Stacy Leigh Sederwall, FNP in Lake Ozark, MO - Medicare Nurse Practitioner

Stacy Leigh Sederwall, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lake Ozark, Missouri. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Regional Health System and her current practice location is 2840 Bagnell Dam Blvd, Lake Ozark, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 480-8888.

Stacy Leigh Sederwall is licensed to practice in Missouri (license number 2015001255) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255720876.

Contact Information

	Stacy Leigh Sederwall, FNP
	2840 Bagnell Dam Blvd, Lake Ozark, MO 65049-9732
	(573) 480-8888
	(502) 399-8745

Map and Direction

Provider's Profile

Full Name	Stacy Leigh Sederwall
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2840 Bagnell Dam Blvd, Lake Ozark, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacy Leigh Sederwall graduated from nursing school in 2014

NPI Data:

NPI Number: 1255720876
Provider Enumeration Date: 01/20/2015
Last Update Date: 11/26/2025

Medicare PECOS Information:

PECOS PAC ID: 2860719689
Enrollment ID: I20150316001334

Medical Identifiers

Medical identifiers for Stacy Leigh Sederwall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255720876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2015001255 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Regional Health System	9133026776	114

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Leigh Sederwall allows following entities to bill medicare on her behalf.

Entity Name	Lake Regional Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053581454 PECOS PAC ID: 9133026776 Enrollment ID: O20070511000147

Entity Name	Camden Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Leigh Sederwall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacy Leigh Sederwall, FNP 2840 Bagnell Dam Blvd, Lake Ozark, MO 65049-9732 Ph: (573) 480-8888	Stacy Leigh Sederwall, FNP 2840 Bagnell Dam Blvd, Lake Ozark, MO 65049-9732 Ph: (573) 480-8888

Reviews and Comments

Nurse Practitioner Nurses in Lake Ozark, MO

Karen S. Hayes, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 Phone: 573-365-2318 Fax: 573-365-3009
Mary Whitman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 School Rd, Lake Ozark, MO 65049 Phone: 877-406-2662
Alicia Nicole Goodhart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 Phone: 573-365-2318 Fax: 573-365-3009
Britny Rockelman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049 Phone: 573-365-2318
Rachel R Imperato, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2840 Bagnell Dam Blvd, Lake Ozark, MO 65049 Phone: 573-693-1373
Belinda C Rogers, RNC, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2545 Bagnell Dam Blvd Ste 209, Lake Ozark, MO 65049 Phone: 573-365-3244 Fax: 573-365-3720

Stacy Leigh Sederwall, FNP - Medicare Nurse Practitioner in Lake Ozark, MO