Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Brady Kyle Shepherd

Individual provider Registered Nurse · NPI 1093586158

Brady Kyle Shepherd is registered under Certified Registered Nurse Anesthetist (CRNA) in Pocatello, Idaho. Qualified in 2023, 3 years ago. Practices with Northstar Anesthesia of Idaho PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
3
Licensed in
ID, UT
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 78781 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 10256717-3102 (UT)

Record details

NPI number1093586158
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2024
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northstar Anesthesia Of Idaho Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients91
Services billed 94 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Northstar Anesthesia of Idaho PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 39 clinicians in the practice; 12 are shown here.

Other providers in Pocatello