Sara Dezell, R.N.
Individual provider Active NPI Clinical Nurse Specialist · Saint Cloud, MN
NPI 1801244199 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1801244199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Nurse Specialist 364S00000X
- License
- CNS 0507 (MN)
- Practice address
- 1406 6TH Ave N
Saint Cloud, MN 56303-1900 - Phone
- (320) 656-7020
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Clinic
Practice addresses (Care Compare)
1406 6TH Ave N
St Cloud Hospital/Rehab Unit
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
Hospital & facility affiliations
- Centracare - St. Cloud Hospital
- Centracare - Paynesville Hospital
- Centracare- Rice Memorial Hospital
- Alomere Health
- Centracare Health System - Melrose Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160817002827 | MN | Practitioner - Certified Clinical Nurse Specialist (CNS) | 2668767443 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 213472-5 | MN | MD | Medical-Surgical Registered Nurse |
| CNS 0507 | MN | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current |
Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current |
Accepting new patients |
Locations
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
Interoperability endpoints
- sdezell303811@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | CNS 0507 | MN | Yes |
| Medical-Surgical Registered Nurse | 163WM0705X | R 213472-5 | MN |
Addresses
Primary practice location
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Mailing address
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdezell303811@direct.centracare.com | Direct |
Other providers in Saint Cloud, MN
- Anne Elizabeth Deters
- Jenifer Karen Detert
- Sindhu M. Devani
- Developmental Impact LLC
- Sara Devos
- Gati Niranjan Dhroove
- Heather Diaz
- Kelsey A Diederich
- Leah Diederich
- Samantha Dietman
All providers in Saint Cloud, MN · Clinical Nurse Specialist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.