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JOHANNYS BERGOLLA
NPI 1194512467
Nurse Practitioner - Psychiatric/Mental Health in Hialeah, FL

Active since April 21, 2025PECOS Enrolled
1381 W 30TH ST, HIALEAH, FL 33012(305) 989-5518 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johannys Bergolla NPPES

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

JOHANNYS BERGOLLA (NPI 1194512467) is an individual psychiatric/mental health provider in Hialeah, Florida, licensed in Florida (APRN11038862) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194512467
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJOHANNYS BERGOLLA
Location Address1381 W 30TH STHialeah, FL 33012-4853
Mailing Address1381 W 30th StHialeah, FL 33012-4853 · (305) 989-5518
Phone(305) 989-5518
Sole ProprietorYes
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1194512467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11038862
1381 W 30TH ST, Hialeah, FL 33012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johannys Bergolla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignments

2

Medicare enrollment records show Johannys Bergolla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Violet Health Corp
5.1 mi
Family Medicine
10520 NW 26TH ST STE C101
Doral, FL 33172
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1851166342 (786) 712-0004
Grow Healthcare Group PA
8.9 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Johannys Bergolla's NPI number?

The NPI number for Johannys Bergolla is 1194512467. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Johannys Bergolla located?

Johannys Bergolla practices at 1381 W 30th St, Hialeah, FL 33012. The listed phone number is (305) 989-5518.

What is Johannys Bergolla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Johannys Bergolla enrolled in Medicare?

Yes. Johannys Bergolla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Johannys Bergolla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johannys Bergolla reassigns Medicare benefits to 2 organizations: Violet Health Corp (Doral, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johannys Bergolla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johannys Bergolla accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Johannys Bergolla 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 Johannys Bergolla was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.