RACHEL ALEXANDRA PAWLICK
NPI 1417631334
Dietitian, Registered in East Syracuse, NY
About Rachel Alexandra Pawlick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL ALEXANDRA PAWLICK (NPI 1417631334) is an individual dietitian, registered in East Syracuse, New York, licensed in New York (008420) and active in the NPI registry since June 2023.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rachel Alexandra Pawlick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rachel Pawlick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Syracuse, NY 13057
- Reassigned Medicare billing, New York enrollment
- 342 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 Rachel Pawlick's NPI number?
The NPI number for Rachel Pawlick is 1417631334. It was assigned to this individual provider in the NPPES registry on June 12, 2023. The provider is also known as Rachel Alexandra Moskal.
Where is Rachel Pawlick located?
Rachel Pawlick practices at 6007 Fair Lakes Rd Ste 400, East Syracuse, NY 13057. The listed phone number is (315) 234-5730.
What is Rachel Pawlick's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Rachel Pawlick enrolled in Medicare?
Yes. Rachel Pawlick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rachel Pawlick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Pawlick reassigns Medicare benefits to State Of New York Comptrollers Office (East Syracuse, NY). 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 Rachel Pawlick'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 Rachel Pawlick was last updated on June 12, 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.
# Rachel Alexandra Pawlick · NPI 1417631334
Dietitian, Registered provider in East Syracuse, New York. Individual provider, active in the CMS NPPES registry since June 12, 2023.
## Identity
- **NPI:** 1417631334 (Entity type: Individual)
- **Enumerated:** June 12, 2023
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 008420 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6007 FAIR LAKES RD STE 400, East Syracuse, NY 13057-1253
- **Phone:** (315) 234-5730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** State Of New York Comptrollers Office (NPI 1114067915, East Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417631334) · Data from the CMS NPPES public registry.