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STACY M POULIOT PA-C
NPI 1467943381
Physician Assistant - Medical in New Haven, CT

Active since May 26, 2018PECOS EnrolledAccepts Medicare Assignment
70.22/100
CMS Quality Rating
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242(203) 737-5187 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2021, Jul 31, 2018, Jul 18, 2018 and 1 more (4 updates tracked since 2018).

About Stacy M Pouliot Pa-c NPPES

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

STACY M POULIOT PA-C (NPI 1467943381) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (4135) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467943381
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTACY M POULIOTCredential: PA-C
Location Address20 YORK STNew Haven, CT 06510
Mailing Address49 Sherman LnHamden, CT 06514
Phone(203) 688-4242
Fax(203) 737-5187
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 26, 2018
Last NPPES UpdateSeptember 22, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1467943381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 4135
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP00622000 (NJ)
20 YORK ST, New Haven, CT 06510
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy M Pouliot Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850640053
PECOS Enrollment IDI20180821003806
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
177 services175 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
80 services78 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less 12001
This is a procedure to fix a minor wound on your scalp, neck, underarms, trunk, arms, or legs that is 2.5 cm or less. It involves cleaning, and then stitching or gluing the wound to help it heal properly and minimize scarring.
13 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.44
Promoting Interoperability73
Improvement Activities40
Cost28.81

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.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

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 Stacy Pouliot's NPI number?

The NPI number for Stacy Pouliot is 1467943381. It was assigned to this individual provider in the NPPES registry on May 26, 2018.

Where is Stacy Pouliot located?

Stacy Pouliot practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Stacy Pouliot's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacy Pouliot enrolled in Medicare?

Yes. Stacy Pouliot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacy Pouliot was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.