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

Individual provider Acute Care Nurse Practitioner · NPI 1265152839

Kyle Sassatelli, AGACNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Colorado and Illinois.

Years since qualifying
4
Licensed in
CO, IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

676 N Saint Clair St Ste 14-044
Chicago, IL 60611-2927
Phone: (312) 908-8163
Fax: (312) 695-1394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209026062 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APN.0997707-NP (CO)

Record details

NPI number1265152839
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 1, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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