STACY LEIGH SEDERWALL FNP
NPI 1255720876
Nurse Practitioner - Family in Lake Ozark, MO
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 and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
What insurance does Stacy Sederwall accept?
Health plans from Medica 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 8 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.
# Stacy Leigh Sederwall, FNP · NPI 1255720876
Family physician in Lake Ozark, Missouri. Individual provider, active in the CMS NPPES registry since January 20, 2015.
## Identity
- **NPI:** 1255720876 (Entity type: Individual)
- **Enumerated:** January 20, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2015001255 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2840 BAGNELL DAM BLVD, Lake Ozark, MO 65049-9732
- **Phone:** (573) 480-8888 · **Fax:** (502) 399-8745
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255720876) · Data from the CMS NPPES public registry.