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NICHOLAS MCKENZIE LUSTEK CRNA
NPI 1285502385
Nurse Anesthetist, Certified Registered in Milwaukee, WI

Active since October 29, 2025PECOS EnrolledAccepts Medicare Assignment
2301 N LAKE DR, MILWAUKEE, WI 53211(414) 585-1000 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas Mckenzie Lustek Crna NPPES

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

NICHOLAS MCKENZIE LUSTEK CRNA (NPI 1285502385) is an individual nurse anesthetist, certified registered in Milwaukee, Wisconsin, licensed in Wisconsin (1738433) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1285502385
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICHOLAS MCKENZIE LUSTEKCredential: CRNA
Location Address2301 N LAKE DRMilwaukee, WI 53211-4508
Mailing Address2301 N Lake DrMilwaukee, WI 53211-4508 · (414) 585-1000
Phone(414) 585-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1285502385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 1738433
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2301 N LAKE DR, Milwaukee, WI 53211
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Mckenzie Lustek Crna 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 ID7810489036
PECOS Enrollment IDI20251125002639
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Lustek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vituity-Wisconsin Anesthesia Sc
Same address
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 210 clinicians in this Medicare group
NPI 1598599748 (414) 291-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

LISA MARIE HERZBERG RD
Dietitian, Registered
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 291-1316
MALCOLM CHICOZE IROEGBU
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000
MS. HAEMI LEE M.D.
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (559) 890-9742
KAYLA BRUNETTE
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000
ANN FREIGANG CTRS
Recreation Therapist
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-6750
EMILY CHUNG AGACNP-BC, APNP
Nurse Practitioner (Acute Care)
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 525-1220
MRS. ERICKA RUCK CTRS, CBIS
Recreation Therapist
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-6750
MS. JOAN CAROL BODNAR PTA
Physical Therapy Assistant
2301 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 298-6730

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 Nicholas Lustek's NPI number?

The NPI number for Nicholas Lustek is 1285502385. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Nicholas Lustek located?

Nicholas Lustek practices at 2301 N Lake Dr, Milwaukee, WI 53211. The listed phone number is (414) 585-1000.

What is Nicholas Lustek's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicholas Lustek enrolled in Medicare?

Yes. Nicholas Lustek 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.

Which organization bills Medicare for Nicholas Lustek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Lustek reassigns Medicare benefits to Vituity-Wisconsin Anesthesia Sc (Milwaukee, WI). 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 Nicholas Lustek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Lustek affiliated with any hospitals?

According to CMS data, Nicholas Lustek is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Lustek was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.