Active NPI
Michael Vise Shelton, M.D.
- Family Medicine Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E8905
- Practice address
- 4222 Wendover Ave
Ste 600
Odessa, TX 79762-5983 - Phone
- (432) 552-5656
- Fax
- (432) 552-0992
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E8905 | TX | Primary |
Addresses
Primary practice location
4222 Wendover Ave
Ste 600
Odessa, TX 79762-5983
Mailing address
4222 Wendover Ave Ste 600
Odessa, TX 79762-5983
Phone (432) 552-5656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133690105 | Medicaid | TX | |
| 89030X | Other | TX | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4222 Wendover Ave
Suite 600
Odessa, TX 79762-5983
Phone (432) 522-5656
Hospital & facility affiliations
- Express Nursing
- Angels Care Home Health
- Medical Center Hospital
- Odessa Regional Medical Center
- Midland Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E8905 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Physicians, PLLC | Family Medicine | Current | Accepting new patients |
Locations
4222 Wendover Ave
Ste 600
Odessa, TX 79762
Phone (432) 522-5656
3051 E University Blvd
Odessa, TX 79762
Phone (432) 362-4376
Interoperability endpoints
- https://api.platform.athenahealth.com/10019/brand/1/csg/1/fhir/r4
- michael.shelton.1@10019.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Odessa, TX
- NPI 1356374854
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
- Home Health Agency
- Odessa, TX
- NPI 1184791683
-
- Home Health Agency
- Midland, TX
- NPI 1023062148
-
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1306673009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1003810995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 WENDOVER AVE STE 600",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625983",
"telephone_number": "432-552-5656",
"fax_number": "432-552-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 WENDOVER AVE",
"address_2": "STE 600",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625983",
"telephone_number": "432-552-5656",
"fax_number": "432-552-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "MICHAEL",
"middle_name": "VISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E8905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133690105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "89030X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
- James A Sheehan, M.D.
- Wade H Shelby, PT
- Maria Angelina Shelkey, MS, CCC-SLP
- Carron Lou Shellenberger, LPC
- Haleigh Morgan Shelton, OD
- Holly Barker Sherman, M.S.CCC.SLP
- Tanya Desirae Sherman, ATC, LAT
- Stephanie Lou Sherrin, LVN
- Shine Speech Therapy and Social Language Center, PLLC
- Shingala Dental PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.