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

Sara Ellefson

Individual provider Physician Assistant · NPI 1245748219

Sara Ellefson is a Physician Assistant in Melbourne, Florida. Qualified in 2025, 1 year ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

5565 N Wickham Rd
Melbourne, FL 32940-7304
Phone: (321) 843-5851
Fax: (407) 573-3355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9120760 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1245748219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address5565 N Wickham Rd, Melbourne, FL 32940-7304

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Melbourne