Active NPI
Jasmine Davila, MD
- Family Medicine Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0075590
- Practice address
- 475 W 940 N
Provo, UT 84604-3301 - Phone
- (801) 357-7940
- NPI assigned
- Mar 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
CO
-
- Advanced Practice Midwife
- Murray, UT
- NPI 1154627206
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Obstetrics & Gynecology Physician
- Canon City, CO
- NPI 1124634902
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Morgan, CO
- NPI 1881337392
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catholic Health Initiatives Colorado
Practice addresses (Care Compare)
1000 Lincoln St
Fort Morgan, CO 80701-3290
Phone (970) 867-1843
Hospital & facility affiliations
- St Elizabeth Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240523000741 | UT | Practitioner - Family Practice | 5294177168 | Reassigns benefits to 1 organization |
| I20250725002739 | CO | Practitioner - Family Practice | 5294177168 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
1224 Edison St
Brush, CO 80723
Phone (970) 542-4390
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
1000 Lincoln St
Ste 101
Fort Morgan, CO 80701
Phone (970) 542-4390
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
98 N 1100 E
Ste 101
Highland, UT 84003
Phone (801) 492-2273
475 W 940 N
Provo, UT 84604
Phone (801) 357-7909
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0075590 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
475 W 940 N
Provo, UT 84604-3301
Mailing address
475 W 940 N
Provo, UT 84604-3301
Other practice location 1
1000 Lincoln St Ste 101
Fort Morgan, CO 80701-3290
Phone (970) 542-4390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2025.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1295484152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 W 940 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846043301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 W 940 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846043301",
"telephone_number": "801-357-7940"
}
],
"practiceLocations": [
{
"address_1": "1000 Lincoln St Ste 101",
"address_purpose": "LOCATION",
"city": "Fort Morgan",
"state": "CO",
"postal_code": "807013290",
"country_code": "US",
"telephone_number": "970-542-4390",
"fax_number": "970-867-4913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVILA",
"first_name": "JASMINE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-19",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0075590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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; Order and Referring.
- 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.