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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Sassatelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Medical Faculty Foundation
35 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

CODY KELLEY PA-C
Physician Assistant
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611
Cook County (312) 695-1800
SAMANTHA PERI RUSH APRN, CNP
Nurse Practitioner
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611
Cook County (312) 695-1800
MACKENZIE RAE GOLUB PA-C
Physician Assistant
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611
Cook County (312) 908-8163
JAMES MYERS ACNPC-AG
Nurse Practitioner
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611
Cook County (312) 908-8163
KRISHNAN WARRIOR MD
Internal Medicine (Pulmonary Disease)
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611
Cook County (312) 908-8163
VIOLET CORINNE BOOTHE WIERSUM APRN, CNP
Nurse Practitioner
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611
Cook County (312) 908-8163
JACQUELINE ELLA TERRINI PA
Physician Assistant
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611
Cook County (312) 695-1800
DR. ALAN D. BETENSLEY M.D.
Internal Medicine (Pulmonary Disease)
676 N SAINT CLAIR ST STE 14-044
CHICAGO, IL 60611
Cook County (312) 908-8163

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 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.

Where is Kyle Sassatelli located?

Kyle Sassatelli practices at 676 N Saint Clair St Ste 14-044, Chicago, IL 60611. The listed phone number is (312) 908-8163.

What is Kyle Sassatelli's specialty?

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

Is Kyle Sassatelli enrolled in Medicare?

Yes. Kyle Sassatelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kyle Sassatelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Sassatelli reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Sassatelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kyle Sassatelli affiliated with any hospitals?

According to CMS data, Kyle Sassatelli is affiliated with Northwestern Memorial Hospital.

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.