Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Bifulk, ACNPC-AG

Individual provider Gerontology Nurse Practitioner · NPI 1780356089

Andrew Bifulk, ACNPC-AG is a Nurse Practitioner in Peoria, Illinois. Qualified in 2021, 5 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021

Practice location Address checks out

Osf Saint Francis Medical Center 530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209024142 (IL)

Record details

NPI number1780356089
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address2017 E Ridge Rd, Beloit, WI 53511-3914

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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