Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIKOLA CHARLEEN RADLACH-BARNACK PA-C
NPI 1598460099
Physician Assistant in South Portland, ME

Active since April 03, 2023
100 GANNETT DR STE B, SOUTH PORTLAND, ME 04106(207) 401-4353 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Aug 13, 2025, Apr 3, 2023 (3 updates tracked since 2023).

About Nikola Charleen Radlach-barnack Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKOLA CHARLEEN RADLACH-BARNACK PA-C (NPI 1598460099) is an individual physician assistant in South Portland, Maine and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1598460099
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNIKOLA CHARLEEN RADLACH-BARNACKCredential: PA-C
Location Address100 GANNETT DR STE BSouth Portland, ME 04106-5900
Mailing Address100 Gannett Dr Ste BSouth Portland, ME 04106-5900
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJune 29, 20263 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1598460099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 202740 (ID)
100 GANNETT DR STE B, South Portland, ME 04106

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
100 GANNETT DR STE B
SOUTH PORTLAND, ME 04106
Community/Behavioral Health
100 GANNETT DR STE B
SOUTH PORTLAND, ME 04106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikola Radlach-barnack's NPI number?

The NPI number for Nikola Radlach-barnack is 1598460099. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Nikola Radlach-barnack located?

Nikola Radlach-barnack practices at 100 Gannett Dr Ste B, South Portland, ME 04106. The listed phone number is (207) 401-4353.

What is Nikola Radlach-barnack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nikola Radlach-barnack was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.