Individual provider Active NPI

Amanda Jennifer Monroe Sipovac, PA-C

  • Physician Assistant
  • Rancho Mirage, CA
National Provider Identifier
1922778992
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61515 Issued in CA
Practice address
42600 Mirage Rd
Rancho Mirage, CA 92270-4127
Phone
(760) 423-4000
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61515 CA Primary

Addresses

Primary practice location

42600 Mirage Rd
Rancho Mirage, CA 92270-4127

Mailing address

42600 Mirage Rd
Rancho Mirage, CA 92270-4127
Phone (760) 423-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221128001035 CA Practitioner - Physician Assistant 9335517226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

42600 Mirage Rd
Rancho Mirage, CA 92270-4127
Phone (760) 423-4000

46080 Jefferson St
La Quinta, CA 92253-4401
Phone (760) 423-4000

558 S Paseo Dorotea
Suite 6
Palm Springs, CA 92264-1429
Phone (760) 423-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.69 of 100Reported as group
Quality
80.41
Improvement activities
40
Cost
71.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: asipovac@directaddress.net

Organizations & group practices 2

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 1

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1922778992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPOVAC",
        "first_name": "AMANDA",
        "middle_name": "JENNIFER MONROE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.