Active NPI
Nikole Funk, DO
- General Practice Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 34008699
- Practice address
- 2452 Sir Barton Way Ste 303
Lexington, KY 40509-2826 - Phone
- (859) 340-3233
- Fax
- (855) 998-8574
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34008699 | OH | |
| General Practice Physician | 208D00000X | 34008699 | OH | Primary |
Addresses
Primary practice location
2452 Sir Barton Way Ste 303
Lexington, KY 40509-2826
Mailing address
PO Box 40412
Belfast, ME 04915-1255
Phone (248) 824-6500
Other practice location 1
3033 Kettering Blvd Ste 100
Moraine, OH 45439-1948
Phone (937) 293-2133
Other practice location 2
405 W Grand Ave
Dayton, OH 45405-4720
Phone (937) 723-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Moraine, OH 45439
Phone (937) 293-2133
Hospital & facility affiliations
- Elara Caring
- McCullough-Hyde Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008699 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | General Practice | Current | Accepting new patients |
| Talawanda Emergency Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | General Practice | Current | Accepting new patients |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current | Accepting new patients |
| Qualified Emergency Specialists Inc | Emergency Medicine | Current | Accepting new patients |
| Summit Medical Group, PLLC | Past | Accepting new patients |
Locations
2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233
355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155
550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133
110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111
100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186
Interoperability endpoints
- nfunk@landmarkhealth-direct.org
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1932386059
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1700872728
-
- Emergency Medicine Physician
- Oxford, OH
- NPI 1265416804
-
- Family Medicine Physician
- Columbus, OH
- NPI 1497700397
-
- Clinical Social Worker
- Maumee, OH
- NPI 1952929630
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1699722470
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Toledo, OH
- NPI 1326478876
-
- General Acute Care Hospital
- Oxford, OH
- NPI 1245216183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1659462166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40412",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151255",
"telephone_number": "248-824-6500",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2452 SIR BARTON WAY STE 303",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092826",
"telephone_number": "859-340-3233",
"fax_number": "855-998-8574"
}
],
"practiceLocations": [
{
"address_1": "3033 Kettering Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Moraine",
"state": "OH",
"postal_code": "454391948",
"country_code": "US",
"telephone_number": "937-293-2133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454054720",
"country_code": "US",
"telephone_number": "937-723-3211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUNK",
"first_name": "NIKOLE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34008699",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "34008699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.