DR. NICOLE LUSTIG
NPI 1619424223
Psychologist in Coeur D Alene, ID

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
3700 W SELTICE WAY, COEUR D ALENE, ID 83814(208) 620-5255 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Aug 20, 2024, Sep 1, 2016 (3 updates tracked since 2016).

About Dr. Nicole Lustig NPPES

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

DR. NICOLE LUSTIG (NPI 1619424223) is an individual psychologist in Coeur D Alene, Idaho and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619424223
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. NICOLE LUSTIG
Location Address3700 W SELTICE WAYCoeur D Alene, ID 83814-8921
Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1619424223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3700 W SELTICE WAY, Coeur D Alene, ID 83814

Accepted Insurance

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

Dr. Nicole Lustig 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 ID7618350745
PECOS Enrollment IDI20220822003179
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.

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.

Counselor (Professional)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Counselor (Mental Health)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Social Worker
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Social Worker (Clinical)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Social Worker
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Social Worker (Clinical)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Social Worker (Clinical)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814
Nurse Practitioner (Psychiatric/Mental Health)
3700 W SELTICE WAY
COEUR D ALENE, ID 83814

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 Nicole Lustig's NPI number?

The NPI number for Nicole Lustig is 1619424223. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Nicole Lustig located?

Nicole Lustig practices at 3700 W Seltice Way, Coeur D Alene, ID 83814. The listed phone number is (208) 620-5255.

What is Nicole Lustig's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nicole Lustig enrolled in Medicare?

Yes. Nicole Lustig 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.

What insurance does Nicole Lustig accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Nicole Lustig as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Lustig was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.