1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Speech Language Pathologist
  6. NPI Profile

MICHAEL THOMAS JACEZKO
NPI 1942188735
Speech-Language Pathologist in Seattle, WA

Active since August 21, 2025
1660 S COLUMBIAN WAY, SEATTLE, WA 98108(206) 762-1010 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael Thomas Jacezko NPPES

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

MICHAEL THOMAS JACEZKO (NPI 1942188735) is an individual speech-language pathologist provider in Seattle, Washington, licensed in Washington (70012996) and active in the NPI registry since August 2025. He is a graduate of University Of Missouri, Columbia School Of Medicine (2024).

NPPES Registry Identity

NPI1942188735
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMICHAEL THOMAS JACEZKO
Location Address1660 S COLUMBIAN WAYSeattle, WA 98108-1532
Mailing Address430 12th Ave E Apt 207Seattle, WA 98102-5149 · (314) 707-6778
Phone(206) 762-1010
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2024
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1942188735 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
License✔ Licensed in WA · 70012996
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.
1660 S COLUMBIAN WAY, Seattle, WA 98108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Thomas Jacezko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567934854
PECOS Enrollment IDI20260617003980

Medicare Billing Reassignment

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

Virginia Mason Medical Center
3.4 mi
Gastroenterology
1100 9TH AVE
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 1,021 clinicians in this Medicare group
NPI 1003970989 (206) 223-6600

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 20

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

DR. SARAH BASTAWROUS DO
Radiology (Diagnostic Radiology)
1660 S COLUMBIAN WAY, DIAGNOSTIC IMAGING, S-RAD-114
SEATTLE, WA 98108
King County (312) 450-5258
PATRICK PATTERSON LPN
Licensed Practical Nurse
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
King County (800) 329-8387
DR. VICTORIA SZYDLOWSKI PHD
Psychologist
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
King County (253) 583-1759
MR. DAVID EMERY HALL OTR/L
Occupational Therapist (Human Factors)
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
King County (206) 277-1593
MR. MICHAEL H. SHAW LICSW
Social Worker (Clinical)
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
King County (206) 277-1176
MS. CYNTHIA ANN ARROWOOD RN
Registered Nurse
1660 S COLUMBIAN WAY
SEATTLE, WA 98108
King County (206) 764-2542
DR. JULIE EMIKO TAKASUGI M.D.
Radiology (Diagnostic Radiology)
1660 S COLUMBIAN WAY, DEPT. RADIOLOGY S-113, PSVAHCS
SEATTLE, WA 98108
King County (206) 764-2444
MS. LAURA C HEARD RN, MS, CRRN-A
Clinical Nurse Specialist
1660 S COLUMBIAN WAY, #128
SEATTLE, WA 98108
King County (206) 277-3302

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 Michael Jacezko's NPI number?

The NPI number for Michael Jacezko is 1942188735. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Michael Jacezko located?

Michael Jacezko practices at 1660 S Columbian Way, Seattle, WA 98108. The listed phone number is (206) 762-1010.

What is Michael Jacezko's specialty?

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

Is Michael Jacezko enrolled in Medicare?

Yes. Michael Jacezko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Jacezko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jacezko reassigns Medicare benefits to Virginia Mason Medical Center (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 Michael Jacezko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Jacezko accept?

Health plans from Ambetter Health list Michael Jacezko 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 Michael Jacezko was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.