Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel A. Southard, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1033561873

Samuel A. Southard, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Appleton, Wisconsin. Qualified in 2016, 10 years ago. Practices with Racine Anesthesia Services LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1305 Not confirmed with CMS for 10 years — call before visiting
Phone: (920) 738-2000
Fax: (920) 224-1706
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 167874-30 (WI)

Record details

NPI number1033561873
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESJuly 5, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Racine Anesthesia Services Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients109
Services billed 133 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Ascension Ne Wisconsin - St Elizabeth Campus Hospital · Appleton, WI

Colleagues at Racine Anesthesia Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 81 clinicians in the practice; 12 are shown here.

Other providers in Appleton