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

Nikola Charleen Radlach-Barnack, PA-C

Individual provider Physician Assistant · NPI 1598460099

Nikola Charleen Radlach-Barnack, PA-C is a Physician Assistant in South Portland, Maine. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Gannett Dr Ste B
South Portland, ME 04106-5900
Phone: (207) 401-4353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence 202740 (ID)

Record details

NPI number1598460099
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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