Brenna Mae Shackelford, MD
Hospice and Palliative Medicine (Emergency Medicine) Physician · Meridian, ID
Brenna Mae Shackelford, MD is a hospice and palliative medicine (emergency medicine) physician with a practice address in Meridian, Idaho, and NPI 1033377833, issued on May 28, 2008. Check the license (Idaho M-15461, as entered in NPPES) on the Idaho Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Brenna Mae Shackelford
- Credential
- MD
- Primary taxonomy
- Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X
- License numbers
- M-15461 ID
M15461 ID
A133488 CA
MD19340 HI
01067626A IN
and 1 more
Self-reported in NPPES; status is on the state search - Practice location
- 520 S Eagle RD Ste 3102, Meridian, ID 83642
- Phone
- (208) 381-1615
- Enumerated
- May 28, 2008
- Record last updated
- Aug 6, 2024
- Fax
- (208) 381-5141
- Medicare enrollment
- Enrolled (PECOS I20240809001334); accepts Medicare assignment
- Medical or professional school
- University Of Texas Medical Branch At Galveston, 2008
- Entity
- Type 1 · individual
All 1 in Idaho → Look up another NPI →
Also registered at 520 S Eagle RD Ste 3102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tyler Birch, D.O.Internal Medicine Physician1003278730
- Patricia Buersmeyer, M.D.Internal Medicine Physician1104816198
- Abigail Daley, PA-CPhysician Assistant1659688174
- Monica Griffith, PHARMDPharmacist1649820259
- Shaye Lewis, M.D.Internal Medicine Physician1649664558
- Wendy Loumeau, PAPhysician Assistant1144950270
Verify Brenna Mae Shackelford in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIdaho Board of Medicine
Search for license M-15461Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- St Lukes Clinic-Treasure Valley LLCBoise, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hospice and Palliative Medicine (Emergency Medicine) Physician providers in Idaho
There are 1 hospice and palliative medicine (emergency medicine) physician records in Idaho.
All 1 in Idaho → Every provider in Meridian → Hospice and Palliative Medicine (Emergency Medicine) Physician nationwide →
Common questions
What is Brenna Mae Shackelford, MD's NPI number?
Brenna Mae Shackelford, MD's National Provider Identifier (NPI) is 1033377833, issued on May 28, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Brenna Mae Shackelford, MD located?
The NPPES record lists a practice address at 520 S Eagle RD Ste 3102, Meridian, ID, 83642. Phone: (208) 381-1615. Providers update this record themselves, so call before visiting.
How can I verify Brenna Mae Shackelford, MD's license?
NPPES lists Idaho license number M-15461, as entered by the provider. Search the Idaho Board of Medicine at https://dopl.idaho.gov/bom/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.