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MARYDONNA ANDERSON P.A.
NPI 1518946789
Physician Assistant in Kenmore, NY

Active since January 16, 2006PECOS Enrolled
2950 ELMWOOD AVE, KENMORE, NY 14217(716) 447-6202(716) 447-6202 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 9, 2024, Nov 15, 2016 (2 updates tracked since 2016).

About Marydonna Anderson P.a. NPPES

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

MARYDONNA ANDERSON P.A. (NPI 1518946789) is an individual physician assistant in Kenmore, New York, licensed in New York (005907) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Williamsville.

NPPES Registry Identity

NPI1518946789
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARYDONNA ANDERSONCredential: P.A.
Location Address2950 ELMWOOD AVEKenmore, NY 14217-1304
Mailing Address2950 Elmwood AveKenmore, NY 14217-1304 · (716) 447-6202 · Fax (716) 857-8944
Phone(716) 447-6202
Fax(716) 447-6202
Sole ProprietorNo
Enumeration DateJanuary 16, 2006
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1518946789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 005907
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2950 ELMWOOD AVE, Kenmore, NY 14217
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Secondary Practice Location 1

Location 1111 N Maplemere Rd Ste 200Williamsville, NY 14221-3182 · Phone (716) 626-7714

Other Identifiers 1

Medicaid01929304NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marydonna Anderson P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14217 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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 20

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

MRS. BREANNE FINUCANE JEFFREY RPA-C
Physician Assistant (Surgical)
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 262-4607
ROBERT E BAKER III PA
Physician Assistant
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 447-6100
VICTORIA PAULSEN
Nurse Anesthetist, Certified Registered
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 323-6570
NIKHIL PATEL PHYSICIAN PLLC
Radiology (Vascular & Interventional Radiology)
2950 ELMWOOD AVE
BUFFALO, NY 14217
Erie County (716) 447-6100
DR. SARA DITURSI PHARMD
Pharmacist
2950 ELMWOOD AVE
BUFFALO, NY 14217
Erie County (716) 447-6000
KENMORE MERCY HOSPITAL
Internal Medicine (Pulmonary Disease)
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 447-6100
DR. JAMES MICHAEL BARTLETT PHARMD
Pharmacist
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 713-2722
KENMORE MERCY HOSPITAL
General Acute Care Hospital
2950 ELMWOOD AVE
KENMORE, NY 14217
Erie County (716) 447-6002

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 Marydonna Anderson's NPI number?

The NPI number for Marydonna Anderson is 1518946789. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Marydonna Anderson located?

Marydonna Anderson practices at 2950 Elmwood Ave, Kenmore, NY 14217. The listed phone number is (716) 447-6202.

What is Marydonna Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marydonna Anderson enrolled in Medicare?

Yes. Marydonna Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marydonna Anderson was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.