Active NPI
Jason Mack Eversole, D.O.
- Family Medicine Physician
- Mancos, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0060930
- Practice address
- 111 E Railroad Ave
Mancos, CO 81328-9329 - Phone
- (970) 533-9125
- NPI assigned
- Jul 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R1949 | TX | |
| Family Medicine Physician | 207Q00000X | OS20803 | FL | |
| Family Medicine Physician | 207Q00000X | BP10054761 594751 | TX | |
| Family Medicine Physician | 207Q00000X | DR.0060930 | CO | Primary |
| Family Medicine Physician | 207Q00000X | 13605156-1204 | UT |
Addresses
Primary practice location
111 E Railroad Ave
Mancos, CO 81328-9329
Mailing address
1311 N Mildred Rd
Cortez, CO 81321-2231
Other practice location 1
1311A N Mildred Rd
Cortez, CO 81321
Phone (970) 565-8556
Other practice location 2
6100 Lake Ellenor Dr Ste 151
Orlando, FL 32809-4632
Phone (801) 475-5254
Other practice location 3
1311A N Mildred Rd
Cortez, CO 81321
Phone (970) 565-8556
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jasoneversole@swhealth.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, UT, FL, IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Railroad Ave
Mancos, CO 81328-9329
Phone (970) 533-9125
1311 A N Mildred Rd
Cortez, CO 81321-2231
1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (970) 565-6666
1413 N Mildred Rd
Cortez, CO 81321-2258
Phone (970) 564-1037
Hospital & facility affiliations
- Pasco/SW Home Health
- Hospice of Montezuma Inc
- Southwest Memorial Hospital
- Mercy Regional Medical Center
- Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.14 of 100
- Quality
- 97.98
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 62.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10054761 594751 | TX | MD | Family Medicine Physician |
| R1949 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health System Inc | Current | Accepting new patients | |
| Southwest Health System, Inc. | Current | Accepting new patients | |
| Wasatch Post-Acute Services | Current | Accepting new patients | |
| Southwest Health System, Inc. | Current | Accepting new patients | |
| Southwest Health System, Inc. | Current | Accepting new patients | |
| Southwest Health System, Inc. | Current | Accepting new patients |
Locations
1311 N Mildred Rd
#A
Cortez, CO 81321
Phone (970) 565-8556
1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666
33 N Elm St
Cortez, CO 81321
Phone (970) 565-8556
1413 N Mildred Rd
Cortez, CO 81321
Phone (970) 564-1037
111 E Railroad Ave
Mancos, CO 81328
Phone (970) 533-9125
5825 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-5254
Interoperability endpoints
- jasoneversole@swhealth.cernerdirect.com
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.
-
- Critical Access Hospital
- Cortez, CO
- NPI 1649241571
-
- Physical Medicine & Rehabilitation Physician
- Ogden, UT
- NPI 1144922477
-
- Rural Health Clinic/Center
- Cortez, CO
- NPI 1083917868
-
- Pharmacy
- Cortez, CO
- NPI 1386917862
-
- Rural Health Clinic/Center
- Cortez, CO
- NPI 1578689527
-
- Rural Health Clinic/Center
- Mancos, CO
- NPI 1902162753
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durango, CO
- NPI 1083611644
-
- General Acute Care Hospital
- Durango, CO
- NPI 1588204010
-
- General Acute Care Hospital
- Durango, CO
- NPI 1679113104
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- Community Based Hospice Care Agency
- Cortez, CO
- NPI 1982652350
-
- Home Health Agency
- Cortez, CO
- NPI 1811581853
-
- Critical Access Hospital
- Cortez, CO
- NPI 1649241571
-
- Non-emergency Medical Transport (VAN)
- Cortez, CO
- NPI 1992328074
Hospital
-
- General Acute Care Hospital
- Aztec, NM
- NPI 1770123382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1699159178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 N MILDRED RD",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813212231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E RAILROAD AVE",
"city": "MANCOS",
"state": "CO",
"postal_code": "813289329",
"telephone_number": "970-533-9125"
}
],
"practiceLocations": [
{
"address_1": "1311A N Mildred Rd",
"address_purpose": "LOCATION",
"city": "Cortez",
"state": "CO",
"postal_code": "81321",
"country_code": "US",
"telephone_number": "970-565-8556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6100 Lake Ellenor Dr Ste 151",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328094632",
"country_code": "US",
"telephone_number": "801-475-5254",
"fax_number": "801-797-0278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1311A N Mildred Rd",
"address_purpose": "LOCATION",
"city": "Cortez",
"state": "CO",
"postal_code": "81321",
"country_code": "US",
"telephone_number": "970-565-8556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVERSOLE",
"first_name": "JASON",
"middle_name": "MACK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-15",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R1949",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS20803",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10054761 594751",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0060930",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "13605156-1204",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jasoneversole@swhealth.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "SMG Mancos Valley Clinic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "111 E Railroad Ave",
"city": "Mancos",
"state": "CO",
"country_code": "US",
"postal_code": "813289329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mancos, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.