1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Physician Assistant
  6. NPI Profile

RENAE SLOBODNY PA-C
NPI 1528586641
Physician Assistant - Medical in Phoenix, AZ

Active since September 08, 2017PECOS EnrolledAccepts Medicare Assignment
4512 N 40TH ST, PHOENIX, AZ 85018(602) 954-7546(602) 952-2941 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renae Slobodny Pa-c NPPES

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

RENAE SLOBODNY PA-C (NPI 1528586641) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (6797) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1528586641
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRENAE SLOBODNYCredential: PA-C
Location Address4512 N 40TH STPhoenix, AZ 85018-3604
Mailing Address4512 N 40th StPhoenix, AZ 85018-3604 · (602) 954-7546 · Fax (602) 952-2941
Phone(602) 954-7546
Fax(602) 952-2941
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 8, 2017
Last NPPES UpdateMarch 19, 2019
✔ NPI 1528586641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 6797
4512 N 40TH ST, Phoenix, AZ 85018
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renae Slobodny Pa-c 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 ID1254605553
PECOS Enrollment IDI20170926002034
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KILEY GROEBNER
Physician Assistant
4512 N 40TH ST
PHOENIX, AZ 85018
Maricopa County (602) 954-7546
CAMELBACK DERMATOLOGY & SKIN SURGERY, INC
Dermatology
4512 N 40TH ST
PHOENIX, AZ 85018
Maricopa County (602) 954-7546
BRETT THOMAS DO
Dermatology
4512 N 40TH ST
PHOENIX, AZ 85018
Maricopa County (602) 954-7546
MR. JEFFREY S. BOSLEY MPAS
Physician Assistant (Medical)
4512 N 40TH ST
PHOENIX, AZ 85018
Maricopa County (602) 954-7546
AMENA MARIE DELUCA MD
Dermatology (MOHS-Micrographic Surgery)
4512 N 40TH ST
PHOENIX, AZ 85018
Maricopa County (602) 954-7546

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 Renae Slobodny's NPI number?

The NPI number for Renae Slobodny is 1528586641. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Renae Slobodny located?

Renae Slobodny practices at 4512 N 40th St, Phoenix, AZ 85018. The listed phone number is (602) 954-7546.

What is Renae Slobodny's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Renae Slobodny enrolled in Medicare?

Yes. Renae Slobodny 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.

What insurance does Renae Slobodny accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Renae Slobodny 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 Renae Slobodny was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.