Carole Kathleen Funk, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024170414 Issued in VA

Practice address

841 N Shenandoah Ave Ste 3
Front Royal, VA 22630-3501

Phone

(540) 636-7000

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skyline Medical Practice LLCGroup PAC ID 2567873219, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
• Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cfunk@skylinemed.ssdirect.aprima.com

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.

• Skyline Medical Practice LLC

  • Nurse Practitioner
  • Front Royal, VA
  • NPI 1356951628
  Medicare reassignment Care Compare group NPD

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

• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1720330087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 N SHENANDOAH AVE STE 3",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303501",
            "telephone_number": "540-636-7000",
            "fax_number": "540-636-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 N SHENANDOAH AVE STE 3",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303501",
            "telephone_number": "540-636-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "CAROLE",
        "middle_name": "KATHLEEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024170414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "0024170414",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Front Royal Internal Medicine Assoc LTD
• Front Royal Life Care Corp
• Front Royal Optometry, PLLC
• Front Royal Pediatrics, PC
• Front Royal Transportation Services Inc
• Marielle Fusaro
• Himabindu Gampa
• Cecilia Garrison, LCSW
• Genoa Healthcare LLC
• Jason Allen Gilkerson, CCC-SLP

• Nurse Practitioner in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.

Verify at the official NPI Registry.