Individual provider · Type 1 NPI

Megan Michelle Poole, PA-C

Physician Assistant · Mishawaka, IN

NPI number 1053201590 Active

Practice location

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

Call (574) 335-5000 Map

Mailing address

5812 Iroquois Ln Apt 1A
Mishawaka, IN 46545-0908

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10004964A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053201590

Megan Michelle Poole, PA-C's National Provider Identifier is 1053201590, issued on Jul 7, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mishawaka, IN. The record was last updated on Nov 13, 2025.