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

Megan Michelle Poole, PA-C

Individual provider Physician Assistant · NPI 1053201590

Megan Michelle Poole, PA-C is a Physician Assistant in Mishawaka, Indiana. Qualified in 2023, 3 years ago. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2025
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

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone: (574) 335-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004964A (IN)

Record details

NPI number1053201590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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