MR. LEE MICHAEL FONSECA NP-C
NPI 1831258367
Nurse Practitioner in Pueblo, CO

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
94.45/100
CMS Quality Rating
4112 OUTLOOK BLVD, SUITE 37, PUEBLO, CO 81008(719) 562-6254(719) 562-6255 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 11, 2025, Oct 10, 2023 (2 updates tracked since 2023).

About Mr. Lee Michael Fonseca Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LEE MICHAEL FONSECA NP-C (NPI 1831258367) is an individual nurse practitioner in Pueblo, Colorado, licensed in Colorado (APN.0004081-NP) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1831258367
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. LEE MICHAEL FONSECACredential: NP-C
Location Address4112 OUTLOOK BLVD, SUITE 37Pueblo, CO 81008-1667
Mailing AddressPo Box 800022 Suite 37Kansas City, MO 64180-0022 · (800) 953-0103 · Fax (303) 765-6670
Fax(719) 562-6255
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 8, 2006
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1831258367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CO · APN.0004081-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 105831 (CO)
4112 OUTLOOK BLVD, Pueblo, CO 81008

Other Identifiers 1

Medicaid92354378CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Lee Michael Fonseca Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527015908
PECOS Enrollment IDI20050407000520
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
125 services69 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89
Promoting Interoperability92.91
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4112 OUTLOOK BLVD, STE 96
PUEBLO, CO 81008
Nurse Practitioner (Pediatrics)
4112 OUTLOOK BLVD, SUITE 255
PUEBLO, CO 81008
Occupational Therapist
4112 OUTLOOK BLVD, #96
PUEBLO, CO 81008
Physical Therapist
4112 OUTLOOK BLVD, # 96
PUEBLO, CO 81008
Orthopaedic Surgery
4112 OUTLOOK BLVD, SUITE 37
PUEBLO, CO 81008
Internal Medicine
4112 OUTLOOK BLVD
PUEBLO, CO 81008
Social Worker (Clinical)
4112 OUTLOOK BLVD
PUEBLO, CO 81008
Physical Therapist
4112 OUTLOOK BLVD, SUITE #96
PUEBLO, CO 81008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Fonseca's NPI number?

The NPI number for Lee Fonseca is 1831258367. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Lee Fonseca located?

Lee Fonseca practices at 4112 Outlook Blvd Suite 37, Pueblo, CO 81008. The listed phone number is (719) 562-6254.

What is Lee Fonseca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lee Fonseca enrolled in Medicare?

Yes. Lee Fonseca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lee Fonseca was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.