JOHANNYS BERGOLLA
NPI 1194512467
Nurse Practitioner - Psychiatric/Mental Health in Hialeah, FL
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 and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Johannys Bergolla 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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Johannys Bergolla accept?
Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare 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 15 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.
# Johannys Bergolla · NPI 1194512467
Psychiatric/Mental Health physician in Hialeah, Florida. Individual provider, active in the CMS NPPES registry since April 21, 2025.
## Identity
- **NPI:** 1194512467 (Entity type: Individual)
- **Enumerated:** April 21, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11038862 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1381 W 30TH ST, Hialeah, FL 33012-4853
- **Phone:** (305) 989-5518
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194512467) · Data from the CMS NPPES public registry.