Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SARA ELLEFSON
NPI 1245748219
Physician Assistant - Surgical in Melbourne, FL

Active since January 11, 2018PECOS EnrolledAccepts Medicare Assignment
5565 N WICKHAM RD, MELBOURNE, FL 32940(321) 843-5851(407) 573-3355 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2025, Jan 11, 2018 (2 updates tracked since 2018).

About Sara Ellefson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA ELLEFSON (NPI 1245748219) is an individual surgical provider in Melbourne, Florida, licensed in Florida (PA9120760) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Melbourne Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1245748219
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSARA ELLEFSON
Location Address5565 N WICKHAM RDMelbourne, FL 32940-7304
Mailing Address5565 N Wickham RdMelbourne, FL 32940-7304 · (321) 843-5851 · Fax (407) 573-3355
Fax(407) 573-3355
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 11, 2018
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1245748219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9120760
Also ListedPhysician AssistantTaxonomy 363A00000X
5565 N WICKHAM RD, Melbourne, FL 32940

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sara Ellefson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921595224
PECOS Enrollment IDI20251011000643
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Radiology)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Occupational Therapist (Hand)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Physical Therapist (Orthopedic)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Family Medicine (Sports Medicine)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Physical Therapist (Orthopedic)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Physical Therapist (Orthopedic)
5565 N WICKHAM RD
MELBOURNE, FL 32940
Physical Therapist (Orthopedic)
5565 N WICKHAM RD
MELBOURNE, FL 32940

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 Ellefson's NPI number?

The NPI number for Sara Ellefson is 1245748219. It was assigned to this individual provider in the NPPES registry on January 11, 2018.

Where is Sara Ellefson located?

Sara Ellefson practices at 5565 N Wickham Rd, Melbourne, FL 32940. The listed phone number is (321) 843-5851.

What is Sara Ellefson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sara Ellefson enrolled in Medicare?

Yes. Sara Ellefson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sara Ellefson affiliated with any hospitals?

According to CMS data, Sara Ellefson is affiliated with Melbourne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sara Ellefson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.