IMANI MAREILL GAETJENS-OLESON
NPI 1205723301
Nurse Practitioner - Psychiatric/Mental Health in Manchester, NH

Active since June 20, 2025PECOS EnrolledAccepts Medicare Assignment
145 HOLLIS ST, MANCHESTER, NH 03101(603) 626-9500 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Jun 20, 2025 (2 updates tracked since 2025).

About Imani Mareill Gaetjens-oleson NPPES

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

IMANI MAREILL GAETJENS-OLESON (NPI 1205723301) is an individual psychiatric/mental health provider in Manchester, New Hampshire, licensed in New Hampshire (082603-23) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and maintains a secondary practice location in Candia.

NPPES Registry Identity

NPI1205723301
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIMANI MAREILL GAETJENS-OLESON
Location Address145 HOLLIS STManchester, NH 03101-1235
Mailing Address145 Hollis StManchester, NH 03101-1235 · (603) 626-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 20, 2025
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1205723301 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 NH · 082603-23
145 HOLLIS ST, Manchester, NH 03101

Secondary Practice Location 1

Location 1510 Old Candia RdCandia, NH 03034-2400 · Phone (603) 420-2686 · Fax (603) 956-7980

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

Imani Mareill Gaetjens-oleson 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 ID8022504190
PECOS Enrollment IDI20251229002466
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.

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03101 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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.

Podiatrist (Foot & Ankle Surgery)
145 HOLLIS ST
MANCHESTER, NH 03101
Social Worker (Clinical)
145 HOLLIS ST
MANCHESTER, NH 03101
Family Medicine
145 HOLLIS ST
MANCHESTER, NH 03101
Family Medicine
145 HOLLIS ST
MANCHESTER, NH 03101
Physician Assistant
145 HOLLIS ST
MANCHESTER, NH 03101
Clinic/Center (Federally Qualified Health Center (FQHC))
145 HOLLIS ST
MANCHESTER, NH 03101
Counselor (Addiction (Substance Use Disorder))
145 HOLLIS ST
MANCHESTER, NH 03101
Family Medicine
145 HOLLIS ST
MANCHESTER, NH 03101

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 Imani Gaetjens-oleson's NPI number?

The NPI number for Imani Gaetjens-oleson is 1205723301. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Where is Imani Gaetjens-oleson located?

Imani Gaetjens-oleson practices at 145 Hollis St, Manchester, NH 03101. The listed phone number is (603) 626-9500.

What is Imani Gaetjens-oleson's specialty?

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

Is Imani Gaetjens-oleson enrolled in Medicare?

Yes. Imani Gaetjens-oleson 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 Imani Gaetjens-oleson accept?

Health plans from Ambetter from NH Healthy Families list Imani Gaetjens-oleson 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.

Is Imani Gaetjens-oleson affiliated with any hospitals?

According to CMS data, Imani Gaetjens-oleson is affiliated with Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Imani Gaetjens-oleson was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.