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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Other providers in Mishawaka