LAUREN NICOLE SEDERHOLM (PA) – Surgical Physician Assistant, NPI 1720370760

LAUREN NICOLE SEDERHOLM (PA) is a healthcare provider. based in Dallas, Texas. specializing in Surgical Physician Assistant. They hold the professional credentials PA. They hold a License No. PA07293 (TX). The NPI Number for LAUREN NICOLE SEDERHOLM (PA) is 1720370760

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN NICOLE SEDERHOLM (PA)
NPI
1720370760
Phone
(972) 997-8000
Address
PO BOX 911230
Enumeration Date
10 May 2011
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2547242459
Graduation Year
2010 (16 years ago)
PAC ID
1850567827
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20111222000485
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for LAUREN NICOLE SEDERHOLM (PA)

  • PO BOX 911230

    DALLAS, TX 753911230

    Phone: (972) 997-8000

    Fax: (972) 234-2987

    Type: Mailing

  • 901 W 38TH ST

    SUITE 200

    AUSTIN, TX 787051163

    Phone: (512) 421-4100

    Type: Location

  • PO BOX 889230

    LOS ANGELES, CA 900889230

    Phone: (512) 446-9486

    Fax: (512) 597-0402

    Type: Mailing

  • 4407 BEE CAVES RD STE 612

    WEST LAKE HILLS, TX 787465285

    Phone: (512) 446-9486

    Fax: (512) 597-0402

    Type: Location

  • 5656 BEE CAVE ROAD

    SUITE J201

    AUSTIN, TX 78746

    Phone: (512) 446-9486

    Fax: (512) 597-0402

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: COLOPLAST CORP ($86).

Total Amount

$86

General + Research + Ownership

Payments

2

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
COLOPLAST CORP$86
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75391)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Where can patients find LAUREN NICOLE SEDERHOLM (PA)'s NPI?
You can confirm LAUREN NICOLE SEDERHOLM (PA) with NPI 1720370760; it appears in the national provider directory.
Is LAUREN NICOLE SEDERHOLM (PA) active in the national directory?
LAUREN NICOLE SEDERHOLM (PA)'s public NPI profile is in an active state.
What kind of provider is LAUREN NICOLE SEDERHOLM (PA)?
The page reflects Surgical Physician Assistant for LAUREN NICOLE SEDERHOLM (PA). Clinical services aligned with this taxonomy classification.
Does LAUREN NICOLE SEDERHOLM (PA) practice in Texas?
You will see Dallas, Texas on file for LAUREN NICOLE SEDERHOLM (PA) alongside any extra practice locations.
Is LAUREN NICOLE SEDERHOLM (PA) a real provider?
This page reflects official NPPES data for NPI 1720370760. Always confirm identity and privileges with the practice and licensing boards.

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