Individual provider Active NPI

Andrea Bortell, L.AC

  • Acupuncturist
  • Bloomington, IL
National Provider Identifier
1972453330
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.011744 Issued in IL
Practice address
1203 Morrissey Dr Ste B
Bloomington, IL 61701-7510
Phone
(309) 825-2974
NPI assigned
Feb 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.011744 IL Primary

Addresses

Primary practice location

1203 Morrissey Dr Ste B
Bloomington, IL 61701-7510

Mailing address

2701 Westbrook Dr
Bloomington, IL 61705-6559
Phone (309) 825-2974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
198.011744ILMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1972453330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 WESTBROOK DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617056559",
            "telephone_number": "309-825-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 MORRISSEY DR STE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617017510",
            "telephone_number": "309-825-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTELL",
        "first_name": "ANDREA",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.011744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.