Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johannys Bergolla

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1194512467

Johannys Bergolla is a Nurse Practitioner in Hialeah, Florida. Qualified in 2024, 2 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025

Practice location Address checks out

1381 W 30th St
Hialeah, FL 33012-4853
Phone: (305) 989-5518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11038862 (FL)

Record details

NPI number1194512467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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