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Lisa Devall

Nurse Practitioner β€’ Saint Charles, MO

Active NPI 1699649665 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1475 Kisker Rd Ste 200
Saint Charles, MO 633048788

Call 6364985850 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1475 Kisker Rd Ste 200

Saint Charles, MO 633048788

Telephone 6364985850
Organization at the Same NPPES Address or Phone
Ssm St. Charles Clinic Medical Group, Inc. Facility NPI 1528421260

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ssm Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lisa Devall has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lisa Devall as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Saint Charles and Missouri

20 active clinicians are listed under Nurse Practitioner with a practice address in Saint Charles, MO (1,721 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Charles

45% of these 20 clinicians have the CMS telehealth indicator.

90% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MO 2025033729

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20251120003995

Enrollment State Jurisdiction

MO

PECOS Control ID

3577055243

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ssm Medical Group Inc

1475 Kisker Rd, Saint Charles, MO 633048788

Phone: 6364985850

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Kelly Govro , PA

Physician Assistant

NPI 1467638544

Physician Assistant

Dr. Thomas Gutmann , MD

Internal Medicine

NPI 1437165834

Doctor of Medicine (M.D.)

Dr. Raymond Hu , MD

Internal Medicine

NPI 1780645960

Doctor of Medicine (M.D.)

NPI 1255417754

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Tyree , MD

Internal Medicine

NPI 1841251048

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 30, 2026

Recorded as LISA DEVALL

βœ…
NPI Profile Active October 02, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 02, 2025

Registered at 1475 KISKER RD STE 200, SAINT CHARLES, MO 633048788 (Tel: 6364985850)

πŸ“
Business Mailing Address (Initial Record) October 02, 2025

Registered at 700 CANDLELIGHT LN # 63132, OLIVETTE, MO 631323603 (Tel: 9492281208)

πŸ‘€
Provider Name / Credentials (Initial Record) October 02, 2025

Recorded as LISA MONTENEGRO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Nurse Practitioner (license number reported to NPPES: MO 2025033729)

🟒
Initial NPI Registration & Enumeration October 02, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699649665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2025
Last Update: June 30, 2026
Sole Proprietor: No

Other Nurse Practitioners in Saint Charles

All Nurse Practitioners in Saint Charles

Mailing Address

700 Candlelight Ln # 63132

Olivette, MO 631323603

Phone: 9492281208

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.