NPIMap

Individual provider Active NPI

Anna Haseley, N.P.

  • Family Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1851879696
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343207 Issued in NY
Practice address
5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291
Phone
(716) 710-8266
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343207 NY Primary

Addresses

Primary practice location

5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291

Mailing address

5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291
Phone (716) 710-8266

Other names 1

  • Anna Bonn Jack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181026001597 NY Practitioner - Nurse Practitioner 8426301151 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bertrand Chaffee HospitalGroup PAC ID 0840273496, 32 clinicians
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

224 E Main St
Springville, NY 14141-1443
Phone 71659228711202

5959 Big Tree Rd
Suite 102
Orchard Park, NY 14127-2291
Phone (716) 882-0035

Hospital & facility affiliations

  • Bertrand Chaffee Hospital Hospital, Springville, NY, CCN 330111
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

Merit-based Incentive Payment System (MIPS)

Final score
91.31 of 100Reported as group
Quality
87.9
Promoting interoperability
100
Improvement activities
40
Cost
83.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
343207NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Medical Group, P.C. CurrentSince Mar 1, 2021 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Mar 1, 2021 Accepting new patients
General Physician, PC CurrentSince Apr 8, 2024 Accepting new patients
Apogee Medical Group, New York, PC CurrentSince Sep 15, 2018 Accepting new patients
Bertrand Chaffee Hospital CurrentSince Sep 8, 2025 Accepting new patients

Locations

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

515 Main St
Olean, NY 14760
Phone (716) 373-2600

5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677

224 E Main St
Springville, NY 14141
Phone (716) 592-2871

325 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1102

425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/a7b918c3-56d9-410c-bec6-e3d86fde3f92
  • Direct secure messaging: ahaseley@gppc.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1851879696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 BIG TREE RD STE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272291",
            "telephone_number": "716-710-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 BIG TREE RD STE 102",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272291",
            "telephone_number": "716-710-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELEY",
        "first_name": "ANNA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-04-17",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "JACK",
            "middle_name": "BONN",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.