Active NPI
Stanislaw Z. Wilk, CRNA
- Certified Registered Nurse Anesthetist
- Petersburg, VA
National Provider Identifier
1760444665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024136367
- Practice address
- 801 S Adams St
Petersburg, VA 23803-5149 - Phone
- (804) 862-5000
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024136367 | VA | Primary |
Addresses
Primary practice location
801 S Adams St
Petersburg, VA 23803-5149
Mailing address
PO Box 740209
Atlanta, GA 30374-0209
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024136367 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martinsville Anesthesia, PC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Healthcare Partners, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Piedmont Triad Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Petersburg, VA
- NPI 1477501401
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Martinsville, VA
- NPI 1760437115
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1437196300
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Anesthesiology Physician
- Winston-Salem, NC
- NPI 1467497081
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760444665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740209",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S ADAMS ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035149",
"telephone_number": "804-862-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILK",
"first_name": "STANISLAW",
"middle_name": "Z.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024136367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.