Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy M Pouliot, PA-C

Individual provider Physician Assistant · NPI 1467943381

Stacy M Pouliot, PA-C is a Physician Assistant in New Haven, Connecticut. Qualified in 2018, 8 years ago. Practices with Greenwich Hospital, a 79-clinician group and accepts Medicare assignment. Licensed in Connecticut and New Jersey.

Years since qualifying
8
Licensed in
CT, NJ
In the registry since
2018
Specialties on file
3
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

20 York St
New Haven, CT 06510
Phone: (203) 688-4242
Fax: (203) 737-5187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4135 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00622000 (NJ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1467943381
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 26, 2018
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Greenwich Hospital — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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