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

Jeffrey Christian Ellis, PA-C

Individual provider Physician Assistant · NPI 1033454699

Jeffrey Christian Ellis, PA-C is a Physician Assistant in Springfield, Missouri. Qualified in 2012, 14 years ago. Practices with Mercy Southern Missouri Ambulatory Services LLC, a 32-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2150 W Republic Rd Ste 112
Springfield, MO 65807-6056
Phone: (417) 986-1291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3233 E Sunshine St Ste 100, Springfield, MO 65804-2106 — (417) 812-8149
  • 303 W Sunshine St, Springfield, MO 65807-2656 — (417) 986-0452
  • 900 E Battlefield St Ste 124, Springfield, MO 65807-5208 — (417) 986-1289

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022006238 (MO)

Record details

NPI number1033454699
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2012
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mercy Southern Missouri Ambulatory Services Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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