Individual Healthcare Provider
Stacy Leigh Sederwall, FNP
Provider's NPPES record last updated: November 26, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1255720876
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Lake Ozark, Missouri
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 6:10 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Missouri)
- 2015001255
Practice Locations
Practice Location
2840 Bagnell Dam Blvd
Lake Ozark, Missouri 65049-9732
Phone: (573) 480-8888
Additional Practice Location
1057 Medical Park Dr
Ste A
Osage Beach, Missouri 65065-3000
Phone: (573) 302-3200
Fax: (573) 302-3210
Additional Practice Location
2828 N National Ave
Springfield, Missouri 65803-4306
Phone: (573) 774-7474
Fax: (573) 774-7575
Additional Practice Location
1000 Hospital Rd
Waynesville, Missouri 65583-2634
Phone: (573) 774-5353
Fax: (573) 774-2579
Additional Practice Location
54 Hospital Dr Ste 213
Osage Beach, Missouri 65065-3050
Phone: (573) 302-3199
Fax: (573) 302-3198
Record Information
- Enumeration Date
- January 20, 2015
- Provider's NPPES Record Last Updated
- November 26, 2025
- Certification Date
- November 26, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue