Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gina M Fulgenzio, PA-C

Individual provider Medical Physician Assistant · NPI 1639549710

Gina M Fulgenzio, PA-C is a Physician Assistant in Erie, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Regional Health Services Inc, a 576-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

120 E 2nd St Fl 2
Erie, PA 16507-1537
Phone: (814) 456-8980
Fax: (814) 451-0443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057895 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence OA003645 (PA)

Record details

NPI number1639549710
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2015
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Regional Health Services Inc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Erie