Individual provider Active NPI

Peter B. Lucas, M.D.

  • Psychiatry Physician
  • Bainbridge Island, WA
National Provider Identifier
1811052897
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00031243 Issued in WA
Practice address
10191 NE Beach Crest Dr
Bainbridge Island, WA 98110-1368
Phone
(206) 713-8713
Fax
(066) 738-2612
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00031243 WA Primary
Psychiatry Physician 2084P0800X G50158 CA

Addresses

Primary practice location

10191 NE Beach Crest Dr
Bainbridge Island, WA 98110-1368

Mailing address

10191 NE Beach Crest Dr
Bainbridge Is, WA 98110-1368
Phone (206) 713-8713

Other identifiers 3

IdentifierTypeStateIssuer
8196461MedicaidWA
00031243OtherWAMEDICAL LICENSE
G50158OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080121000057 WA Practitioner - Psychiatry 9739260449 Reassigns benefits to 2 organizations
I20131021001750 CA Practitioner - Psychiatry 9739260449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50158CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Lucas, PLLC Psychiatry CurrentSince Jun 24, 2025 Accepting new patients
Spokane Medical Partners Psychiatry CurrentSince Jun 16, 2024 Accepting new patients
Uhs BH Telepsych FL, PLLC Psychiatry PastSince Sep 5, 2021 Accepting new patients
Peninsula Community Health Services Past Accepting new patients

Locations

3131 N Division St
Ste 201
Spokane, WA 99207
Phone (443) 955-6244

Interoperability endpoints

  • Direct secure messaging: peter.lucas.2@3548.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1811052897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10191 NE BEACH CREST DR",
            "city": "BAINBRIDGE IS",
            "state": "WA",
            "postal_code": "981101368",
            "telephone_number": "206-713-8713",
            "fax_number": "206-673-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10191 NE BEACH CREST DR",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101368",
            "telephone_number": "206-713-8713",
            "fax_number": "066-738-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "PETER",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00031243",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G50158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8196461",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "00031243",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G50158",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

Verify at the official NPI Registry.