SARA ANNE ELLIS PA-C
NPI 1053265454
Physician Assistant - Medical in Tampa, FL
About Sara Anne Ellis Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA ANNE ELLIS PA-C (NPI 1053265454) is an individual medical provider in Tampa, Florida, licensed in Florida (PA9121645) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sara Anne Ellis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33614
TAMPA, FL 33614
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 Sara Ellis's NPI number?
The NPI number for Sara Ellis is 1053265454. It was assigned to this individual provider in the NPPES registry on February 23, 2026.
Where is Sara Ellis located?
Sara Ellis practices at 4401 N Himes Ave Ste 175, Tampa, FL 33614. The listed phone number is (813) 393-5100.
What is Sara Ellis's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Sara Ellis enrolled in Medicare?
Yes. Sara Ellis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sara Ellis was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sara Anne Ellis, PA-C · NPI 1053265454
Medical physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since February 23, 2026.
## Identity
- **NPI:** 1053265454 (Entity type: Individual)
- **Enumerated:** February 23, 2026
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA9121645 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4401 N HIMES AVE STE 175, Tampa, FL 33614-7095
- **Phone:** (813) 393-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053265454) · Data from the CMS NPPES public registry.