Individual provider Active NPI

Melinda Michalski, PA-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1063949980
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064432 Issued in PA
Practice address
100 S Juniper St FL 3
Philadelphia, PA 19107-1316
Phone
(866) 849-0692
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.010212RX OH
Physician Assistant 363A00000X 0010-16707 NC
Physician Assistant 363A00000X MA064432 PA Primary
Physician Assistant 363A00000X C0006517 MD
Physician Assistant 363A00000X C5-0012255 DE

Addresses

Primary practice location

100 S Juniper St FL 3
Philadelphia, PA 19107-1316

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

4755 Ogletown Stanton Road
Suite 5A43
Newark, DE 19718-2200
Phone (302) 623-0188

Other practice location 2

5200 Eastern Avenue
MFL East Tower, 2ND Floor
Baltimroe, MD 21224
Phone (410) 550-8956

Other practice location 3

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-7900

Other identifiers 1

IdentifierTypeStateIssuer
390200000XOther390200000X

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171013002465 MD Practitioner - Physician Assistant 1951676113 Reassigns benefits to 3 organizations
I20230925000473 PA Practitioner - Physician Assistant 1951676113 Reassigns benefits to 1 organization
I20250404002977 DE Practitioner - Physician Assistant 1951676113 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006517MDMDPhysician Assistant
50.010212RXOHMDPhysician Assistant
MA064432PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Aug 28, 2017 Accepting new patients
Johns Hopkins University CurrentSince Aug 28, 2017 Accepting new patients
Union Hospital of Cecil County CurrentSince May 25, 2025 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2023 Accepting new patients
Union Hospital of Cecil County, Inc. Physician Assistant CurrentSince May 25, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 1, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Physician Assistant CurrentSince Aug 14, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 1, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2023 Accepting new patients
DLP Conemaugh Physician Practices LLC Physician Assistant CurrentSince Aug 14, 2023 Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

4000 Nexus Dr
Ste E3
Wilmington, DE 19803

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

5200 Eastern Ave
Fl 2
Baltimore, MD 21224
Phone (410) 550-5018

4940 Eastern Ave
Baltimore, MD 21224

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

600 N Wolfe St
Baltimore, MD 21287

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

1020 Franklin St
Johnstown, PA 15905
Phone (814) 533-1095

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: mcartwright414718@direct.hopkinsmedicine.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1063949980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JUNIPER ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071316",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 5A43",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-623-0188",
            "fax_number": "302-733-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 EASTERN AVENUE",
            "address_2": "MFL EAST TOWER, 2ND FLOOR",
            "address_purpose": "LOCATION",
            "city": "BALTIMROE",
            "state": "MD",
            "postal_code": "21224",
            "country_code": "US",
            "telephone_number": "410-550-8956",
            "fax_number": "410-550-2972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4940 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242735",
            "country_code": "US",
            "telephone_number": "410-550-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHALSKI",
        "first_name": "MELINDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010212RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16707",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064432",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006517",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "390200000X",
            "identifier": "390200000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.