KELLY ANN ILSEMAN MACOM, MS, MED
NPI 1669059291
Acupuncturist in Portland, OR

Q: What is Kelly Ilseman's NPI number?

The NPI number for Kelly Ilseman is 1669059291. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Kelly Ilseman's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ilseman was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since March 29, 2021

729 E BURNSIDE ST STE 109, PORTLAND, OR 97214(617) 784-2320 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2021, Mar 29, 2021 (2 updates tracked since 2021).

On this page

About Kelly Ann Ilseman Macom, Ms, Med NPPES

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

KELLY ANN ILSEMAN MACOM, MS, MED (NPI 1669059291) is an individual acupuncturist in Portland, Oregon and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1669059291

Entity TypeIndividualFemale

Primary Taxonomy171100000X

Provider Legal NameKELLY ANN ILSEMANCredential: MACOM, MS, MED

Location Address729 E BURNSIDE ST STE 109Portland, OR 97214-1264

Mailing Address729 E Burnside St Ste 109Portland, OR 97214-1264 · (617) 784-2320

Phone(617) 784-2320

Sole ProprietorNo

Enumeration DateMarch 29, 2021

Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration

NPPES CertifiedJuly 22, 2021

✔ NPI 1669059291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

729 E BURNSIDE ST STE 109, Portland, OR 97214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

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 Kelly Ilseman's NPI number?

The NPI number for Kelly Ilseman is 1669059291. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Kelly Ilseman located?

Kelly Ilseman practices at 729 E Burnside St Ste 109, Portland, OR 97214. The listed phone number is (617) 784-2320.

What is Kelly Ilseman's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Kelly Ilseman accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Ilseman 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 Kelly Ilseman was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.