Stacy Leigh Sederwall, FNP
Individual provider Active NPI Family Nurse Practitioner · Lake Ozark, MO
NPI 1255720876 · NPPES record last updated Nov 26, 2025
Key facts
- NPI
- 1255720876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2015001255 (MO)
- Practice address
- 2840 Bagnell Dam Blvd
Lake Ozark, MO 65049-9732 - Phone
- (573) 480-8888
- Fax
- (502) 399-8745
- NPI assigned
- Jan 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Regional Health System
Practice addresses (Care Compare)
226 E US Hwy 54
Camdenton, MO 65020-6819
Phone (573) 873-2521
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150316001334 | MO | Practitioner - Nurse Practitioner | 2860719689 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Pac Healthcare Services of Missouri Inc | Current |
Accepting new patients | |
| NV Pacs 2 LLC | Current |
Accepting new patients | |
| CS Pacs 3 Midwest LLC | Current |
Accepting new patients | |
| Camden Emergency Group LLC | Current |
Accepting new patients | |
| Lake Regional Health System | Current |
Accepting new patients | |
| Lake Regional Health System | Current | Accepting new patients | |
| Lake Regional Health System | Current |
Accepting new patients | |
| Woodridge of Missouri, Inc. | Past | Accepting new patients |
Locations
226 E US Highway 54
Camdenton, MO 65020
Phone (573) 346-3700
304A E 4th St
Eldon, MO 65026
Phone (573) 392-5654
800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100
3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089
755 Cowan Dr
Lebanon, MO 65536
Phone (417) 532-2805
1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695
1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887
1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064
54 Hospital Dr
Ste 213
Osage Beach, MO 65065
Phone (573) 302-2864
1057 Medical Park Dr
#A
Osage Beach, MO 65065
Phone (573) 302-3200
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Interoperability endpoints
- stacysederwall@mhccaremail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015001255 | MO | Yes |
Addresses
Primary practice location
2840 Bagnell Dam Blvd
Lake Ozark, MO 65049-9732
Mailing address
2840 Bagnell Dam Blvd
Lake Ozark, MO 65049-9732
Phone (573) 480-8888
Other practice location 1
54 Hospital Dr Ste 213
Osage Beach, MO 65065-3050
Phone (573) 302-3199
Other practice location 2
2828 N National Ave
Springfield, MO 65803-4306
Phone (573) 774-7474
Other practice location 3
1000 Hospital Rd
Waynesville, MO 65583-2634
Phone (573) 774-5353
Other practice location 4
1057 Medical Park Dr
Ste A
Osage Beach, MO 65065-3000
Phone (573) 302-3200
Other providers in Lake Ozark, MO
- Marsha Anne Roberts
- Britny Rockelman
- Belinda C Rogers
- Laura Rogers
- School of the Osage R-II
- Serc Rehabilitation Partners LLC
- Justin William Shaw
- Sheila Sims
- Brynn Smith
- SSM Regional Health Servcies
All providers in Lake Ozark, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.