KATLIN BERGMAN
NPI 1265901102
Speech-Language Pathologist in Saint Joseph, MI
About Katlin Bergman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATLIN BERGMAN (NPI 1265901102) is an individual speech-language pathologist provider in Saint Joseph, Michigan, licensed in Michigan (14089938) and active in the NPI registry since November 2018. She maintains a secondary practice location in Saint Joseph.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katlin Bergman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katlin Bergman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Katlin Bergman's NPI number?
The NPI number for Katlin Bergman is 1265901102. It was assigned to this individual provider in the NPPES registry on November 21, 2018.
Where is Katlin Bergman located?
Katlin Bergman practices at 379 W Glenlord Rd, Saint Joseph, MI 49085. The listed phone number is (269) 429-2351.
What is Katlin Bergman's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Katlin Bergman enrolled in Medicare?
Yes. Katlin Bergman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katlin Bergman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katlin Bergman reassigns Medicare benefits to Sunflower Therapy Centers Inc (Saint Joseph, MI). 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 Katlin Bergman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katlin Bergman was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Katlin Bergman · NPI 1265901102
Speech-Language Pathologist provider in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since November 21, 2018.
## Identity
- **NPI:** 1265901102 (Entity type: Individual)
- **Enumerated:** November 21, 2018
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 14089938 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 379 W GLENLORD RD, Saint Joseph, MI 49085-9123
- **Phone:** (269) 429-2351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Sunflower Therapy Centers Inc (NPI 1952099715, Saint Joseph, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265901102) · Data from the CMS NPPES public registry.