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MS. LISA MARIE ROELLE PA
NPI 1164664116
Physician Assistant in Saint Louis, MO

Active since April 06, 2009PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS PL, DIV PED CARDIOLOGY, SAINT LOUIS, MO 63110(314) 454-6095(314) 884-6008 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 4 more (7 updates tracked since 2019).

About Ms. Lisa Marie Roelle Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA MARIE ROELLE PA (NPI 1164664116) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2017037108) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164664116
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LISA MARIE ROELLECredential: PA
Location Address1 CHILDRENS PL, DIV PED CARDIOLOGYSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6095 · Fax (314) 884-6008
Phone(314) 454-6095
Fax(314) 884-6008
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 6, 2009
Last NPPES UpdateFebruary 9, 20267 updates tracked since enumeration
✔ NPI 1164664116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2017037108
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 CHILDRENS PL, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid220066622MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Ms. Lisa Marie Roelle Pa 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.

PECOS PAC ID2567509565
PECOS Enrollment IDI20190129000311
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIE BAKER MSW, LCSW
Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
St. Louis City (314) 747-6169
SUSAN CHEUNG WALSH AUD
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-4649
MS. JENNIFER MARIE JACOBI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
MS. EMILY LINCOLN RN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6000
MS. MARISSA ROSE PEREZ-MAGNELLI PNP
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6120
DR. WILLIAM L RIVES MD
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2076
DR. PETER M KILBRIDGE MD
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110
St. Louis City (314) 454-2479
DR. JEFFREY MAGEE MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PL, DIV PED HEMATOLOGY AND ONC, STE 9S
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6018

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 Lisa Roelle's NPI number?

The NPI number for Lisa Roelle is 1164664116. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Lisa Roelle located?

Lisa Roelle practices at 1 Childrens Pl Div Ped Cardiology, Saint Louis, MO 63110. The listed phone number is (314) 454-6095.

What is Lisa Roelle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Roelle enrolled in Medicare?

Yes. Lisa Roelle 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 Lisa Roelle accept?

Health plans from Cox HealthPlans list Lisa Roelle 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 Lisa Roelle was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.