Libby Slosburg Ratner, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

14305 Southcross Dr W Ste 110
Burnsville, MN 55306-7011

Phone

(651) 340-1064

NPI assigned

Jan 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Libby Simon Slosburg Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakes Dermatology PAGroup PAC ID 3375843089, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

74.12 of 100Reported as group

Quality

61.67

Promoting interoperability

84

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: lslosburg@directaddress.net

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.

• Lakes Dermatology, PA

  • Dermatology Physician
  • Burnsville, MN
  • NPI 1962871608
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1952931792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14305 SOUTHCROSS DR W STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14305 SOUTHCROSS DR W STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067011",
            "telephone_number": "651-340-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATNER",
        "first_name": "LIBBY",
        "middle_name": "SLOSBURG",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBY",
            "last_name": "SLOSBURG",
            "middle_name": "SIMON",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren K Rance, PHD
• Philip S Randall, MD
• Christine M Rankin, D.C.
• Bruce O Rasmussen
• Hannah Rasmussen, RD, LD
• Brittany Raven
• Ashley Raymond
• Bridget L Reagan, RPH
• Recovery Home Health Care
• Breanna Reed

• Physician Assistant in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.