Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NICOLE LUSTIG
NPI 1619424223
Psychologist in Pullman, WA

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
805 NE TERRE VIEW DR STE 202, PULLMAN, WA 99163(509) 973-9413 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Mar 4, 2025, Aug 20, 2024 and 1 more (4 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 Pullman, Washington 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 Address805 NE TERRE VIEW DR STE 202Pullman, WA 99163-7028
Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateOctober 2, 20264 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ 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.
805 NE TERRE VIEW DR STE 202, Pullman, WA 99163

Accepted Insurance

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

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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
120 S 13TH ST
St Maries, ID 83861
  • Reassigned Medicare billing, Idaho enrollment
  • 81 clinicians in this Medicare group

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

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 805 NE Terre View Dr Ste 202, Pullman, WA 99163. The listed phone number is (509) 973-9413.

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.

Which organization bills Medicare for Nicole Lustig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Lustig reassigns Medicare benefits to Dirne Health Centers Inc (St Maries, ID). 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 Nicole Lustig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Lustig accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health 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 October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.