Individual provider Active NPI

Deborah Lynn Chase, FNP-C

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1447331830
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0003763 Issued in CO
Practice address
704 Fortino Blvd Ste D
Pueblo, CO 81008-2087
Phone
(719) 547-5138
Fax
(719) 547-4374
NPI assigned
Oct 18, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 118112 CO
Nurse Practitioner 363L00000X 3763 CO
Family Nurse Practitioner 363LF0000X 0003763 CO Primary
General Practice Physician 208D00000X 3763NP CO

Addresses

Primary practice location

704 Fortino Blvd Ste D
Pueblo, CO 81008-2087

Mailing address

PO Box 40104
Belfast, ME 04915-1239
Phone (719) 547-5138

Other identifiers 1

IdentifierTypeStateIssuer
56884346MedicaidCO

Other names 1

  • Ms. Deborah Lynn Nittmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219001801 CO Practitioner - Nurse Practitioner 6305826207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chase Integrated CareGroup PAC ID 9537519475, 2 clinicians

Practice addresses (Care Compare)

1247 E Jaroso Dr
Pueblo, CO 81007-6509

1925 E Orman Ave
Suite 440
Pueblo, CO 81004-3551

704 Fortino Blvd
Suite D
Pueblo, CO 81008-2087
Phone (719) 547-5138

9100 E Mineral Cir
FL 2
Centennial, CO 80112-3401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3763NPCOMDGeneral Practice Physician
118112COMDNurse Practitioner
3763COMDNurse Practitioner
0003763COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Integrated Care General Practice CurrentSince Nov 4, 2023 Accepting new patients
Total Life Care, LLC Past Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

704 Fortino Blvd
Ste D
Pueblo, CO 81008
Phone (719) 214-6548

50 E Dunlap Dr
Pueblo West, CO 81007
Phone (719) 547-2068

Interoperability endpoints

  • Direct secure messaging: deborah.chase.1@32207.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/32207/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1447331830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40104",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151239",
            "telephone_number": "719-547-5138",
            "fax_number": "719-547-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 FORTINO BLVD STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082087",
            "telephone_number": "719-547-5138",
            "fax_number": "719-547-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "118112",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "3763",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0003763",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "3763NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56884346",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "NITTMANN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.