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JAMI ALYSSA RUBIN PAVLAK NP
NPI 1265770010
Nurse Practitioner - Psychiatric/Mental Health in State College, PA

Active since January 29, 2013PECOS EnrolledAccepts Medicare Assignment
320 ROLLING RIDGE DR STE 100, STATE COLLEGE, PA 16801(814) 867-0670(814) 867-7616 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2022, Feb 1, 2022 (2 updates tracked since 2022).

About Jami Alyssa Rubin Pavlak Np NPPES

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

JAMI ALYSSA RUBIN PAVLAK NP (NPI 1265770010) is an individual psychiatric/mental health provider in State College, Pennsylvania, licensed in Pennsylvania (SP025348) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265770010
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJAMI ALYSSA RUBIN PAVLAKCredential: NP
Location Address320 ROLLING RIDGE DR STE 100State College, PA 16801-7641
Mailing Address320 Rolling Ridge Dr Ste 100State College, PA 16801-7641 · (814) 867-0670 · Fax (814) 867-7616
Phone(814) 867-0670
Fax(814) 867-7616
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 29, 2013
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1265770010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP025348
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 4704294965 (MI), SP018828 (PA)
320 ROLLING RIDGE DR STE 100, State College, PA 16801
Open in Google Maps ↗

Other Names 1

Former Name (1)Jami Alyssa Rubin Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jami Alyssa Rubin Pavlak Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830334945
PECOS Enrollment IDI20220720003972
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

ROSE MARY CATCHMARK
Counselor (Professional)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
SUMI KIM PA-C
Physician Assistant
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
MRS. ALEXANDRA CELESTE EBKEN LCSW
Social Worker (Clinical)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
NATALIE CORDELL SCHWER MHS, PA-C
Physician Assistant
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
SARAH GARRIS
Counselor (Professional)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
DENNIS DOMBROWSKI MD
Psychiatry & Neurology (Psychiatry)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Centre County (814) 867-0670
CARA KATHLEEN BENNETT PA-C
Physician Assistant
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Centre County (814) 932-2503
LAUREN WATKINS M. ED LPC
Counselor (Professional)
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801
Centre County (148) 670-6708

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 Jami Pavlak's NPI number?

The NPI number for Jami Pavlak is 1265770010. It was assigned to this individual provider in the NPPES registry on January 29, 2013. The provider is also known as Jami Alyssa Rubin Np.

Where is Jami Pavlak located?

Jami Pavlak practices at 320 Rolling Ridge Dr Ste 100, State College, PA 16801. The listed phone number is (814) 867-0670.

What is Jami Pavlak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jami Pavlak enrolled in Medicare?

Yes. Jami Pavlak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jami Pavlak was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.