GINA DELLACGUA MANGIN (PAC) – Physician Assistant, NPI 1861450553

GINA DELLACGUA MANGIN (PAC) is a healthcare provider. based in Orlando, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 9104450 (FL). The NPI Number for GINA DELLACGUA MANGIN (PAC) is 1861450553

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
GINA DELLACGUA MANGIN (PAC)
NPI
1861450553
Phone
(407) 352-8553
Address
7335 W SAND LAKE RD
Enumeration Date
2 May 2006
Last Update Date
23 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073528553
Graduation Year
2007 (19 years ago)
PAC ID
9830294313
Group Practice PAC ID
6709853088
Professional Enrollment ID
I20100428000651
Address ID
FL328195539OR7335XRDXX537
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for GINA DELLACGUA MANGIN (PAC)

  • 7335, West Sand Lake Road, Orlando, Orange County, Florida, 32819, United States

    SUITE 200

    ORLANDO, FL 328195538

    Phone: (407) 352-8553

    Fax: (407) 351-8412

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 386 Open Payments records for all available years, with a total value of $140,346.

Total Amount is formed as General ($140,346) + Research ($0) + Ownership ($0) = $140,346.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($37,707).

Total Amount

$140,346

General + Research + Ownership

Payments

386

Total payment records

General Amount

$140,346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100428000651IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes551400$0
17003Destruction of precancer skin growth, 2-14 growths491101$0
17000Destruction of precancer skin growth, 1 growth181143$0
11102Biopsy of related skin growth, first growth169144$0
17110Destruction of skin growth, 1-14 growths11899$0
View full utilization report →

Insurance plans in this area (ZIP 32819)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709853088View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Physician AssistantFL
-FL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

What federal number belongs to GINA DELLACGUA MANGIN (PAC)?
The federal identifier for GINA DELLACGUA MANGIN (PAC) is NPI 1861450553.
Is GINA DELLACGUA MANGIN (PAC) currently active in the NPI registry?
CMS-published data lists GINA DELLACGUA MANGIN (PAC) as an active registrant.
Does GINA DELLACGUA MANGIN (PAC) list a primary specialty?
If you are matching referrals, note Physician Assistant for GINA DELLACGUA MANGIN (PAC). Clinical services aligned with this taxonomy classification.
What location metadata exists for GINA DELLACGUA MANGIN (PAC)?
The page summarizes Orlando, Florida for GINA DELLACGUA MANGIN (PAC); expand the address list for detail.
How can I contact GINA DELLACGUA MANGIN (PAC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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