DANIEL LUSTICK (FNP) – Family Nurse Practitioner, NPI 1588216857

DANIEL LUSTICK (FNP) is a healthcare provider. based in Cohasset, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2320316 (MA). The NPI Number for DANIEL LUSTICK (FNP) is 1588216857

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL LUSTICK (FNP)
NPI
1588216857
Phone
(781) 383-6261
Address
223 CHIEF JUSTICE CUSHING HWY STE 301
Enumeration Date
16 July 2019
Last Update Date
4 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813836261
Graduation Year
2019 (7 years ago)
PAC ID
2567799554
Group Practice PAC ID
0941273262
Professional Enrollment ID
I20190814001277
Address ID
MA020251391CO223XX301X600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for DANIEL LUSTICK (FNP)

  • 223 CHIEF JUSTICE CUSHING HWY STE 301

    COHASSET, MA 020251391

    Phone: (781) 383-6261

    Fax: (781) 383-1084

    Type: Mailing

  • 250, Paradise Road, Swampscott, Essex County, Massachusetts, 01907-1907, United States

    SWAMPSCOTT, MA 019072948

    Phone: (781) 596-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-02-27 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190814001277INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941273262View full group profile
NameSpecialtyState
Family PracticeMA
Family PracticeMA
Nurse PractitionerMA
Internal MedicineMA
Family PracticeMA
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DANIEL LUSTICK (FNP)?
DANIEL LUSTICK (FNP) — NPI 1588216857 — is the standard way to identify this listing.
Does the file indicate DANIEL LUSTICK (FNP) is practicing under active NPI?
Directory data currently reports DANIEL LUSTICK (FNP) as active.
What taxonomy line describes DANIEL LUSTICK (FNP)?
For research purposes, treat DANIEL LUSTICK (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is DANIEL LUSTICK (FNP) based?
DANIEL LUSTICK (FNP) is tied to Cohasset, Massachusetts in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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