KYLE SASSATELLI AGACNP-BC
NPI 1265152839
Nurse Practitioner in Chicago, IL

Q: What is Kyle Sassatelli's NPI number?

The NPI number for Kyle Sassatelli is 1265152839. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Q: What is Kyle Sassatelli's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Sassatelli was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 01, 2022PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 60611(312) 908-8163(312) 695-1394 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2022, Sep 1, 2022 (2 updates tracked since 2022).

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About Kyle Sassatelli Agacnp-bc NPPES

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

KYLE SASSATELLI AGACNP-BC (NPI 1265152839) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209026062) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265152839

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameKYLE SASSATELLICredential: AGACNP-BC

Location Address676 N SAINT CLAIR ST STE 14-044Chicago, IL 60611-2927

Mailing Address676 N Saint Clair St Ste 14-044Chicago, IL 60611-2927 · (312) 908-8163 · Fax (312) 695-1394

Phone(312) 908-8163

Fax(312) 695-1394

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 1, 2022

Last NPPES UpdateDecember 14, 20222 updates tracked since enumeration

NPPES CertifiedDecember 14, 2022

✔ NPI 1265152839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209026062

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APN.0997707-NP (CO)

676 N SAINT CLAIR ST STE 14-044, Chicago, IL 60611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Sassatelli Agacnp-bc 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 ID2961879614

PECOS Enrollment IDI20221109001175

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY KELLEY PA-C

Physician Assistant