Anna Boneberg, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F381131 Issued in NY

Practice address

5800 Big Tree Rd
Orchard Park, NY 14127-4116

Phone

(716) 662-2300

Fax

(716) 662-2057

NPI assigned

Feb 23, 2009

Last updated

Jun 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• University at Buffalo Pediatric Associates Inc

  • Pediatrics Physician
  • Buffalo, NY
  • NPI 1912928599
  Medicare reassignment NPD
• Western New York Pediatric Associates, LLP

  • Pediatrics Physician
  • Orchard Park, NY
  • NPI 1538257977
  NPD (past)

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1902046543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 MAIN ST STE 10",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216054",
            "telephone_number": "716-539-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BIG TREE RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274116",
            "telephone_number": "716-662-2300",
            "fax_number": "716-662-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONEBERG",
        "first_name": "ANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald B Boersma, MD
• Bernadette Marie Boland, MS.ED
• Siobhan Boland, NP
• Renee Bolis, LCSW
• Colleen Bondanza, PT
• Joanna Boone, PHARM.D.
• Sara Elizabeth Booth, LMSW, CASAC
• Kelly Borchert, PT
• Tavifa Bordonaro, REGISTERED NURSE
• Jenna Rose Bork, PA-C

• Pediatric Nurse Practitioner in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.