ELLIE MARIE FAXON PA
NPI 1740078179
Physician Assistant in Springfield, MO

Active since April 26, 2025
1499 N ROBBERSON AVE STE K500, SPRINGFIELD, MO 65802(417) 269-2667(417) 269-2668 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 5, 2025, Jul 9, 2025 (2 updates tracked since 2025).

About Ellie Marie Faxon Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE MARIE FAXON PA (NPI 1740078179) is an individual physician assistant in Springfield, Missouri and active in the NPI registry since April 2025. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740078179
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLIE MARIE FAXONCredential: PA
Location Address1499 N ROBBERSON AVE STE K500Springfield, MO 65802-1979
Mailing Address343 S Farm Road 97Springfield, MO 65802-9270 · (970) 818-6938
Fax(417) 269-2668
Sole ProprietorNo
Enumeration DateApril 26, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1740078179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1499 N ROBBERSON AVE STE K500, Springfield, MO 65802

Secondary Practice Locations 2

Location 12200 E Cleveland StMonett, MO 65708-6149 · Phone (000) 000-0000
Location 21601 Branson Hills Pkwy Ste 120Branson, MO 65616-9821 · Phone (417) 335-7555

Accepted Insurance

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 Ellie Faxon's NPI number?

The NPI number for Ellie Faxon is 1740078179. It was assigned to this individual provider in the NPPES registry on April 26, 2025.

Where is Ellie Faxon located?

Ellie Faxon practices at 1499 N Robberson Ave Ste K500, Springfield, MO 65802. The listed phone number is (417) 269-2667.

What is Ellie Faxon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Ellie Faxon accept?

Health plans from Cox HealthPlans list Ellie Faxon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellie Faxon was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.