Active NPI
Charles Anthony Mikulka III, PA-C
- Physician Assistant
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0012228
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012228 | DE | MD | Physician Assistant |
| MA065066 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
- Hospitalist Physician
- Lancaster, PA
- NPI 1487904769
-
- Physical Medicine & Rehabilitation Physician
- Wilmington, DE
- NPI 1417022880
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1255872784
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1295819084
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.