Brenna Mae Shackelford, MD
Hospice/Palliative Care (CMS) · Meridian, ID
At a glance
520 S Eagle Rd Ste 3102, Meridian, ID 83642-6352
NPPES record updated Aug 6, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
520 S Eagle Rd Ste 3102Meridian, ID 83642-6352
Additional reported practice locations
99 Mdg/Sghq, Fl 2, Rm 2576CAttn: Credentials Office
Nellis Afb, NV 891916601
Phone: 7026533067 221 Mahalani St
Wailuku, HI 967932526
Phone: 8082422290 745 W Moana Ln Ste 300
Reno, NV 895094980
Phone: 7753275174
Education & affiliations
- Medical / professional school
- University Of Texas Medical Branch At Galveston
- Graduation year
- 2008
- CMS specialties
- Hospice/Palliative Care
Practice groups
Reported hospital affiliations
- St Luke's Nampa Medical Center Nampa, ID
- St Luke's Regional Medical Center Boise, ID
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Hospice/Palliative Care (CMS)
- Taxonomy code
- 207PH0002X
- Enumeration date
- May 28, 2008
- Record updated
- Aug 6, 2024
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MD
Reported taxonomies and licenses
207P00000X
License reported: MD19340 HI
207P00000X
License reported: 01067626A IN
207P00000X
License reported: 23824 NV
207P00000X
License reported: A133488 CA
207P00000X
License reported: M15461 ID
390200000X
207PH0002X · Primary
License reported: M-15461 ID
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
520 S Eagle Rd Ste 3102Meridian, ID 83642-6352
- Phone
- (208) 381-1615
- Fax
- (208) 381-5141
Mailing address
190 E BANNOCK STBOISE, ID 837126241
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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