Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Devall

Individual provider Nurse Practitioner · NPI 1699649665

Lisa Devall is a Nurse Practitioner in Saint Charles, Missouri. Qualified in 2025, 1 year ago. Practices with SSM Medical Group Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

1475 Kisker Rd Ste 200
Saint Charles, MO 63304-8788
Phone: (636) 498-5850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2025033729 (MO)

Record details

NPI number1699649665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2025
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address700 Candlelight Ln # 63132, Olivette, MO 63132-3603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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