Individual provider Active NPI

Nikole Funk, DO

  • General Practice Physician
  • Lexington, KY
National Provider Identifier
1659462166
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34008699 Issued in OH
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

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061016000024 OH Practitioner - Emergency Medicine 2961408943 Reassigns benefits to 5 organizations

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
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Moraine, OH 45439
Phone (937) 293-2133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34008699OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC General Practice Current Accepting new patients
Talawanda Emergency Physicians, Inc. Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Apr 1, 2025 Accepting new patients
Vpa PC General Practice CurrentSince Apr 1, 2025 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Summit Medical Group, PLLC PastSince Jun 20, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.