Shelby Renee Brunson
NPI 1861296485ActiveIndividual· Nurse Practitioner, Family· Rexburg, ID
Nurse Practitioner, Family with Sterling Provider Group, practicing in Rexburg, Idaho. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1861296485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 2, 2025 |
| Last updated in NPPES | Mar 30, 2026 |
| Certified by provider | Mar 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5071472 | ID |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN60557241 | WA |
| Student in an Organized Health Care Education/Training Program | 390200000X | 76133 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sterling Provider GroupRock Springs, WY · 49 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Rexburg
- 1831220896
- 1437350139
- 1629515556
- 1659077238
- 1023417037
- 1407405111
- 1518517317
- 1215471065
- 1275794851
- 1033351895
- 1982830345
- 1619044039