Daniel Stakutis

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2312263 Issued in MA

Practice address

100 Rivers Edge Dr Unit 448
Medford, MA 02155-5477

Phone

(508) 380-2208

NPI assigned

Apr 9, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Medical Group PCGroup PAC ID 9436525003, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Aspire Medical Group, P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, MA
  • NPI 1639802614
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1558156802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVERS EDGE DR UNIT 448",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555477",
            "telephone_number": "508-380-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVERS EDGE DR UNIT 448",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555477",
            "telephone_number": "508-380-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKUTIS",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2312263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Sokolove, MA
• Stephanie Mary Ann Souza, DMD
• Susan K Spang, NP
• Stacey Sperling, M.D.
• Elena Sofia Spriet, OTD, OTR/L, CKTP
• Calvin Stanley, M. ED.
• Amanda Starr Machado, P.A.
• Heather Sue Steckel, LICSW
• Abby Steiner
• Stephen a Carpinito, DMD

• Psychiatric/Mental Health Nurse Practitioner in Medford, MA
• Providers in Medford, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.

Verify at the official NPI Registry.