Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kyla Lee Massimb, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1548013360

Mrs. Kyla Lee Massimb, FNP-BC is a Nurse Practitioner in South Elgin, Illinois. Qualified in 2023, 3 years ago. Practices with Vital Family Healthcare LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

85 Woodbury St
South Elgin, IL 60177-1327
Phone: (224) 238-8252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1004 Logan Ave, Belvidere, IL 61008-3955 — (815) 482-6365

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.029912 (IL)

Record details

NPI number1548013360
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 10, 2024
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Vital Family Healthcare Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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