Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Desiree Deanovic, PA-C

Individual provider Internal Medicine Physician · NPI 1932871910

Desiree Deanovic, PA-C is a Physician Assistant in Faribault, Minnesota. Qualified in 2021, 5 years ago. Practices with Mayo Clinic Health System-Southeast Minnesota Region, a 561-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 State Ave
Faribault, MN 55021-6319
Phone: (507) 333-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13767 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 13767 (MN)

Record details

NPI number1932871910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mayo Clinic Health System-Southeast Minnesota Region — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Faribault