Brenna Shackelford, MD
Brenna Shackelford, MD is a Hospice and Palliative Medicine (Emergency Medicine) Physician in Meridian, ID, registered under NPI 1033377833. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 520 S EAGLE RD STE 3102, Meridian, ID 83642. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD19340 | HI | Emergency Medicine Physician |
| 01067626A | IN | Emergency Medicine Physician |
| 23824 | NV | Emergency Medicine Physician |
| A133488 | CA | Emergency Medicine Physician |
| M15461 | ID | Emergency Medicine Physician |
| M-15461 | ID | Hospice and Palliative Medicine… primary |
Licences are recorded in 5 states: HI, IN, NV, CA, ID. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Emergency Medicine
- PAC ID
- 3870739568
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| California | I20150604002152 | Practitioner - Emergency Medicine |
| Hawaii | I20171121002485 | Practitioner - Emergency Medicine |
| Idaho | I20240809001334 | Practitioner - Hospice/palliative Care |
Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. There are 3 separate enrolment records across 3 states (CA, HI, ID). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 5 states
This provider holds licences in 5 states: California, Hawaii, Idaho, Indiana and Nevada. The practice address on file is in Meridian, ID, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- M15461
- Specialty
- Emergency Medicine Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Hospice and Palliative Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207PH0002X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | MD19340 | HI | |
| 207P00000X | Emergency Medicine Physician | 01067626A | IN | |
| 207P00000X | Emergency Medicine Physician | 23824 | NV | |
| 207P00000X | Emergency Medicine Physician | A133488 | CA | |
| 207P00000X | Emergency Medicine Physician | M15461 | ID | |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | |
| 207PH0002X | Hospice and Palliative Medicine (Emergency Medicine) Physician Hospice and Palliative Medicine | M-15461 | ID | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1033377833 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 28, 2008 |
| Last updated | Aug 6, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | MD |
| Practice address |
520 S EAGLE RD STE 3102 Meridian, ID 83642 (208) 381-1615 Fax (208) 381-5141 |
| Mailing address |
190 E BANNOCK ST Boise, ID 83712 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 3 | 7 | 7 | 8 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 6 | 7 | 5 | 8 | 6 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.