Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ANNA BONEBERG NP
NPI 1902046543
Nurse Practitioner - Pediatrics in Orchard Park, NY

Q: What is Anna Boneberg's NPI number?

The NPI number for Anna Boneberg is 1902046543. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Q: What is Anna Boneberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Anna Boneberg was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 23, 2009PECOS Enrolled

5800 BIG TREE RD, ORCHARD PARK, NY 14127(716) 662-2300(716) 662-2057 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Anna Boneberg Np NPPES

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

ANNA BONEBERG NP (NPI 1902046543) is an individual pediatrics provider in Orchard Park, New York, licensed in New York (F381131) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1902046543

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameANNA BONEBERGCredential: NP

Location Address5800 BIG TREE RDOrchard Park, NY 14127-4116

Mailing Address8205 Main St Ste 10Williamsville, NY 14221-6054 · (716) 539-0789

Phone(716) 662-2300

Fax(716) 662-2057

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateFebruary 23, 2009

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1902046543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · F381131

5800 BIG TREE RD, Orchard Park, NY 14127

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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 (PECOS)

Anna Boneberg Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052804861

PECOS Enrollment IDI20251201002691

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 14127 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

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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