DANIELLE DESROCHERS (MD) – Family Medicine Physician, NPI 1669673000

DANIELLE DESROCHERS (MD) is a healthcare provider. based in Luray, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD175364 (OR). The NPI Number for DANIELLE DESROCHERS (MD) is 1669673000

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE DESROCHERS (MD)
NPI
1669673000
Phone
(540) 743-2887
Address
125 Memorial Dr
Enumeration Date
31 May 2007
Last Update Date
28 August 2025

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8008132000
Graduation Year
2004 (22 years ago)
PAC ID
8325125677
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20160819001197
Address ID
OR970053460BE4855XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for DANIELLE DESROCHERS (MD)

  • 125 Memorial Dr

    Luray, VA 228351016

    Phone: (540) 743-2887

    Fax: (540) 743-1288

    Type: Location

  • 500 NE MULTNOMAH ST FL 11

    PORTLAND, OR 972322023

    Phone:

    Type: Mailing

  • PMH Family and Internal Medicine, 125, Memorial Drive, Forest Hills, Luray, Page County, Virginia, 22835, United States

    LURAY, VA 228351016

    Phone: (540) 743-2887

    Fax: (540) 743-1288

    Type: Mailing

  • 4855 SW WESTERN AVE

    BEAVERTON, OR 970053460

    Phone: (800) 813-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160819001197IFamily PracticeORTBD
I20250718002685IFamily PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22835)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

How is DANIELLE DESROCHERS (MD) identified in CMS data?
CMS-hosted NPPES data lists DANIELLE DESROCHERS (MD) with NPI 1669673000.
Does CMS list DANIELLE DESROCHERS (MD) as active?
Yes — DANIELLE DESROCHERS (MD) is active in the NPI listing used on this page.
What taxonomy line describes DANIELLE DESROCHERS (MD)?
For research purposes, treat DANIELLE DESROCHERS (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DANIELLE DESROCHERS (MD)?
DANIELLE DESROCHERS (MD)'s geographic hint is Luray, Virginia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.