NICOLETTE LUJAN
NPI 1124616271
Physician Assistant in Rancho Mirage, CA

Active since January 05, 2021PECOS EnrolledAccepts Medicare Assignment
71511 HIGHWAY 111 STE H, RANCHO MIRAGE, CA 92270(760) 773-2200 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2025, Jan 5, 2021 (2 updates tracked since 2021).

About Nicolette Lujan NPPES

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

NICOLETTE LUJAN (NPI 1124616271) is an individual physician assistant in Rancho Mirage, California, licensed in California (59404) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124616271
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLETTE LUJAN
Location Address71511 HIGHWAY 111 STE HRancho Mirage, CA 92270-4465
Mailing Address71511 Highway 111 Ste HRancho Mirage, CA 92270-4465 · (760) 773-2200
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 5, 2021
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1124616271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 59404
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

71511 HIGHWAY 111 STE H, Rancho Mirage, CA 92270

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

Nicolette Lujan 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 ID7214336270
PECOS Enrollment IDI20210524001529
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 4

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

Nurse Practitioner
71511 HIGHWAY 111 STE H
RANCHO MIRAGE, CA 92270
Nurse Practitioner (Family)
71511 HIGHWAY 111 STE H
RANCHO MIRAGE, CA 92270
Nurse Practitioner
71511 HIGHWAY 111 STE H
RANCHO MIRAGE, CA 92270
Nurse Practitioner (Family)
71511 HIGHWAY 111 STE H
RANCHO MIRAGE, CA 92270

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 Nicolette Lujan's NPI number?

The NPI number for Nicolette Lujan is 1124616271. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Nicolette Lujan located?

Nicolette Lujan practices at 71511 Highway 111 Ste H, Rancho Mirage, CA 92270. The listed phone number is (760) 773-2200.

What is Nicolette Lujan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicolette Lujan enrolled in Medicare?

Yes. Nicolette Lujan 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 Nicolette Lujan was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.