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

Mr. Lee Michael Fonseca, NP-C

Individual provider Family Nurse Practitioner · NPI 1831258367

Mr. Lee Michael Fonseca, NP-C is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2003, 23 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
23
Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

4112 Outlook Blvd Ste 37
Pueblo, CO 81008-1667
Phone: (719) 562-6254
Fax: (719) 562-6255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APN.0004081-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 105831 (CO)

Record details

NPI number1831258367
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 8, 2006
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pueblo