DR. BRENNA MAE SHACKELFORD MD NPI 1033377833

NPI Information

  • NPI: 1033377833
  • Provider Name: DR. BRENNA MAE SHACKELFORD, MD
  • Classification: Emergency Medicine - 207PH0002X
  • Specialization: Hospice and Palliative Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 520 S EAGLE RD STE 3102
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 381-1615

Map and Directions

Get Directions

NPI Details

DR. Brenna Mae Shackelford, MD is a hospice and palliative medicine emergency medicine in Meridian, ID with 17 years of experience. The provider is 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. DR. Brenna Mae Shackelford, MD NPI is 1033377833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:2008

The provider's business location address is:

520 S EAGLE RD STE 3102
MERIDIAN, ID
ZIP 83642-352
Phone: (208) 381-1615
Fax: (208) 381-5141

The NPI 1033377833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for problem of high severity (HCPCS:99284)

The enumeration date for this NPI number is 5/28/2008 and was last updated on 8/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD19340HAWAIINo
2207P00000XEmergency Medicine01067626AINDIANANo
3207P00000XEmergency Medicine23824NEVADANo
4207P00000XEmergency MedicineA133488CALIFORNIANo
5207P00000XEmergency MedicineM15461IDAHONo
6390200000XStudent in an Organized Health Care Education/Training ProgramNo
7207PH0002XEmergency MedicineHospice and Palliative MedicineM-15461IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.