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MR. MICHAEL TYSHUNE SHELTON RN, MSN
NPI 1124251103
Nurse Practitioner - Family in Richland, WA

Active since August 25, 2009PECOS Enrolled
829 GOETHALS DR, RICHLAND, WA 99352(509) 547-2204(509) 542-8836 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2024, May 20, 2020, May 9, 2016 (3 updates tracked since 2016).

About Mr. Michael Tyshune Shelton Rn, Msn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL TYSHUNE SHELTON RN, MSN (NPI 1124251103) is an individual family provider in Richland, Washington, licensed in Texas (F1009375 NP-C) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124251103
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICHAEL TYSHUNE SHELTONCredential: RN, MSN
Location Address829 GOETHALS DRRichland, WA 99352-3529
Mailing Address3750 Commercial AveSan Antonio, TX 78221-3117 · (210) 922-7000 · Fax (210) 227-0282
Phone(509) 547-2204
Fax(509) 542-8836
Sole ProprietorNo
Enumeration DateAugust 25, 2009
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1124251103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · F1009375 NP-C✔ Licensed in WA · AP61096750
Also ListedRegistered NurseTaxonomy 163W00000X · License RN 794786 (TX)
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP61096750 (WA)
829 GOETHALS DR, Richland, WA 99352
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13845 S Padre Island Dr, Pediatric CenterCorpus Christi, TX 78415-2919 · Phone (361) 854-4626
Location 2315 N San Saba Ste 1075San Antonio, TX 78207-3155 · Phone (210) 922-7000 · Fax (210) 227-0282
Location 319005 SE 34th StVancouver, WA 98683-1450 · Phone (360) 726-6720 · Fax (360) 726-6729

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Tyshune Shelton Rn, Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Shelton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tri-Cities Community Health
Same address
Federally Qualified Health Center (FQHC)
829 GOETHALS DR
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • 40 clinicians in this Medicare group
NPI 1427394568 (509) 547-2204
Sea Mar Community Health Centers
155 mi
Federally Qualified Health Center (FQHC)
10217 125TH STREET CT E FL 2
Puyallup, WA 98374
  • Reassigned Medicare billing, Washington enrollment
  • 525 clinicians in this Medicare group
NPI 1912055286 (253) 864-4550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRI-CITIES COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
829 GOETHALS DR
RICHLAND, WA 99352
Benton County (509) 547-2204
MRS. SHERRIE S. VIRAKPANYOU LICSW
Social Worker (Clinical)
829 GOETHALS DR
RICHLAND, WA 99352
Benton County (509) 547-2204
NITISH JAGPAL
Pediatrics
829 GOETHALS DR
RICHLAND, WA 99352
Benton County (509) 547-2204
TRI-CITIES COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
829 GOETHALS DR
RICHLAND, WA 99352
Benton County (509) 547-2204
JESUS N MARCELO MD
Internal Medicine
829 GOETHALS DR
RICHLAND, WA 99352
Benton County (509) 547-2204
MARY CHRISTINE COPE FNP
Nurse Practitioner (Family)
829 GOETHALS DR
RICHLAND, WA 99352
Benton County (509) 547-2204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Shelton's NPI number?

The NPI number for Michael Shelton is 1124251103. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Michael Shelton located?

Michael Shelton practices at 829 Goethals Dr, Richland, WA 99352. The listed phone number is (509) 547-2204.

What is Michael Shelton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Shelton enrolled in Medicare?

Yes. Michael Shelton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Shelton reassigns Medicare benefits to 2 organizations: Tri-Cities Community Health (Richland, WA) and Sea Mar Community Health Centers (Puyallup, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Shelton accept?

Health plans from Ambetter Health and Providence Health Plan list Michael Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Shelton was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.