JASMINE DAVILA MD
NPI 1295484152
Family Medicine in Provo, UT

Active since March 19, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jasmine Davila Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMINE DAVILA MD (NPI 1295484152) is an individual family medicine provider in Provo, Utah, licensed in Colorado (DR.0075590) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Morgan, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295484152
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJASMINE DAVILACredential: MD
Location Address475 W 940 NProvo, UT 84604-3301
Mailing Address475 W 940 NProvo, UT 84604-3301
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 19, 2022
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
NPI 1295484152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · DR.0075590
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
475 W 940 N, Provo, UT 84604

Secondary Practice Location 1

Location 11000 Lincoln St Ste 101Fort Morgan, CO 80701-3290 · Phone (970) 542-4390 · Fax (970) 867-4913

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jasmine Davila Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294177168
PECOS Enrollment IDI20250725002739
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
475 W 940 N
PROVO, UT 84604
Family Medicine
475 W 940 N
PROVO, UT 84604
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Family Medicine
475 W 940 N
PROVO, UT 84604
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604
Family Medicine
475 W 940 N
PROVO, UT 84604
Student in an Organized Health Care Education/Training Program
475 W 940 N
PROVO, UT 84604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmine Davila's NPI number?

The NPI number for Jasmine Davila is 1295484152. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Where is Jasmine Davila located?

Jasmine Davila practices at 475 W 940 N, Provo, UT 84604. The listed phone number is (801) 357-7940.

What is Jasmine Davila's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jasmine Davila enrolled in Medicare?

Yes. Jasmine Davila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jasmine Davila was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.