MR. DANIEL STAKUTIS
NPI 1558156802
Nurse Practitioner - Psychiatric/Mental Health in Medford, MA

Active since April 09, 2025PECOS EnrolledAccepts Medicare Assignment
100 RIVERS EDGE DR UNIT 448, MEDFORD, MA 02155(508) 380-2208 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Daniel Stakutis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DANIEL STAKUTIS (NPI 1558156802) is an individual psychiatric/mental health provider in Medford, Massachusetts, licensed in Massachusetts (2312263) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1558156802
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. DANIEL STAKUTIS
Location Address100 RIVERS EDGE DR UNIT 448Medford, MA 02155-5477
Mailing Address100 Rivers Edge Dr Unit 448Medford, MA 02155-5477 · (508) 380-2208
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1558156802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · 2312263
100 RIVERS EDGE DR UNIT 448, Medford, MA 02155

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Daniel Stakutis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608357926
PECOS Enrollment IDI20260225001879
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Stakutis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
275 TURNPIKE ST STE 206
Canton, MA 02021
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Aspire Medical Group PC
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Stakutis's NPI number?

The NPI number for Daniel Stakutis is 1558156802. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Daniel Stakutis located?

Daniel Stakutis practices at 100 Rivers Edge Dr Unit 448, Medford, MA 02155. The listed phone number is (508) 380-2208.

What is Daniel Stakutis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Daniel Stakutis enrolled in Medicare?

Yes. Daniel Stakutis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Daniel Stakutis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Stakutis reassigns Medicare benefits to Aspire Medical Group, P.C. (Canton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Stakutis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Stakutis accept?

Health plans from Harvard Pilgrim Health Care list Daniel Stakutis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Stakutis was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.