Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Roy Poole, PA-C

Individual provider Physician Assistant · NPI 1477529915

Kevin Roy Poole, PA-C is a Physician Assistant in Pleasant Prairie, Wisconsin. Qualified in 2002, 24 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
24
Licensed in
WI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone: (262) 857-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Naval Hospital Great Lakes, Great Lakes, IL 60088 — (847) 688-3995

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7400 (WI)

Record details

NPI number1477529915
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Pleasant Prairie