Individual provider Active NPI

Charles Anthony Mikulka III, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1801676333
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0012228 Issued in DE
Practice address
501 W 14TH St FL 6
Wilmington, DE 19801-1013
Phone
(302) 428-2717
Fax
(302) 428-6686
NPI assigned
Oct 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0012228 DE Primary
Physician Assistant 363A00000X MA065066 PA

Addresses

Primary practice location

501 W 14TH St FL 6
Wilmington, DE 19801-1013

Mailing address

501 W 14TH St FL 6
Wilmington, DE 19801-1013
Phone (302) 428-2717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240212001249 PA Practitioner - Physician Assistant 1355784968 Reassigns benefits to 2 organizations
I20251021001739 DE Practitioner - Physician Assistant 1355784968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600

4140 Oregon Pike
Ephrata, PA 17522-9405
Phone (717) 869-4600

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

774 Christiana Rd
Suite 201
Newark, DE 19713-4221
Phone (302) 623-3528

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0012228DEMDPhysician Assistant
MA065066PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince May 1, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 8, 2025 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Oct 8, 2025 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Feb 1, 2024 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients

Locations

774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017

501 W 14th St
Fl 6
Wilmington, DE 19801
Phone (302) 320-1300

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

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1801676333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 6",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-428-2717",
            "fax_number": "302-428-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 6",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-428-2717",
            "fax_number": "302-428-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULKA",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012228",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.