Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Casey Anna Fuller, PHMNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1568997757

Dr. Casey Anna Fuller, PHMNP-BC is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2020, 6 years ago. Practices with Pueblo Community Health Center Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Arizona, Colorado and Oklahoma.

Years since qualifying
6
Licensed in
AZ, CO, OK
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

300 Colorado Ave
Pueblo, CO 81004-2006
Phone: (719) 543-8711
Fax: (719) 543-0171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence C-APN-0004366-C-NP (CO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 113250 (OK)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 238135 (AZ)

Record details

NPI number1568997757
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHMNP-BC
Sole proprietorNo
NPI enumeratedApril 25, 2017
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pueblo Community Health Center Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pueblo