DR. BRENNA MAE SHACKELFORD (MD) – Hospice and Palliative Medicine (Emergency Medicine) Physician, NPI 1033377833
Hospice and Palliative Medicine (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
28 HOSPICE/PALLIATIVE CARE in NV
Provider Addresses for DR. BRENNA MAE SHACKELFORD (MD)
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 381-8752
Type: Mailing
99 MDG/SGHQ, Fl 2, Rm 2576C
Attn: Credentials Office
Nellis AFB, NV 891916601
Phone: (702) 653-3067
Type: Location
221 Mahalani St
Wailuku, HI 967932526
Phone: (808) 242-2290
Type: Location
745 W Moana Ln Ste 300
Reno, NV 895094980
Phone: (775) 327-5174
Type: Location
3350 LOWER HONOAPIILANI RD # 215-121
LAHAINA, HI 967618402
Phone: (702) 937-4899
Type: Mailing
Maui Memorial Medical Center, 221, Mahalani Street, Wailuku, Maui County, Hawaii, 96793, United States
WAILUKU, HI 967932526
Phone: (808) 242-2290
Type: Location
520 S EAGLE RD STE 3102
MERIDIAN, ID 836426352
Phone: (208) 381-1615
Fax: (208) 381-5141
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Celgene Corporation ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Celgene Corporation | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150604002152 | I | Emergency Medicine | CA | TBD |
| I20171121002485 | I | Emergency Medicine | HI | TBD |
| I20240809001334 | I | Hospice/Palliative Care | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 11 | 11 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 83712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
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