Individual provider Active NPI

Anna Marie Boecker, MD

  • Pediatrics Physician
  • New Braunfels, TX
National Provider Identifier
1912970187
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K1162 Issued in TX
Practice address
948 Gruene Rd, Ste 140
New Braunfels, TX 78130-3919
Phone
(830) 627-2700
Fax
(830) 627-2701
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K1162 TX Primary

Addresses

Primary practice location

948 Gruene Rd, Ste 140
New Braunfels, TX 78130-3919

Mailing address

948 Gruene Rd
Ste 140
New Braunfels, TX 78130-3919
Phone (830) 627-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000941 TX Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5294718631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

948 Gruene Rd
Suite 140
New Braunfels, TX 78130-7795
Phone (830) 627-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anna M. Boecker,M.D.,P.a. CurrentSince Jun 1, 2005 Accepting new patients
Valeo Chiropractic PLLC Past Accepting new patients
Kellcy Medical Group, P.a. Pediatrics Past Accepting new patients

Locations

948 Gruene Rd
Ste 140
New Braunfels, TX 78130
Phone (830) 627-2700

301 Main Plz
New Braunfels, TX 78130
Phone (210) 710-4265

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1912970187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 GRUENE RD",
            "address_2": "STE 140",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303919",
            "telephone_number": "830-627-2700",
            "fax_number": "830-627-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 GRUENE RD, STE 140",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303919",
            "telephone_number": "830-627-2700",
            "fax_number": "830-627-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECKER",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.