MEGAN MICHELLE POOLE PA-C
NPI 1053201590
Physician Assistant in Mishawaka, IN

Active since July 07, 2025PECOS Enrolled
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545(574) 335-5000 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2025, Jul 7, 2025 (2 updates tracked since 2025).

About Megan Michelle Poole Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGAN MICHELLE POOLE PA-C (NPI 1053201590) is an individual physician assistant in Mishawaka, Indiana, licensed in Indiana (10004964A) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053201590
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN MICHELLE POOLECredential: PA-C
Location Address5215 HOLY CROSS PKWYMishawaka, IN 46545-1469
Mailing Address5812 Iroquois Ln Apt 1aMishawaka, IN 46545-0908
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 7, 2025
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1053201590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10004964A
Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5215 HOLY CROSS PKWY, Mishawaka, IN 46545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Megan Michelle Poole Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749781482
PECOS Enrollment IDI20250903000210
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Registered Nurse
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Internal Medicine
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Nurse Practitioner (Neonatal, Critical Care)
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Dietitian, Registered
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Nurse Practitioner (Family)
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Emergency Medicine
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT
MISHAWAKA, IN 46545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Poole's NPI number?

The NPI number for Megan Poole is 1053201590. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Megan Poole located?

Megan Poole practices at 5215 Holy Cross Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 335-5000.

What is Megan Poole's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Megan Poole enrolled in Medicare?

Yes. Megan Poole is registered in the Medicare PECOS enrollment system.

Is Megan Poole affiliated with any hospitals?

According to CMS data, Megan Poole is affiliated with Saint Joseph Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Megan Poole was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.