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

Hannah Lee Desrocher

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902581721

Hannah Lee Desrocher is a Physician Assistant in Plymouth, Minnesota. Qualified in 2024, 2 years ago. Practices with Minneapolis Radiology Associates Ltd, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2955 Xenium Ln N
Plymouth, MN 55441-2666
Phone: (763) 398-6383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14739 Welton Rd, Baxter, MN 56425-8225 — (218) 851-9598

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15253 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902581721
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2023
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address2800 Campus Dr Ste 10, Plymouth, MN 55441-8812

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Minneapolis Radiology Associates Ltd — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Plymouth