Individual provider Active NPI

Sarah Tasto, APRN-CNP

  • Nurse Practitioner
  • Saint Cloud, MN
National Provider Identifier
1467062133
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10920 Issued in MN
Practice address
1510 24TH Ave N
Saint Cloud, MN 56303-1304
Phone
(320) 259-0208
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10920 MN Primary
Registered Nurse 163W00000X 2459231 MN

Addresses

Primary practice location

1510 24TH Ave N
Saint Cloud, MN 56303-1304

Mailing address

1510 24TH Ave N
Saint Cloud, MN 56303-1304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20240123003680 MN Practitioner - Nurse Practitioner 9032561261 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
Group practices

Practice addresses (Care Compare)

1510 24TH Ave N
Saint Cloud, MN 56303-1304
Phone (320) 259-0208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2459231MNMDRegistered Nurse
10920MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Clinic of Dermatology Laser and Cosmetic Surgery PA CurrentSince Dec 11, 2023 Accepting new patients

Locations

110 Voyager Dr
Alexandria, MN 56308
Phone (320) 762-0370

1510 24th Ave N
Saint Cloud, MN 56303
Phone (320) 259-0208

Interoperability endpoints

  • Direct secure messaging: stasto@mcdlcs.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1467062133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 24TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 24TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031304",
            "telephone_number": "320-259-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASTO",
        "first_name": "SARAH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "10920",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2459231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.