Individual provider Active NPI

Jason Mack Eversole, D.O.

  • Family Medicine Physician
  • Mancos, CO
National Provider Identifier
1699159178
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0060930 Issued in CO
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

Updated by the provider on May 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address jasoneversole@swhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT, FL, IN, OH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20180912002939 CO Practitioner - Family Practice 2365792330 Reassigns benefits to 2 organizations
I20240126001464 UT Practitioner - Family Practice 2365792330 Reassigns benefits to 1 organization
I20240422002167 FL Practitioner - Family Practice 2365792330 Reassigns benefits to 1 organization
I20240819000380 IN Practitioner - Family Practice 2365792330
I20240917004057 OH Practitioner - Family Practice 2365792330

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
Southwest Health System IncGroup PAC ID 5890699326, 51 clinicians

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 Home health agency, Cortez, CO, CCN 067339
  • Hospice of Montezuma Inc Hospice, Cortez, CO, CCN 061522
  • Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
97.98
Promoting interoperability
79
Improvement activities
40
Cost
62.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10054761 594751TXMDFamily Medicine Physician
R1949TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health System Inc CurrentSince Jul 1, 2025 Accepting new patients
Southwest Health System, Inc. CurrentSince Aug 13, 2018 Accepting new patients
Wasatch Post-Acute Services CurrentSince Dec 14, 2023 Accepting new patients
Southwest Health System, Inc. Current Accepting new patients
Southwest Health System, Inc. CurrentSince Aug 13, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.