JOHN GOLLERY
NPI 1407491152
Nurse Anesthetist, Certified Registered in Tampa, FL
About John Gollery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN GOLLERY (NPI 1407491152) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (APRN11005431) and active in the NPI registry since November 2019. He is affiliated with Multicare Auburn Medical Center, maintains a secondary practice location in Sebastian, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Gollery 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Gollery reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
- 127 clinicians in this Medicare group
Naples, FL 34119
- Reassigned Medicare billing, Florida enrollment
- 767 clinicians in this Medicare group
Puyallup, WA 98372
- Reassigned Medicare billing, Washington enrollment
- 119 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Multicare Auburn Medical Center
Acute Care Hospitals · Auburn, WAMulticare Good Samaritan Hospital
Acute Care Hospitals · Puyallup, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TAMPA, FL 33613
TAMPA, FL 33613
TAMPA, FL 33613
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 John Gollery's NPI number?
The NPI number for John Gollery is 1407491152. It was assigned to this individual provider in the NPPES registry on November 16, 2019.
Where is John Gollery located?
John Gollery practices at 3100 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (813) 971-6000.
What is John Gollery's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John Gollery enrolled in Medicare?
Yes. John Gollery 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.
Which organizations bill Medicare for John Gollery's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Gollery reassigns Medicare benefits to 3 organizations: North Tampa Anesthesia Consultants (Tampa, FL), Capital Anesthesia Solutions Of Florida II, LLC (Naples, FL) and Rainier Anesthesia Associates PC (Puyallup, WA). 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 John Gollery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Gollery affiliated with any hospitals?
According to CMS data, John Gollery is affiliated with Multicare Auburn Medical Center and Multicare Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for John Gollery was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John Gollery · NPI 1407491152
Nurse Anesthetist, Certified Registered physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since November 16, 2019.
## Identity
- **NPI:** 1407491152 (Entity type: Individual)
- **Enumerated:** November 16, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN11005431 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 E FLETCHER AVE, Tampa, FL 33613-4613
- **Phone:** (813) 971-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): North Tampa Anesthesia Consultants (NPI 1144216433, Tampa, FL); Capital Anesthesia Solutions Of Florida II, LLC (NPI 1891318481, Naples, FL); Rainier Anesthesia Associates PC (NPI 1487637013, Puyallup, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407491152) · Data from the CMS NPPES public registry.