Brady Kyle Shepherd
NPI 1093586158ActiveIndividual· Nurse Anesthetist, Certified Registered· Pocatello, ID
Nurse Anesthetist, Certified Registered with Northstar Anesthesia of Idaho PLLC, practicing in Pocatello, Idaho. Medicare paid $16,545 for services to 91 patients in 2024. Lists Portneuf Medical Center as a hospital affiliation.
Overview
| NPI | 1093586158 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 9, 2024 |
| Last updated in NPPES | Mar 8, 2024 |
| Certified by provider | Mar 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 78781 | ID |
| Registered Nurse | 163W00000X | 10256717-3102 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 91 |
|---|---|
| Services billed | 94 across 40 procedure codes |
| Paid by Medicare | $16,545 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Northstar Anesthesia of Idaho PLLCPocatello, ID · 35 clinicians
Hospital affiliation
- Portneuf Medical CenterPocatello, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 31 nurse anesthetists in Pocatello · All nurse anesthetists in Idaho