Individual provider Active NPI

Vanessa Lea Ute Bergstreser, NP

  • Family Nurse Practitioner
  • Fountain, CO
National Provider Identifier
1780357640
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000157-NP Issued in CO
Practice address
5115 Fontaine Blvd
Fountain, CO 80817-1061
Phone
(719) 653-7776
Fax
(719) 207-7783
NPI assigned
Jul 27, 2021
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.1000157-NP CO Primary

Addresses

Primary practice location

5115 Fontaine Blvd
Fountain, CO 80817-1061

Mailing address

5115 Fontaine Blvd
Fountain, CO 80817-1061
Phone (719) 653-7776

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
I20241121004718 CO Practitioner - Nurse Practitioner 9830624253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5475 Tech Ctr Dr
Suite 105
Colorado Springs, CO 80919-2336
Phone (719) 226-0091

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choice Hospice of Colorado II, LLC Single Specialty CurrentSince Nov 12, 2025 Accepting new patients
Fountain Valley Health Care LLC Past Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC PastSince Oct 1, 2024 Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC PastSince Oct 1, 2024 Accepting new patients
Life Choice Hospice of Colorado II, LLC Past Accepting new patients

Locations

5475 Tech Center Dr
Ste 105
Colorado Springs, CO 80919
Phone (719) 223-4621

10 Cadillac Dr
Ste 300
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: vanessalea.bergstreser@476645775638532.direct.elationemr.com

Organizations & group practices 6

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 1

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1780357640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 FONTAINE BLVD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171061",
            "telephone_number": "719-653-7776",
            "fax_number": "719-207-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 FONTAINE BLVD",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171061",
            "telephone_number": "719-653-7776",
            "fax_number": "719-207-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTRESER",
        "first_name": "VANESSA",
        "middle_name": "LEA UTE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000157-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain, CO

Sources for this page

Verify at the official NPI Registry.