Ellie Renee Duckworth, PA-C - Physician Assistant in Bolivar, MO

Ellie Renee Duckworth, PA-C is a Physician Assistant based in Bolivar, Missouri. Ellie Renee Duckworth is licensed to practice in Missouri (license number 2026005847) and her current practice location is 2230 S Springfield Ave Ste H-j, Bolivar, Missouri. She can be reached at her office (for appointments etc.) via phone at (417) 777-4800.

NPI number for Ellie Renee Duckworth is 1356292221 and her current mailing address is 4372 W Madison St, Springfield, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356292221.

Contact Information

Ellie Renee Duckworth, PA-C
2230 S Springfield Ave Ste H-j,
Bolivar, MO 65613-9133
(417) 777-4800
Not Available

Map and Direction




Provider's Profile

Full NameEllie Renee Duckworth
GenderFemale
SpecialityPhysician Assistant
Location2230 S Springfield Ave Ste H-j, Bolivar, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356292221
  • Provider Enumeration Date: 02/06/2026
  • Last Update Date: 02/06/2026

Medical Identifiers

Medical identifiers for Ellie Renee Duckworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356292221NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2026005847 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellie Renee Duckworth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellie Renee Duckworth, PA-C
4372 W Madison St,
Springfield, MO 65802-4979

Ph: () -
Ellie Renee Duckworth, PA-C
2230 S Springfield Ave Ste H-j,
Bolivar, MO 65613-9133

Ph: (417) 777-4800

Reviews and Comments


Physician Assistant Nurses in Bolivar, MO

Mr. Scott Leslie Dennis, PA
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Practice Location: 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613
Phone: 417-326-6000    
Chad Lee Carrel, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 1551 N. Oakland, Bolivar, MO 65613
Phone: 417-326-8700    Fax: 417-777-7881
Mrs. Shannon M. Hauschildt, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1155 W. Parkview St., Suite 2 D, Bolivar, MO 65613
Phone: 417-777-2663    Fax: 417-777-2666
Stephanie Marie Aug, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613
Phone: 417-326-6000    
Jacob (jake) William Condren, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1155 W Parkview St, Suite 2d, Bolivar, MO 65613
Phone: 417-777-2663    Fax: 417-777-2666
Retha Marceleen Melton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1155 W. Parkview St, Suite 2d, Bolivar, MO 65613
Phone: 417-777-2663    Fax: 417-777-2666

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.