Active NPI
Peter Lucas, PLLC
- Psychiatry Physician
- Bainbridge Island, WA
National Provider Identifier
1962027045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PETER LUCAS, PLLC
- Practice address
- 10191 NE Beach Crest Dr
Bainbridge Island, WA 98110-1368 - Phone
- (206) 713-8713
- NPI assigned
- Jun 15, 2020
- Last updated
- Sep 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Lucas, MD
- Title
- Owner
- Phone
- (206) 713-8713
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
10191 NE Beach Crest Dr
Bainbridge Island, WA 98110-1368
Mailing address
10191 NE Beach Crest Dr
Bainbridge Island, WA 98110-1368
Phone (206) 713-8713
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G50158 | Other | CA | STATE LICENSE |
| 00031243 | Other | WA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Bainbridge Island, WA
- NPI 1811052897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1962027045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10191 NE BEACH CREST DR",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101368",
"telephone_number": "206-713-8713"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER LUCAS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-15",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-713-8713",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G50158",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "00031243",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.