Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KASSIDY DESROCHE
NPI 1881368645
Physician Assistant in Oklahoma City, OK

Q: What is Kassidy Desroche's NPI number?

The NPI number for Kassidy Desroche is 1881368645. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Q: What is Kassidy Desroche's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kassidy Desroche was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.

Active since August 05, 2021PECOS Enrolled

3433 NW 56TH ST STE 660, OKLAHOMA CITY, OK 73112(405) 948-4040 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Aug 5, 2021 (2 updates tracked since 2021).

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About Kassidy Desroche NPPES

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

KASSIDY DESROCHE (NPI 1881368645) is an individual physician assistant in Oklahoma City, Oklahoma and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Alliancehealth Woodward, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881368645

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKASSIDY DESROCHE

Location Address3433 NW 56TH ST STE 660Oklahoma City, OK 73112-4449

Mailing Address3433 Nw 56th St Ste 660Oklahoma City, OK 73112-4449 · (405) 948-4040

Phone(405) 948-4040

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 5, 2021

Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1881368645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3433 NW 56TH ST STE 660, Oklahoma City, OK 73112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.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

Kassidy Desroche 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 ID840633566

PECOS Enrollment IDI20240209002452

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

36 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alliancehealth Woodward

Acute Care Hospitals · Woodward, OK

2/5 CMS rating

OwnershipProprietary

CMS Certification Number370002

Location900 17th StreetWoodward, OK 73801 · Woodward County

Emergency services

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

TERRANCE KHASTGIR MD

Internal Medicine (Clinical Cardiac Electrophysiology)