Andrew Bifulk, ACNPC-AG

Gerontology Nurse Practitioner · Peoria, IL

Individual Active NPI

NPI number 1780356089

Practice location

Osf Saint Francis Medical Center 530 NE Glen Oak Avenue
Peoria, IL 61637-0001
Phone
(309) 655-2000

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NPI record

NPI
1780356089
Entity type
Individual (Type 1)
Enumeration date
October 4, 2021
Last updated
July 20, 2026
Certified
July 20, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gerontology Nurse Practitioner Primary 363LG0600X 209024142 IL

Mailing address

2017 E Ridge Rd
Beloit, WI 53511-3914
Phone
(608) 316-0163

About Andrew Bifulk

Andrew Bifulk, ACNPC-AG is a healthcare provider registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is Osf Saint Francis Medical Center 530 NE Glen Oak Avenue, Peoria, IL 61637-0001. The NPI number 1780356089 was assigned on October 4, 2021 and the record was last updated on July 20, 2026.

Andrew Bifulk lists a license in the registry: #209024142 (IL) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andrew Bifulk, ACNPC-AG?

The NPI number is 1780356089.

What is the phone number of Andrew Bifulk?

The phone number listed for the practice location is (309) 655-2000.

Where is Andrew Bifulk located?

Osf Saint Francis Medical Center 530 NE Glen Oak Avenue, Peoria, IL 61637-0001.

What is the taxonomy code for Andrew Bifulk?

The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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