Individual provider Active NPI

Ellyett Ahr, FNP-BC

  • Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1750179941
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11041207 Issued in FL
Practice address
305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170
Phone
(386) 615-0900
Fax
(386) 615-0902
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11041207 FL Primary
Registered Nurse 163W00000X 159180 IA

Addresses

Primary practice location

305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170

Mailing address

305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170
Phone (386) 615-0900

Other practice location 1

3 Pine Cone Dr Ste 106
Palm Coast, FL 32137-8684
Phone (386) 585-4463

Other names 1

  • Ellyett Sakas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801002400 FL Practitioner - Nurse Practitioner 7719495670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Sleep and Respiratory Institute, P.a.Group PAC ID 3870778673, 3 clinicians

Practice addresses (Care Compare)

305 Memorial Medical Pkwy
Suite 501
Daytona Beach, FL 32117-5170
Phone (386) 615-0900

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
159180IAMDRegistered Nurse
11041207FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sleep and Respiratory Institute, P.a. CurrentSince Oct 20, 2025 Accepting new patients
Volusia & Flagler OB-GYN PA Past Accepting new patients
Advanced Heart Group PL PastSince Oct 20, 2025 Accepting new patients

Locations

4721 E Moody Blvd
Ste 104
Bunnell, FL 32110
Phone (386) 586-1229

305 Memorial Medical Pkwy
Ste 501
Daytona Beach, FL 32117
Phone 3866150900209

4869 Palm Coast Pkwy NW
Unit 5
Palm Coast, FL 32137

4869 Palm Coast Pkwy NW
Unit 4
Palm Coast, FL 32137

3 Pine Cone Dr
Ste 106
Palm Coast, FL 32137
Phone (386) 585-4463

4883 Palm Coast Pkwy NW
Unit 5
Palm Coast, FL 32137
Phone (386) 585-4463

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1750179941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 501",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175170",
            "telephone_number": "386-615-0900",
            "fax_number": "386-615-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 501",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175170",
            "telephone_number": "386-615-0900",
            "fax_number": "386-615-0902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Pine Cone Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378684",
            "country_code": "US",
            "telephone_number": "386-585-4463",
            "fax_number": "386-585-4482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHR",
        "first_name": "ELLYETT",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11041207",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "159180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLYETT",
            "last_name": "SAKAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.