Vitality Family Medical & Wellness PLLC
NPI 1902775984 · Family Nurse Practitioner · Bourbonnais, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vitality Family Medical & Wellness PLLC is a Family Nurse Practitioner organization in Bourbonnais, IL (NPI 1902775984).
Provider details
- NPI number
- 1902775984
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Karen Smartt, Ao(717) 504-3090
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Frequently asked questions
- What is Vitality Family Medical & Wellness PLLC's NPI number?
- Vitality Family Medical & Wellness PLLC's National Provider Identifier (NPI) is 1902775984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Family Medical & Wellness PLLC?
- Vitality Family Medical & Wellness PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Vitality Family Medical & Wellness PLLC located?
- Vitality Family Medical & Wellness PLLC's practice location on file with NPPES is 232 Main St Nw Ste 203, Bourbonnais, IL 60914-2186.
- What is Vitality Family Medical & Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vitality Family Medical & Wellness PLLC is (815) 954-0136.
- Does Vitality Family Medical & Wellness PLLC accept Medicare?
- Vitality Family Medical & Wellness PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vitality Family Medical & Wellness PLLC?
- The authorized official listed on Vitality Family Medical & Wellness PLLC's NPPES record is Karen Smartt, Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Family Medical & Wellness PLLC's NPI active?
- Yes — Vitality Family Medical & Wellness PLLC's NPI (1902775984) is active in the NPPES registry as of the last update on 2026-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.