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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIAN KAPFUNDE
NPI 1154711711
Nurse Practitioner in Canal Winchester, OH

Active since February 03, 2015PECOS Enrolled
11925 LITHOPOLIS RD NW STE 200, CANAL WINCHESTER, OH 43110(614) 837-6363(614) 837-0425 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 13, 2025, Dec 4, 2017 (2 updates tracked since 2017).

About Brian Kapfunde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN KAPFUNDE (NPI 1154711711) is an individual nurse practitioner in Canal Winchester, Ohio, licensed in Ohio (APRN.CNP.0029419) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154711711
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameBRIAN KAPFUNDE
Location Address11925 LITHOPOLIS RD NW STE 200Canal Winchester, OH 43110-9585
Mailing AddressPo Box 712505Cincinnati, OH 45271-2505 · (614) 326-2672 · Fax (614) 326-2687
Phone(614) 837-6363
Fax(614) 837-0425
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 3, 2015
Last NPPES UpdateOctober 22, 20262 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1154711711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0029419
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11925 LITHOPOLIS RD NW STE 200, Canal Winchester, OH 43110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Kapfunde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092078345
PECOS Enrollment IDI20220317000121
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Kapfunde reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Ohio Family Health Centers
6.5 mi
Federally Qualified Health Center (FQHC)
3601 GENDER RD
Canal Winchester, OH 43110
  • Reassigned Medicare billing, Ohio enrollment
  • 55 clinicians in this Medicare group
NPI 1578083234 (614) 235-5555
Brockton Neighborhood Health Center
634 mi
Federally Qualified Health Center (FQHC)
124 MANLEY ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 128 clinicians in this Medicare group
NPI 1548663875 (508) 559-6699

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Kapfunde's NPI number?

The NPI number for Brian Kapfunde is 1154711711. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Brian Kapfunde located?

Brian Kapfunde practices at 11925 Lithopolis Rd NW Ste 200, Canal Winchester, OH 43110. The listed phone number is (614) 837-6363.

What is Brian Kapfunde's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brian Kapfunde enrolled in Medicare?

Yes. Brian Kapfunde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brian Kapfunde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Kapfunde reassigns Medicare benefits to 2 organizations: Heart Of Ohio Family Health Centers (Canal Winchester, OH) and Brockton Neighborhood Health Center (Brockton, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Kapfunde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Kapfunde accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 3 other insurers list Brian Kapfunde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Kapfunde was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.