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Pavilion Pediatric Center, LLC

Pediatrics Physician in Muncie, IN · enumerated 2015 · authorized official Nicole Rector, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063887438

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Registry record

Entity type Organization (Type 2)
Legal business name Pavilion Pediatric Center, LLC
Other name <Unavail>
Practice address 3711 N. Everbrook Lane, Muncie, IN, 47304
Phone (765) 231-9494
Fax (765) 587-4456
Enumeration date Dec 10, 2015
Last updated in NPPES Mar 6, 2025

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary
363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Nicole Rector
Title Owner
Phone (765) 231-9494

Other identifiers

Identifier Type State Issuer
201328850 Medicaid IN -
201337310A Medicaid IN -
100362560 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pavilion Pediatric Center, LLC?
The NPI for Pavilion Pediatric Center, LLC is 1063887438, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pavilion Pediatric Center, LLC?
NPPES lists Nicole Rector (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-06.