STACY LEIGH SEDERWALL FNP
NPI 1255720876
Nurse Practitioner - Family in Lake Ozark, MO

Q: What is Stacy Sederwall's NPI number?

The NPI number for Stacy Sederwall is 1255720876. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Q: What is Stacy Sederwall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Sederwall was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 20, 2015PECOS EnrolledAccepts Medicare Assignment

2840 BAGNELL DAM BLVD, LAKE OZARK, MO 65049(573) 480-8888(502) 399-8745 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 26, 2025, Mar 17, 2018, Feb 20, 2018 (3 updates tracked since 2018).

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About Stacy Leigh Sederwall Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY LEIGH SEDERWALL FNP (NPI 1255720876) is an individual family provider in Lake Ozark, Missouri, licensed in Missouri (2015001255) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255720876

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACY LEIGH SEDERWALLCredential: FNP

Location Address2840 BAGNELL DAM BLVDLake Ozark, MO 65049-9732

Mailing Address2840 Bagnell Dam BlvdLake Ozark, MO 65049-9732 · (573) 480-8888 · Fax (502) 399-8745

Phone(573) 480-8888

Fax(502) 399-8745

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 20, 2015

Last NPPES UpdateNovember 26, 20253 updates tracked since enumeration

NPPES CertifiedNovember 26, 2025

✔ NPI 1255720876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2015001255

2840 BAGNELL DAM BLVD, Lake Ozark, MO 65049

Open in Google Maps ↗

Secondary Practice Locations 4

Location 154 Hospital Dr Ste 213Osage Beach, MO 65065-3050 · Phone (573) 302-3199 · Fax (573) 302-3198

Location 22828 N National AveSpringfield, MO 65803-4306 · Phone (573) 774-7474 · Fax (573) 774-7575

Location 31000 Hospital RdWaynesville, MO 65583-2634 · Phone (573) 774-5353 · Fax (573) 774-2579

Location 41057 Medical Park Dr, Ste AOsage Beach, MO 65065-3000 · Phone (573) 302-3200 · Fax (573) 302-3210

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Leigh Sederwall Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860719689

PECOS Enrollment IDI20150316001334

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stacy Sederwall reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camden Emergency Group LLC

5.2 mi

Emergency Medicine

54 HOSPITAL DR
Osage Beach, MO 65065

Reassigned Medicare billing, Missouri enrollment
77 clinicians in this Medicare group

NPI 1003181637 (573) 348-8000

Lake Regional Health System

5.2 mi

Emergency Medical Services

54 HOSPITAL DR
Osage Beach, MO 65065

Reassigned Medicare billing, Missouri enrollment
149 clinicians in this Medicare group

NPI 1053581454 (573) 348-8000

Ipc Pac Healthcare Services Of Missouri Inc

190 mi

Hospitalist

760 PLANTATION BLVD STE 210
Sikeston, MO 63801

Reassigned Medicare billing, Missouri enrollment
64 clinicians in this Medicare group

NPI 1326497587 (573) 471-0800

Cs Pacs 3 Midwest LLC

466 mi

Hospitalist

1001 E ALEX BELL RD
Dayton, OH 45459

Reassigned Medicare billing, Missouri enrollment
49 clinicians in this Medicare group

NPI 1972368785 (937) 436-9700

Nv Pacs 2 LLC

1,257 mi

Hospitalist

10550 PARK RUN DR
Las Vegas, NV 89144

Reassigned Medicare billing, Missouri enrollment
60 clinicians in this Medicare group

NPI 1427534809 (865) 693-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65049 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers16 claims16 services$847.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL R IMPERATO CFNP

Nurse Practitioner

2840 BAGNELL DAM BLVD
LAKE OZARK, MO 65049

Miller County (573) 693-1373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Sederwall's NPI number?

The NPI number for Stacy Sederwall is 1255720876. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Where is Stacy Sederwall located?

Stacy Sederwall practices at 2840 Bagnell Dam Blvd, Lake Ozark, MO 65049. The listed phone number is (573) 480-8888.

What is Stacy Sederwall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Sederwall enrolled in Medicare?

Yes. Stacy Sederwall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stacy Sederwall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Sederwall reassigns Medicare benefits to 5 organizations: Camden Emergency Group LLC (Osage Beach, MO), Lake Regional Health System (Osage Beach, MO), Ipc Pac Healthcare Services Of Missouri Inc (Sikeston, MO), Cs Pacs 3 Midwest LLC (Dayton, OH) and Nv Pacs 2 LLC (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Sederwall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Sederwall accept?

Health plans from Anthem Blue Cross and Blue Shield list Stacy Sederwall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Sederwall was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.