RICHARD JAMES BONEBERG CRNA
NPI 1215988191
Nurse Anesthetist, Certified Registered in Buffalo, NY

Q: What is Richard Boneberg's NPI number?

The NPI number for Richard Boneberg is 1215988191. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Richard Boneberg's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Boneberg was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since May 15, 2006Accepts Medicare Assignment

1001 MAIN ST # K3502, BUFFALO, NY 14203(716) 323-6570(716) 323-6658 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Mar 4, 2021 (2 updates tracked since 2021).

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About Richard James Boneberg Crna NPPES

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

RICHARD JAMES BONEBERG CRNA (NPI 1215988191) is an individual nurse anesthetist, certified registered in Buffalo, New York, licensed in New York (4733151) and active in the NPI registry since May 2006. He is affiliated with Kaleida Health and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215988191

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameRICHARD JAMES BONEBERGCredential: CRNA

Location Address1001 MAIN ST # K3502Buffalo, NY 14203-1009

Mailing Address1001 Main St # K3502Buffalo, NY 14203-1009 · (716) 323-6570 · Fax (716) 323-6658

Phone(716) 323-6570

Fax(716) 323-6658

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 15, 2006

Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1215988191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in NY · 4733151

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1001 MAIN ST # K3502, Buffalo, NY 14203

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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

Richard James Boneberg Crna 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 ID8224070164

PECOS Enrollment IDI20050601000588

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330005

Location100 High StreetBuffalo, NY 14210 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

STACEY WATT MD

Anesthesiology