Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HANNAH LEE DESROCHER
NPI 1902581721
Physician Assistant in Plymouth, MN

Active since June 19, 2023PECOS Enrolled
2955 XENIUM LN N, PLYMOUTH, MN 55441(763) 398-6383 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Jul 3, 2025, Jun 27, 2025 and 1 more (4 updates tracked since 2023).

About Hannah Lee Desrocher NPPES

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

HANNAH LEE DESROCHER (NPI 1902581721) is an individual physician assistant in Plymouth, Minnesota, licensed in Minnesota (15253) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and maintains a secondary practice location in Baxter.

NPPES Registry Identity

NPI1902581721
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHANNAH LEE DESROCHER
Location Address2955 XENIUM LN NPlymouth, MN 55441-2666
Mailing Address2800 Campus Dr Ste 10Plymouth, MN 55441-8812 · (763) 398-6383
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2023
Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1902581721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 15253
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.

2955 XENIUM LN N, Plymouth, MN 55441

Secondary Practice Location 1

Location 114739 Welton RdBaxter, MN 56425-8225 · Phone (218) 851-9598

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

Hannah Lee Desrocher 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 ID4385153790
PECOS Enrollment IDI20250605001349
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.

Hospital Affiliations CMS Care Compare 2

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Maple Grove Hospital

Acute Care Hospitals · Maple Grove, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240214
Location9875 Hospital DriveMaple Grove, MN 55369 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 2

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

Surgery (Vascular Surgery)
2955 XENIUM LN N, SUITE 40
PLYMOUTH, MN 55441
Radiology (Diagnostic Radiology)
2955 XENIUM LN N, SUITE 40
PLYMOUTH, MN 55441

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 Hannah Desrocher's NPI number?

The NPI number for Hannah Desrocher is 1902581721. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Hannah Desrocher located?

Hannah Desrocher practices at 2955 Xenium Ln N, Plymouth, MN 55441. The listed phone number is (763) 398-6383.

What is Hannah Desrocher's specialty?

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

Is Hannah Desrocher enrolled in Medicare?

Yes. Hannah Desrocher 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.

Is Hannah Desrocher affiliated with any hospitals?

According to CMS data, Hannah Desrocher is affiliated with North Memorial Health Hospital and Maple Grove Hospital.

When was this NPI record last updated?

The NPPES record for Hannah Desrocher was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.