Jesse Rae Durocher, DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

CHI-CHI-LIC-9415 Issued in MT

Practice address

410 1St St E Ste a
Polson, MT 59860-2130

Phone

(406) 872-2088

NPI assigned

Jun 18, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Polson Chiropractic LLCGroup PAC ID 6901259357, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Polson Chiropractic LLC

  • Chiropractor
  • Polson, MT
  • NPI 1326815481
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1992692578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 1ST ST E STE A",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 1ST ST E STE A",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602130",
            "telephone_number": "406-872-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROCHER",
        "first_name": "JESSE",
        "middle_name": "RAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MT",
            "license": "CHI-CHI-LIC-9415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamyne Hover Dumouchel, FNP
• Stacey Jo Dunn, PHD
• Jerome Dunst, M.D.
• Hannah Dupea, MD
• Derrek Durocher, DC
• Shana Eaglefeathers, DO
• Rachel Edington, LCPC
• Cynthia Marie Elliott, OTRL
• Jamie Michael Engeldrum, PA-C
• Donald Paul Ericksen, M.D.

• Independent Medical Examiner Chiropractor in Polson, MT
• Providers in Polson, MT by specialty
• Independent Medical Examiner Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.