CAMERON L GOLLER FNPC
NPI 1043878648
Nurse Practitioner in Portland, ME

Q: What is Cameron Goller's NPI number?

The NPI number for Cameron Goller is 1043878648. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Q: What is Cameron Goller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Cameron Goller was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment

180 PARK AVE STE 1, PORTLAND, ME 04102(207) 874-2141(207) 874-2164 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2025, Nov 9, 2022, May 4, 2021 and 2 more (5 updates tracked since 2019).

On this page

About Cameron L Goller Fnpc NPPES

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

CAMERON L GOLLER FNPC (NPI 1043878648) is an individual nurse practitioner in Portland, Maine, licensed in Maine (CNP191112) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043878648

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameCAMERON L GOLLERCredential: FNPC

Location Address180 PARK AVE STE 1Portland, ME 04102-2927

Mailing Address180 Park AvePortland, ME 04102-2957 · (207) 874-2141 · Fax (207) 761-3738

Phone(207) 874-2141

Fax(207) 874-2164

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2018

Enumeration DateMay 30, 2019

Last NPPES UpdateApril 2, 20255 updates tracked since enumeration

NPPES CertifiedApril 2, 2025

✔ NPI 1043878648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ME · CNP191112

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

180 PARK AVE STE 1, Portland, ME 04102

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Secondary Practice Locations 2

Location 1934 Congress StPortland, ME 04102-3032 · Phone (207) 874-2141 · Fax (207) 874-2164

Location 263 Preble StPortland, ME 04101-3014 · Phone (207) 874-2141 · Fax (207) 874-2164

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

Cameron L Goller Fnpc 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.

PECOS PAC ID3870820756

PECOS Enrollment IDI20190815000839

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Health

Acute Care Hospitals · Portland, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200008

Location144 State StreetPortland, ME 04101 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers12 claims28 services$5.01 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier16 claims16 services$185.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GRETCHEN A. PIANKA M.D.

Pediatrics