NIKOLE FUNK (DO) – General Practice Physician, NPI 1659462166
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
Provider Addresses for NIKOLE FUNK (DO)
1399 HEMINGWAY DR
WAYNESVILLE, OH 450688071
Phone: (937) 750-9580
Type: Mailing
3033 Kettering Blvd Ste 100
Moraine, OH 454391948
Phone: (937) 293-2133
Type: Location
405 W Grand Ave
Dayton, OH 454054720
Phone: (937) 723-3211
Type: Location
PO BOX 40412
BELFAST, ME 049151255
Phone: (248) 824-6500
Fax: (855) 618-6655
Type: Mailing
2452 SIR BARTON WAY STE 303
LEXINGTON, KY 405092826
Phone: (859) 340-3233
Fax: (855) 998-8574
Type: Location
Grandview Medical Center, 405, West Grand Avenue, Steeles Hill-Grafton Hill Historic District, Daytonview, Dayton, Montgomery County, Ohio, 45405, United States
DAYTON, OH 454054720
Phone: (937) 723-3211
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061016000024 | I | Emergency Medicine | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine, Pediatric Medicine | OH | |
| Emergency Medicine | OH |
Reviews
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