300Reno, NV 89509-4980 · Phone (775) 327-5174

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brenna Mae Shackelford 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.

PECOS PAC ID3870739568

PECOS Enrollment IDI20240809001334

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

29 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

15 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER T BIRCH D.O.

Internal Medicine