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THERESA CAMPEGGIO SERGOTICK MS, CCC-SLP
NPI 1073054243
Speech-Language Pathologist in Bothell, WA

Active since March 20, 2017
19801 N CREEK PKWY, SUITE 200, BOTHELL, WA 98011(425) 984-2655 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theresa Campeggio Sergotick Ms, Ccc-slp NPPES

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

THERESA CAMPEGGIO SERGOTICK MS, CCC-SLP (NPI 1073054243) is an individual speech-language pathologist provider in Bothell, Washington and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1073054243
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameTHERESA CAMPEGGIO SERGOTICKCredential: MS, CCC-SLP
Location Address19801 N CREEK PKWY, SUITE 200Bothell, WA 98011-8240
Mailing Address19801 N Creek Pkwy, Suite 200Bothell, WA 98011-8240
Phone(425) 984-2655
Sole ProprietorNo
Enumeration DateMarch 20, 2017
✔ NPI 1073054243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
19801 N CREEK PKWY, Bothell, WA 98011
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Other Names 1

Former Name (1)Theresa Claire Campeggio Ms, Ccc-slp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Campeggio Sergotick Ms, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Seattle Children's Hospital
8.7 mi
Specialist
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
NPI 1003319500 (206) 987-2000

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

Other Providers at the Same Location NPPES

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

STEVEN SCHIEBEL MD
Pediatrics
19801 N CREEK PKWY, SUITE #201
BOTHELL, WA 98011
King County (425) 318-3100

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 Theresa Sergotick's NPI number?

The NPI number for Theresa Sergotick is 1073054243. It was assigned to this individual provider in the NPPES registry on March 20, 2017. The provider is also known as Theresa Claire Campeggio Ms, Ccc-Slp.

Where is Theresa Sergotick located?

Theresa Sergotick practices at 19801 N Creek Pkwy Suite 200, Bothell, WA 98011. The listed phone number is (425) 984-2655.

What is Theresa Sergotick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Theresa Sergotick enrolled in Medicare?

Yes. Theresa Sergotick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Sergotick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Sergotick reassigns Medicare benefits to Seattle Children's Hospital (Seattle, WA). 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 Theresa Sergotick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Sergotick accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Theresa Sergotick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Sergotick was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.