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

Samuel A. Southard, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1033561873

Samuel A. Southard, CRNA is a 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 →

Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1305
Phone: (920) 738-2000
Fax: (920) 224-1706
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 · 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

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