P Praxis·MD
● Active Type 1 · Individual

Nikola Charleen Radlach-Barnack

Physician Assistant·Idaho Falls, ID· NPI 1598460099 · Enumerated 2023 · 3 years on NPI
Radlach-Barnack is 1 of 105 physician assistant providers in Idaho Falls and 1 of 1263 in Idaho.
NPI age
3 years
Enumerated 2023-04-03
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-04Enumerated in NPPES
2023 2026

Where they practice

Practice location
1650 N Holmes Ave
Idaho Falls, ID 834013200
📞 2086130250
Mailing address
1650 N Holmes Ave
Idaho Falls, ID 834013200

Specialties

  • Physician Assistant Primary
    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...
    taxonomy 363A00000X
  • Emergency Medicine
    An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
    ID license #202740 taxonomy 207PE0004X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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