Individual provider Active NPI

Agnes Mikwa

  • Psychiatric/Mental Health Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1992530638
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010693 Issued in DE
Practice address
215 Ermine Dr
New Castle, DE 19720-8604
Phone
(302) 513-5627
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X L8-0010693 DE
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X L8-0010693 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010693 DE Primary

Addresses

Primary practice location

215 Ermine Dr
New Castle, DE 19720-8604

Mailing address

215 Ermine Dr
New Castle, DE 19720-8604
Phone (302) 513-5627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250218002279 DE Practitioner - Nurse Practitioner 8022538206 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
De Pacs 2 PAGroup PAC ID 0244580926, 26 clinicians
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians
Circle of Hope Services LLCGroup PAC ID 5799182952, 2 clinicians

Practice addresses (Care Compare)

1203 Walker Rd
Dover, DE 19904-6541
Phone (302) 735-8800

1519 Rockland Rd
Wilmington, DE 19803-3611
Phone (302) 777-3099

200 E Village Rd
Newark, DE 19713-3845
Phone (302) 366-8100

224 N Dupont Blvd
Smyrna, DE 19977-1511
Phone (302) 588-5841

255 Possum Park Rd
Newark, DE 19711-3877
Phone (302) 366-0160

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 764-0181

810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181

820 Middletown Odessa Rd
Middletown, DE 19709-9049
Phone (302) 828-0988

924 Barksdale Rd
Newark, DE 19711-3213
Phone (302) 455-7979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Hope Services LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Mika Healthcare Services LLC CurrentSince Sep 8, 2024 Accepting new patients
De Pacs 2 PA CurrentSince Feb 24, 2025 Accepting new patients
Delaware Post Acute Medical Services 1 CurrentSince Feb 24, 2025 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Feb 24, 2025 Accepting new patients

Locations

224 N DuPont Blvd
Smyrna, DE 19977
Phone (302) 442-3698

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1992530638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ERMINE DR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208604",
            "telephone_number": "302-513-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ERMINE DR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208604",
            "telephone_number": "302-513-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKWA",
        "first_name": "AGNES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010693",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "DE",
            "license": "L8-0010693",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.