Active NPI
Nicole Marie Rector, N.P
- Pediatric Nurse Practitioner
- Muncie, IN
National Provider Identifier
1831561133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 20142936
- Practice address
- 3711 N Everbrook Lane
Muncie, IN 47304 - Phone
- (765) 231-9494
- Fax
- (765) 587-4456
- NPI assigned
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 20142936 | IN | Primary |
Addresses
Primary practice location
3711 N Everbrook Lane
Muncie, IN 47304
Mailing address
12109 W Native TRL
Yorktown, IN 47396-9126
Phone (765) 749-1254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201328850 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20142936 | IN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Health Services, Inc. | Past | Accepting new patients | |
| Pavilion Pediatric Center, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAECAA/Endpoint/EAECAA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Muncie, IN
- NPI 1063887438
-
- Federally Qualified Health Center (FQHC)
- Hartford City, IN
- NPI 1245094028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1831561133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12109 W NATIVE TRL",
"city": "YORKTOWN",
"state": "IN",
"postal_code": "473969126",
"telephone_number": "765-749-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 N EVERBROOK LANE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "47304",
"telephone_number": "765-231-9494",
"fax_number": "765-587-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECTOR",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "N.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "20142936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201328850",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.