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

Ellie Marie Faxon, PA

Individual provider Physician Assistant · NPI 1740078179

Ellie Marie Faxon, PA is a Physician Assistant in Springfield, Missouri. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1499 N Robberson Ave Ste K500
Springfield, MO 65802-1979
Phone: (417) 269-2667
Fax: (417) 269-2668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1601 Branson Hills Pkwy Ste 120, Branson, MO 65616-9821 — (417) 335-7555
  • 2200 E Cleveland St, Monett, MO 65708-6149 — (000) 000-0000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740078179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 26, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Other providers in Springfield