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

Upper Mississippi Surgery Center, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1477470847

Upper Mississippi Surgery Center, LLC is a Certified Registered Nurse Anesthetist in Hazel Green, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

454 Badger Rd
Hazel Green, WI 53811-9787
Phone: (608) 608-2576
Fax: (605) 274-6186
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1477470847
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUpper Mississippi Surgery Center, LLC
Authorized official Susan Gourley — Administrator · (608) 473-1700
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address454 Badger Rd, Hazel Green, WI 53811-9787