Michelle Angelina Shelton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12533 Issued in TX

Practice address

2460 N Interstate Highway 35 E Ste 285
Waxahachie, TX 75165-5286

Phone

(972) 736-3376

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Texas Southwestern Medical School at Dallas, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Word Dermatology PLLCGroup PAC ID 9931493095, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Word Dermatology PLLC

  • Dermatology Physician
  • Waxahachie, TX
  • NPI 1932561867
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1447720016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 BROOKBEND CT",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656137",
            "telephone_number": "512-940-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N INTERSTATE HIGHWAY 35 E STE 285",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655286",
            "telephone_number": "972-736-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MICHELLE",
        "middle_name": "ANGELINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SH Opco Waxahachie LLC
• Brenda Shannon
• Kandi Denise Shaw, LPC
• Ashlee N Sheafer, LPC
• Ivy Lea Shelmadine, PT, DPT
• Christopher John Shorrock, AG-ACNP
• Shirley J Shropshire, LMFT
• Adeel Siddiqui
• Michelle Reynolds Simmons
• Simply Well DPC

• Physician Assistant in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.

Verify at the official NPI Registry.