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

Sophie Pouliot

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538880778

Sophie Pouliot is a Physician Assistant in Des Moines, Iowa. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Iowa.

Years since qualifying
3
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1215 Pleasant St Ste 608
Des Moines, IA 50309-1418
Phone: (515) 875-9560
Fax: (515) 875-9561
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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 122671 (IA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538880778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2022
Last updated in NPPESFebruary 20, 2024
Certification dateJanuary 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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