Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 09, 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

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

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.

Hospital Affiliations CMS Care Compare

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

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.

Is Lisa Devall affiliated with any hospitals?

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

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 42 days 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.