Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699649665 Individual Practitioner Female Practitioner

Lisa Devall

Nurse Practitioner • Saint Charles, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Devall is a certified Nurse Practitioner practicing in Saint Charles, MO. With approximately 1 years of clinical experience since completing medical education in 2025, Lisa Devall delivers high-quality medical care to the local community at 1475 KISKER RD STE 200.

Lisa Devall is affiliated with Ssm Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1475 Kisker Rd Ste 200

Saint Charles, MO 633048788

Telephone 6364985850
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Charles, MO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.4 yrs vs City Avg
City Avg: 10.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Saint Charles, MO (1750 Statewide)

Telehealth Adoption Rate
45.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Devall (1 Years) 1 Yrs
Saint Charles Specialty Average (10.4 Years) 10.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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.

Hospital & Practice Group Affiliations

Ssm Medical Group Inc

1475 Kisker Rd, Saint Charles, MO 633048788

Phone: 6364985850

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Richard Vaughn , MD

Internal Medicine

NPI 1134180607

Doctor of Medicine (M.D.)

NPI 1255417754

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Gutmann , MD

Internal Medicine

NPI 1437165834

Doctor of Medicine (M.D.)

Kelly Govro , PA

Physician Assistant

NPI 1467638544

Physician Assistant

Dr. Raymond Hu , MD

Internal Medicine

NPI 1780645960

Doctor of Medicine (M.D.)

Dr. Thomas Tyree , MD

Internal Medicine

NPI 1841251048

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated June 30, 2026

Recorded as LISA DEVALL

NPI Profile Active October 02, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2025

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

📍
Updated Business Mailing Address October 02, 2025

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

👤
Provider Name / Credentials Updated October 02, 2025

Recorded as LISA MONTENEGRO

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

Nurse Practitioner (License #2025033729 in MO)

🟢
Initial NPI Registration & Enumeration October 02, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

700 Candlelight Ln # 63132

Olivette, MO 631323603

Phone: 9492281208

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.