SIMONA ZENATA SIPOS PA
NPI 1235762113
Physician Assistant in Jacksonville, FL

Q: What is Simona Sipos's NPI number?

The NPI number for Simona Sipos is 1235762113. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Q: What is Simona Sipos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Simona Sipos was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since February 19, 2020PECOS EnrolledAccepts Medicare Assignment

92.24/100

CMS Quality Rating

9191 R G SKINNER PKWY, JACKSONVILLE, FL 32256(904) 538-0950 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Simona Zenata Sipos Pa NPPES

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

SIMONA ZENATA SIPOS PA (NPI 1235762113) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (9112934) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235762113

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSIMONA ZENATA SIPOSCredential: PA

Location Address9191 R G SKINNER PKWYJacksonville, FL 32256-9655

Mailing Address1947 Spoonbill StJacksonville, FL 32224-2321 · (904) 226-7793

Phone(904) 538-0950

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 19, 2020

✔ NPI 1235762113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · 9112934

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9191 R G SKINNER PKWY, Jacksonville, FL 32256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Simona Zenata Sipos Pa 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 ID8729406145

PECOS Enrollment IDI20200917001335

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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,388 services329 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

800 services642 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

653 services549 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

600 services499 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

409 services233 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

223 services202 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

116 services108 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

107 services106 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

94 services94 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

34 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

27 services27 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

19 services18 patients

Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm 11401

This procedure involves the removal of a noncancerous skin growth on your body, arms, or legs. The growth is between 0.6-1.0 cm in size. It's typically a simple process where the growth is cut away and the area is then stitched up for healing.

18 services17 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

16 services16 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

84.49

Improvement Activities

Reported Quality Measures

Advance Care Plan

7%987 patients1/55-star benchmark: 100%

Controlling High Blood Pressure

56%245 patients3/55-star benchmark: 98%

Melanoma: Continuity of Care - Recall System

100%241 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 520 patients

Patients screened: 99% · 520 patients

52%25 patients3/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

97%198 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

CHIRAG V DESAI MD LLC

Psychiatry & Neurology (Psychiatry)

9191 R G SKINNER PKWY
JACKSONVILLE, FL 32256

Duval County (904) 955-8434

JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC

Pediatrics (Pediatric Endocrinology)

9191 R G SKINNER PKWY
JACKSONVILLE, FL 32256

Duval County (904) 388-3351

DR. JEANIE RAE FRANCISE FROMAN-BOHALL D.C.

Chiropractor

9191 R G SKINNER PKWY, 503
JACKSONVILLE, FL 32256

Duval County (904) 738-8189

JAX HOME HEALTH, INC.

Home Health

9191 R G SKINNER PKWY, SUITE 803
JACKSONVILLE, FL 32256

Duval County (904) 363-6699

DR. ARNOLD GRAHAM SMITH MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

9191 R G SKINNER PKWY, SUITE 103
JACKSONVILLE, FL 32256

Duval County (904) 391-6862

NICOLE ROCK ATC

Specialist/Technologist (Athletic Trainer)

9191 R G SKINNER PKWY, SUITE 703
JACKSONVILLE, FL 32256

Duval County (904) 854-7474

ARNOLD GRAHAM SMITH, MD PA

Specialist

9191 R G SKINNER PKWY, SUITE 103
JACKSONVILLE, FL 32256

Duval County (904) 391-6862

DMITRY SINAVSKY M.D.

Anesthesiology

9191 R G SKINNER PKWY, SUITE 601
JACKSONVILLE, FL 32256

Duval County (216) 262-0067

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 Simona Sipos's NPI number?

The NPI number for Simona Sipos is 1235762113. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Simona Sipos located?

Simona Sipos practices at 9191 R G Skinner Pkwy, Jacksonville, FL 32256. The listed phone number is (904) 538-0950.

What is Simona Sipos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Simona Sipos enrolled in Medicare?

Yes. Simona Sipos 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.

What insurance does Simona Sipos accept?

Health plans from AvMed list Simona Sipos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simona Sipos was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.