P Praxis·MD
● Active Type 1 · Individual

Shelby Renee Brunson

Nurse Practitioner·Rexburg, ID· NPI 1861296485 · Enumerated 2025 · 1 years on NPI
Brunson is 1 of 21 nurse practitioner providers in Rexburg and 1 of 1280 in Idaho.
NPI age
1 years
Enumerated 2025-04-02
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-04Enumerated in NPPES
2025 2026

Where they practice

Practice location
1750 Clements Ln
Rexburg, ID 834405352
📞 5095312548
Mailing address
1750 Clements Ln
Rexburg, ID 834405352
📞 5095312548

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #5071472 taxonomy 363LF0000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    WA license #RN60557241ID license #76133 taxonomy 390200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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