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

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: November 08, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Anna Boneberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University At Buffalo Pediatric Associates Inc
11 mi
Pediatrics
1001 MAIN ST FL 4
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 217 clinicians in this Medicare group
NPI 1912928599 (716) 323-0225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 15

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

DR. GERALD A LAURIA M.D.
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
MR. PAUL SANDELL
Physician Assistant
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
KELLY A THOMPSON LICENSED MENTAL HEAL
Counselor (Mental Health)
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
DR. AMANDA MARIE WOLFLEY M.D.
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
CHEREVE HUPKOWICZ
Nurse Practitioner
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
SUSAN KISSEL-MAUTE CPNP
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
SHAYE CLINE MSW
Social Worker
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
DR. MARY E SCHAMANN M.D.
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337

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 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.

Where is Anna Boneberg located?

Anna Boneberg practices at 5800 Big Tree Rd, Orchard Park, NY 14127. The listed phone number is (716) 662-2300.

What is Anna Boneberg's specialty?

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

Is Anna Boneberg enrolled in Medicare?

Yes. Anna Boneberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Boneberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Boneberg reassigns Medicare benefits to University At Buffalo Pediatric Associates Inc (Buffalo, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Boneberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anna Boneberg was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.