Active NPI
Chelsea Mikolosky, D.O.
- Emergency Medicine Physician
- Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS020494
- Practice address
- 100 St Lukes LN
Stroudsburg, PA 18360-6217 - Phone
- (272) 212-1200
- NPI assigned
- Jun 16, 2016
- Last updated
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS020494 | PA | Primary |
Addresses
Primary practice location
100 St Lukes LN
Stroudsburg, PA 18360-6217
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Other practice location 1
5501 Old York Rd
Albert Einstein Medical Center
Philadelphia, PA 19141-3018
Phone (215) 456-3834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT017127 | Other | PA | PA TRAINING LICENSE |
Other names 1
- Chelsea Carroll
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS020494 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| St. Luke's Physician Group, Inc | Current | Accepting new patients |
Locations
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000
Interoperability endpoints
- chelsea.mikolosky@slpg.direct-sluhn.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
dba St. Luke's Dermatology Associates
- Dermatology Physician
- Easton, PA
- NPI 1821573619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1174973580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ST LUKES LN",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183606217",
"telephone_number": "272-212-1200"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_2": "Albert Einstein Medical Center",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-3834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKOLOSKY",
"first_name": "CHELSEA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS020494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA TRAINING LICENSE",
"identifier": "OT017127",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "CARROLL",
"credential": "CHELSEA CARROLL D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.