NICOLE SOBOLIK M.S., CCC-SLP
NPI 1992408991
Speech-Language Pathologist in Fairfield, CA
About Nicole Sobolik M.s., Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE SOBOLIK M.S., CCC-SLP (NPI 1992408991) is an individual speech-language pathologist provider in Fairfield, California, licensed in California (31653) and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Sobolik M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Sobolik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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 Nicole Sobolik's NPI number?
The NPI number for Nicole Sobolik is 1992408991. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Nicole Sobolik located?
Nicole Sobolik practices at 420 E Tabor Ave, Fairfield, CA 94533. The listed phone number is (707) 438-3684.
What is Nicole Sobolik's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Nicole Sobolik enrolled in Medicare?
Yes. Nicole Sobolik is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Sobolik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sobolik reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Nicole Sobolik'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 Nicole Sobolik was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nicole Sobolik, M.S., CCC-SLP · NPI 1992408991
Speech-Language Pathologist provider in Fairfield, California. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1992408991 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 31653 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 E TABOR AVE, Fairfield, CA 94533-4002
- **Phone:** (707) 438-3684
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1992408991) · Data from the CMS NPPES public registry.