Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jami Alyssa Rubin Pavlak, NP

Individual provider Pediatric Nurse Practitioner · NPI 1265770010

Jami Alyssa Rubin Pavlak, NP is a Nurse Practitioner in State College, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Susquehanna Valley Professional Associates, Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
5
Licensed in
MI, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

320 Rolling Ridge Dr Ste 100
State College, PA 16801-7641
Phone: (814) 867-0670
Fax: (814) 867-7616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP025348 (PA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 4704294965 (MI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence SP018828 (PA)

Record details

NPI number1265770010
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 29, 2013
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Susquehanna Valley Professional Associates, Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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