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AMY JO GOLLER PMHNP-BC
NPI 1548048010
Nurse Practitioner - Psychiatric/Mental Health in Manchester, NH

Active since September 18, 2023PECOS EnrolledAccepts Medicare Assignment
2 WALL ST, MANCHESTER, NH 03101(603) 668-4111 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amy Jo Goller Pmhnp-bc NPPES

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

AMY JO GOLLER PMHNP-BC (NPI 1548048010) is an individual psychiatric/mental health provider in Manchester, New Hampshire, licensed in New Hampshire (09305223) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548048010
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMY JO GOLLERCredential: PMHNP-BC
Location Address2 WALL STManchester, NH 03101-1518
Mailing Address2 Wall St Ste 200Manchester, NH 03101-1518 · (603) 668-4111
Phone(603) 668-4111
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 18, 2023
Last NPPES UpdateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1548048010 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
Licenses✔ Licensed in NH · 09305223✔ Licensed in FL · APRN11027279
2 WALL ST, Manchester, NH 03101
Open in Google Maps ↗

Other Names 1

Former Name (1)Amy Jo Imbrigiotta Pmhnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, WellSense Health Plan.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

Amy Jo Goller Pmhnp-bc 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 ID8921449513
PECOS Enrollment IDI20240514002089
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.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

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.

AKOSOA MCFADGION LICSW
Social Worker (Clinical)
2 WALL ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-4111
DOMINIQUE M WHITON LICSW
Social Worker (Clinical)
2 WALL ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-4111
MALORY BERNSTEIN
Specialist
2 WALL ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-4111
NANCY THOMSON APRN
Nurse Practitioner (Psychiatric/Mental Health)
2 WALL ST, SUITE 300
MANCHESTER, NH 03101
Hillsborough County (603) 668-4111
BRITTANY LITTLE BA
Specialist
2 WALL ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-4111
TARA COLLINS
Counselor (Mental Health)
2 WALL ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-4111
ASHLEY MCCRADY
Social Worker (Clinical)
2 WALL ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-4111
BRIGIDA ALVAREZ
Specialist
2 WALL ST
MANCHESTER, NH 03101
Hillsborough County (603) 668-4111

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 Amy Goller's NPI number?

The NPI number for Amy Goller is 1548048010. It was assigned to this individual provider in the NPPES registry on September 18, 2023. The provider is also known as Amy Jo Imbrigiotta Pmhnp-Bc.

Where is Amy Goller located?

Amy Goller practices at 2 Wall St, Manchester, NH 03101. The listed phone number is (603) 668-4111.

What is Amy Goller's specialty?

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

Is Amy Goller enrolled in Medicare?

Yes. Amy Goller 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 Amy Goller accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Amy Goller 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 Amy Goller affiliated with any hospitals?

According to CMS data, Amy Goller is affiliated with Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Amy Goller was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.