AUSTIN ALAN POULSON – Emergency Medicine Physician, NPI 1174268494

AUSTIN ALAN POULSON is a healthcare provider. based in Muskegon, Michigan. specializing in EMERGENCY MEDICINE. They hold a License No. 9126988-1204 (UT). The NPI Number for AUSTIN ALAN POULSON is 1174268494

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN ALAN POULSON
NPI
1174268494
Phone
Not provided
Address
1675 LEAHY ST STE 201
Enumeration Date
2 May 2022
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356374800
Graduation Year
2022 (4 years ago)
PAC ID
2769912435
Group Practice PAC ID
1850785296
Professional Enrollment ID
I20250922002736
Address ID
UT845014218PR300XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for AUSTIN ALAN POULSON

  • 1675 LEAHY ST STE 201

    MUSKEGON, MI 494425542

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250211000558IEmergency MedicineMITBD
I20250922002736IEmergency MedicineUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49442)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850785296View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineSC
Emergency Medicine, Sports Medicine, Emergency MedicineUT
Emergency MedicineUT
Emergency Medicine, Family PracticeUT
Emergency MedicineOH
Emergency MedicineCA
Emergency MedicineMI
Emergency MedicineOR
Emergency MedicineAR

Reviews

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Frequently asked questions

What identifier follows AUSTIN ALAN POULSON across health systems?
The NPI 1174268494 uniquely identifies AUSTIN ALAN POULSON in U.S. healthcare data.
Does the public listing show AUSTIN ALAN POULSON as active?
AUSTIN ALAN POULSON's NPI record reflects an active status in NPPES.
Which specialty label fits AUSTIN ALAN POULSON?
NPPES ties AUSTIN ALAN POULSON to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to AUSTIN ALAN POULSON?
AUSTIN ALAN POULSON shows a connection to Muskegon, Michigan in registry-derived data.
Can I export AUSTIN ALAN POULSON's record?
You can download the official NPPES record; we summarize key fields for readability.

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