Active NPI
David Wilson Chastain-Stultz, FNP-BC
- Family Nurse Practitioner
- Florence, MA
National Provider Identifier
1386339604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2295793
- Practice address
- 70 Main St
Valley Medical Group, PC-Northampton Health Center
Florence, MA 01062-1487 - Phone
- (413) 586-8400
- Fax
- (866) 644-0872
- NPI assigned
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2295793 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2295793 | MA | Primary |
Addresses
Primary practice location
70 Main St
Valley Medical Group, PC-Northampton Health Center
Florence, MA 01062-1487
Mailing address
70 Main St
Valley Medical Group, PC-Northampton Health Center
Florence, MA 01062-1487
Phone (413) 586-8400
Other names 1
- David Wilson Stultz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230816000656 | MA | Practitioner - Nurse Practitioner | 0244692754 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valley Medical Group PC
Practice addresses (Care Compare)
70 Main St
Florence, MA 01062-1466
Phone (413) 586-8400
Hospital & facility affiliations
- Vna & Hospice of Cooley Dickinson
- Amedisys Home Health Care
- Vna & Hospice of Cooley Dickinson
- Cooley Dickinson Hospital Inc,the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2295793 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group, P.C. | Current | Accepting new patients | |
| Valley Medical Group, P.C. | Family | Current | Accepting new patients |
Locations
70 Main St
Northampton, MA 01062
Phone (413) 586-8400
Interoperability endpoints
- david.chastain-stultz.1@55.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Durable Medical Equipment & Medical Supplies
- Amherst, MA
- NPI 1093839805
-
- Durable Medical Equipment & Medical Supplies
- Florence, MA
- NPI 1174647986
-
- Clinical Medical Laboratory
- Easthampton, MA
- NPI 1174687966
-
- Physical Therapist
- Greenfield, MA
- NPI 1558406512
-
- Ambulatory Surgical Clinic/Center
- Amherst, MA
- NPI 1639203888
-
- Durable Medical Equipment & Medical Supplies
- Easthampton, MA
- NPI 1982738118
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Agawam, MA
- NPI 1770537847
-
- Home Health Agency
- Northampton, MA
- NPI 1134196439
-
- Community Based Hospice Care Agency
- Northampton, MA
- NPI 1346217262
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1386339604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 MAIN ST",
"address_2": "VALLEY MEDICAL GROUP, PC-NORTHAMPTON HEALTH CENTER",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010621487",
"telephone_number": "413-586-8400",
"fax_number": "866-644-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MAIN ST",
"address_2": "VALLEY MEDICAL GROUP, PC-NORTHAMPTON HEALTH CENTER",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010621487",
"telephone_number": "413-586-8400",
"fax_number": "866-644-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN-STULTZ",
"first_name": "DAVID",
"middle_name": "WILSON",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2295793",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2295793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "STULTZ",
"middle_name": "WILSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Florence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.