Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nichole Therese Barkoff, PAC

Individual provider Physician Assistant · NPI 1477710101

Nichole Therese Barkoff, PAC is a Physician Assistant in Saint Clair Shores, Michigan. Graduated from Wayne State University School of Medicine in 2008, 18 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
18
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2008
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

23715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1181
Phone: (586) 447-8021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 29355 Northwestern Hwy Ste 210, Southfield, MI 48034-1045 — (947) 522-1500
  • 1700 Biddle Ave, Wyandotte, MI 48192-7205 — (734) 284-2026

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005239 (MI)

Record details

NPI number1477710101
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 20, 2008
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Saint Clair Shores