LISA DEVALL
NPI 1699649665
Nurse Practitioner in Saint Charles, MO

Active since October 02, 2025PECOS EnrolledAccepts Medicare Assignment
1475 KISKER RD STE 200, SAINT CHARLES, MO 63304(636) 498-5850 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Devall NPPES

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

LISA DEVALL (NPI 1699649665) is an individual nurse practitioner in Saint Charles, Missouri, licensed in Missouri (2025033729) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699649665
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA DEVALL
Location Address1475 KISKER RD STE 200Saint Charles, MO 63304-8788
Mailing Address700 Candlelight Ln # 63132Olivette, MO 63132-3603 · (949) 228-1208
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 2, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1699649665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2025033729
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1475 KISKER RD STE 200, Saint Charles, MO 63304

Other Names 1

Former Name (1)Lisa Montenegro Np

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Devall 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 ID3577055243
PECOS Enrollment IDI20251120003995
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Devall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
1101 HIGHWAY K STE A
O Fallon, MO 63366
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63304 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
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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.

Family Medicine
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
Nurse Practitioner (Family)
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
Physician Assistant
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
Obstetrics & Gynecology
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
Physician Assistant
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
Family Medicine
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
Family Medicine
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304
Family Medicine
1475 KISKER RD STE 200
SAINT CHARLES, MO 63304

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 Devall's NPI number?

The NPI number for Lisa Devall is 1699649665. It was assigned to this individual provider in the NPPES registry on October 2, 2025. The provider is also known as Lisa Montenegro Np.

Where is Lisa Devall located?

Lisa Devall practices at 1475 Kisker Rd Ste 200, Saint Charles, MO 63304. The listed phone number is (636) 498-5850.

What is Lisa Devall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Devall enrolled in Medicare?

Yes. Lisa Devall 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.

Which organization bills Medicare for Lisa Devall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Devall reassigns Medicare benefits to Ssm Medical Group, Inc. (O Fallon, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Devall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Devall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Lisa Devall 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.

Is Lisa Devall affiliated with any hospitals?

According to CMS data, Lisa Devall is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Lisa Devall was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.