Brenda Shaw, PA
NPI 1679642037 · Physician Assistant · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brenda Shaw, PA is a Physician Assistant provider in Idaho Falls, ID (NPI 1679642037).
Provider details
- NPI number
- 1679642037
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA587 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 43 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 135 | 23 |
| Rosuvastatin Calcium | 94 | 19 |
| Omeprazole | 88 | 18 |
| Losartan Potassium | 85 | 20 |
| Lisinopril | 79 | 19 |
| Amlodipine Besylate | 64 | — |
| Levothyroxine Sodium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2009-12-15
Frequently asked questions
- What is Brenda Shaw's NPI number?
- Brenda Shaw's National Provider Identifier (NPI) is 1679642037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brenda Shaw's specialty?
- Brenda Shaw is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brenda Shaw located?
- Brenda Shaw's practice location on file with NPPES is 1660 John Adams Pkwy, Idaho Falls, ID 83401-4360.
- What is Brenda Shaw's phone number?
- The practice phone number listed in the NPPES registry for Brenda Shaw is (208) 523-8844.
- Does Brenda Shaw accept Medicare?
- Brenda Shaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brenda Shaw's NPI active?
- Yes — Brenda Shaw's NPI (1679642037) is active in the NPPES registry as of the last update on 2009-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.