ERIC A POULIN (M.D.) – Family Medicine Physician, NPI 1053304576

ERIC A POULIN (M.D.) is a healthcare provider. based in Zumbrota, Minnesota. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 41803020 (WI). The NPI Number for ERIC A POULIN (M.D.) is 1053304576

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
ERIC A POULIN (M.D.)
NPI
1053304576
Phone
(651) 267-5000
Address
1350 JEFFERSON DR
Enumeration Date
30 August 2005
Last Update Date
23 April 2024

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5072883443
Graduation Year
1997 (29 years ago)
PAC ID
5890696256
Group Practice PAC ID
8527970060
Professional Enrollment ID
I20060621000028
Address ID
MN559046425RO210XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

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Provider Addresses for ERIC A POULIN (M.D.)

  • Fairview Zumbrota Clinic, 1350, Jefferson Drive, Zumbrota, Goodhue County, Minnesota, 55992, United States

    ZUMBROTA, MN 559921180

    Phone: (651) 267-5000

    Type: Mailing

  • 132 17TH AVE NW

    ROCHESTER, MN 559010321

    Phone: (507) 292-7411

    Type: Location

  • 210 9TH ST SE

    ROCHESTER, MN 559046756

    Phone: (507) 288-3443

    Type: Mailing

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: 2006-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20060621000028IFamily PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9875$0
99213Established patient office or other outpatient visit, 20-29 minutes5552$0
99215Established patient office or other outpatient visit, 40-54 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 55992)

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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: 8527970060View full group profile
NameSpecialtyState
Emergency MedicineMN
Nurse PractitionerMN
Family PracticeMN
Family PracticeMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
P A T H O L O G YMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What NPI should I save for ERIC A POULIN (M.D.)?
Save NPI 1053304576 if you need a stable reference for ERIC A POULIN (M.D.).
Is ERIC A POULIN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ERIC A POULIN (M.D.) treat or focus on?
Patients typically see ERIC A POULIN (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ERIC A POULIN (M.D.)?
The snapshot lists Zumbrota, Minnesota for ERIC A POULIN (M.D.); download NPPES for the complete set.
Is ERIC A POULIN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1053304576. Always confirm identity and privileges with the practice and licensing boards.

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