SARA ANNE ELLIS PA-C
NPI 1053265454
Physician Assistant - Medical in Tampa, FL
Active since February 23, 2026
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.
NPPES Registry Identity
NPI1053265454
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSARA ANNE ELLISCredential: PA-C
Location Address4401 N HIMES AVE STE 175Tampa, FL 33614-7095
Mailing Address4401 N Himes Ave Ste 175Tampa, FL 33614-7095
Phone(813) 393-5100
Sole ProprietorNo
Enumeration DateFebruary 23, 2026
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1053265454 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9121645
4401 N HIMES AVE STE 175, Tampa, FL 33614
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
4401 N HIMES AVE STE 175
TAMPA, FL 33614
TAMPA, FL 33614
Student in an Organized Health Care Education/Training Program
4401 N HIMES AVE STE 175
TAMPA, FL 33614
TAMPA, FL 33614
Student in an Organized Health Care Education/Training Program
4401 N HIMES AVE STE 175
TAMPA, FL 33614
TAMPA, FL 33614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053265454, enumerated as an "individual" on February 23, 2026.
The provider is located at 4401 N HIMES AVE STE 175 TAMPA, FL 33614 and the phone number is (813) 393-5100.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
