GINA M FULGENZIO PA-C
NPI 1639549710
Physician Assistant - Medical in Erie, PA

Active since October 01, 2015PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
120 E 2ND ST FL 2, ERIE, PA 16507(814) 456-8980(814) 451-0443 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2020, Oct 1, 2015 (2 updates tracked since 2015).

About Gina M Fulgenzio Pa-c NPPES

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

GINA M FULGENZIO PA-C (NPI 1639549710) is an individual medical provider in Erie, Pennsylvania, licensed in Pennsylvania (MA057895) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639549710
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGINA M FULGENZIOCredential: PA-C
Location Address120 E 2ND ST FL 2Erie, PA 16507-1537
Mailing Address120 E 2nd St Fl 2Erie, PA 16507-1537 · (814) 456-8980 · Fax (814) 451-0443
Fax(814) 451-0443
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 1, 2015
Last NPPES UpdateJanuary 31, 20202 updates tracked since enumeration
NPI 1639549710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in PA · MA057895 Licensed in PA · OA003645
120 E 2ND ST FL 2, Erie, PA 16507

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

Gina M Fulgenzio Pa-c 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 ID4082914783
PECOS Enrollment IDI20151202001997
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.

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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
120 E 2ND ST FL 2, 2ND FLOOR
ERIE, PA 16507
Internal Medicine (Cardiovascular Disease)
120 E 2ND ST FL 2
ERIE, PA 16507
Physician Assistant
120 E 2ND ST FL 2, 2ND FLOOR
ERIE, PA 16507
Nurse Practitioner
120 E 2ND ST FL 2, 2ND FLOOR
ERIE, PA 16507
Physician Assistant (Medical)
120 E 2ND ST FL 2, 2ND FLOOR
ERIE, PA 16507
Nurse Practitioner
120 E 2ND ST FL 2
ERIE, PA 16507
Nurse Practitioner
120 E 2ND ST FL 2
ERIE, PA 16507
Physician Assistant (Medical)
120 E 2ND ST FL 2
ERIE, PA 16507

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 Gina Fulgenzio's NPI number?

The NPI number for Gina Fulgenzio is 1639549710. It was assigned to this individual provider in the NPPES registry on October 1, 2015.

Where is Gina Fulgenzio located?

Gina Fulgenzio practices at 120 E 2nd St Fl 2, Erie, PA 16507. The listed phone number is (814) 456-8980.

What is Gina Fulgenzio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gina Fulgenzio enrolled in Medicare?

Yes. Gina Fulgenzio 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.

When was this NPI record last updated?

The NPPES record for Gina Fulgenzio was last updated on January 31, 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.