Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brenna Mae Shackelford, MD

Individual provider Emergency Medicine Physician · NPI 1033377833

Dr. Brenna Mae Shackelford, MD is a Hospice/Palliative Care in Meridian, Idaho. Graduated from University of Texas Medical Branch at Galveston in 2008, 18 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California, Hawaii, Idaho and Indiana and 1 more.

Years since qualifying
18
Trained at
University of Texas Medical Branch at Galveston
Licensed in
CA, HI, ID, IN, NV
In the registry since
2008
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 S Eagle Rd Ste 3102
Meridian, ID 83642-6352
Phone: (208) 381-1615
Fax: (208) 381-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 221 Mahalani St, Wailuku, HI 96793-2526 — (808) 242-2290
  • 99 Mdg/Sghq, Fl 2, Rm 2576c, Nellis Afb, NV 89191-6601 — (702) 653-3067
  • 745 W Moana Ln Ste 300, Reno, NV 89509-4980 — (775) 327-5174

Specialties & licences

Hospice and Palliative Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PH0002X · Licence M-15461 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD19340 (HI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01067626A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 23824 (NV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A133488 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence M15461 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033377833
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2008
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyHOSPICE/PALLIATIVE CARE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2008 (18 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Meridian