Individual provider Active NPI

Sarah A Wilczewski, CRNA

  • Certified Registered Nurse Anesthetist
  • Fitchburg, WI
National Provider Identifier
1346508645
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
159016 Issued in WI
Practice address
5930 Schumann Dr
Fitchburg, WI 53711-5103
Phone
(608) 225-1668
NPI assigned
Apr 25, 2012
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 159016 WI Primary

Addresses

Primary practice location

5930 Schumann Dr
Fitchburg, WI 53711-5103

Mailing address

5930 Schumann Dr
Fitchburg, WI 53711-5103
Phone (608) 225-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5215WIMDPhysician Assistant
159016WIMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1346508645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 SCHUMANN DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115103",
            "telephone_number": "608-225-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 SCHUMANN DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115103",
            "telephone_number": "608-225-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCZEWSKI",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "159016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.