DR. SUE ANN RAVENSCRAFT – Pulmonary Disease Physician, NPI 1194700864

DR. SUE ANN RAVENSCRAFT is a healthcare provider. based in St louis park, Minnesota. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold a License No. 30297 (MN). The NPI Number for DR. SUE ANN RAVENSCRAFT is 1194700864

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUE ANN RAVENSCRAFT
NPI
1194700864
Phone
(952) 993-3341
Address
3931 LOUISIANA AVE S STE 300W
Enumeration Date
14 December 2005
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9529932400
Graduation Year
1985 (41 years ago)
PAC ID
7911819552
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20100330001345
Address ID
MN554373934BL5320XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

367 PULMONARY DISEASE in MN

Provider Addresses for DR. SUE ANN RAVENSCRAFT

  • 3931 LOUISIANA AVE S STE 300W

    ST LOUIS PARK, MN 554265000

    Phone: (952) 993-3341

    Fax: (952) 993-0300

    Type: Mailing

  • PARK NICOLLET CLINIC MEADOWBROOK

    6490 EXCELSIOR BLVD # W300

    ST LOUIS PARK, MN 55426

    Phone: (952) 993-3242

    Fax: (952) 993-2828

    Type: Location

  • Park Nicollet Clinic Meadowbrook

    6490 Excelsior Blvd # W300

    St Louis Park, MN 55426

    Phone: (952) 993-3242

    Fax: (952) 993-2828

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 3931 LOUISIANA AVE S

    ST LOUIS PARK, MN 554265000

    Phone: (952) 993-3230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100330001345IPulmonary DiseaseMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
94375Test to measure rate of airflow9479$0
99214Established patient office or other outpatient visit, 30-39 minutes7965$0
94618Test for exercise-induced lung stress6455$0
94729Test to examine how well the lungs exchange gases5047$0
95012Test to measure the level of nitric oxide gas4544$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

DR. SUE ANN RAVENSCRAFT performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEMN94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration3030

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Is DR. SUE ANN RAVENSCRAFT listed with a National Provider Identifier?
Yes — DR. SUE ANN RAVENSCRAFT has NPI 1194700864 on file in the registry.
Would DR. SUE ANN RAVENSCRAFT appear as active to a payer?
You can treat DR. SUE ANN RAVENSCRAFT as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. SUE ANN RAVENSCRAFT?
DR. SUE ANN RAVENSCRAFT's record emphasizes Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUE ANN RAVENSCRAFT?
Directory geography for DR. SUE ANN RAVENSCRAFT centers on St Louis Park, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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