Organization Active NPI

Chase Integrated Care

  • General Practice Physician
  • Pueblo, CO
National Provider Identifier
1487422770
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CHASE INTEGRATED CARE
Practice address
704 Fortino Blvd Ste D
Pueblo, CO 81008-2087
Phone
(719) 547-5138
Fax
(719) 547-4374
NPI assigned
Dec 15, 2023
Organization subpart
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

Authorized official

Name
Deborah Lynn Chase, ND. FNPCNPI 1447331830
Title
Owner/Provider
Phone
(719) 250-9540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

704 Fortino Blvd Ste D
Pueblo, CO 81008-2087

Mailing address

PO Box 40104
Belfast, ME 04915-1239
Phone (719) 250-9540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231219001501 CO Part B Supplier - Clinic/Group Practice 9537519475 Receives reassigned benefits from 2 practitioners
Practice locations: Pueblo, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2293220Chase Integrated Care704 Fortino Blvd. Suite D, Pueblo, CO 81008Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory

Locations

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/32207/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1487422770",
    "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": "719-250-9540",
            "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": {
        "organization_name": "CHASE INTEGRATED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "719-250-9540",
        "authorized_official_credential": "ND. FNPC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.