DEVON T KNUPP (FNP) – Family Nurse Practitioner, NPI 1063105120

DEVON T KNUPP (FNP) is a healthcare provider. based in Saint peters, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2023024713 (MO). The NPI Number for DEVON T KNUPP (FNP) is 1063105120

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DEVON T KNUPP (FNP)
NPI
1063105120
Phone
(636) 244-3323
Address
3801 McClay Rd
Enumeration Date
2 June 2023
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148229911
Graduation Year
2023 (3 years ago)
PAC ID
9032577812
Group Practice PAC ID
8123351954
Professional Enrollment ID
I20230627001126
Address ID
MO631225577KI505XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for DEVON T KNUPP (FNP)

  • 3801 McClay Rd

    Saint Peters, MO 633767327

    Phone: (636) 244-3323

    Type: Location

  • 600 Breeze Park Dr

    Weldon Spring, MO 633049139

    Phone: (855) 618-0092

    Type: Location

  • 2326 WINDSOR CASTLE DR

    IMPERIAL, MO 630522014

    Phone: (636) 692-3012

    Type: Mailing

  • 10426 BAUR BLVD

    SAINT LOUIS, MO 631321905

    Phone: (314) 925-0903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230627001126INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes34277$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10843$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8440$0
99497Advance care planning, first 30 minutes5749$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5016$0
View full utilization report →

Insurance plans in this area (ZIP 63376)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123351954View full group profile
NameSpecialtyState
Nurse PractitionerOH
-TN
Family PracticeOH
Internal MedicineVA
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerMO
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is DEVON T KNUPP (FNP) identified in CMS data?
CMS-hosted NPPES data lists DEVON T KNUPP (FNP) with NPI 1063105120.
Can I rely on DEVON T KNUPP (FNP) being an active provider?
As of the registry snapshot, DEVON T KNUPP (FNP) is marked active.
What healthcare role does DEVON T KNUPP (FNP) hold?
Scheduling teams often label DEVON T KNUPP (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for DEVON T KNUPP (FNP)?
DEVON T KNUPP (FNP)'s geographic hint is Saint Peters, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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