AMY JO GOLLER PMHNP-BC
NPI 1548048010
Nurse Practitioner - Psychiatric/Mental Health in Manchester, NH
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 and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Amy Goller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manchester, NH 03103
- Reassigned Medicare billing, New Hampshire enrollment
- 126 clinicians in this Medicare group
Manchester, NH 03109
- Reassigned Medicare billing, New Hampshire enrollment
- 446 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.
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.
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.
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 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.
Which organizations bill Medicare for Amy Goller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Goller reassigns Medicare benefits to 2 organizations: The Mental Health Center Of Greater Manchester (Manchester, NH) and Elliot Professional Services (Manchester, NH). 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 Amy Goller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Goller accept?
Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield 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.
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 10 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.
# Amy Jo Goller, PMHNP-BC · NPI 1548048010
Psychiatric/Mental Health physician in Manchester, New Hampshire. Individual provider, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1548048010 (Entity type: Individual)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 09305223 (New Hampshire)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2 WALL ST, Manchester, NH 03101-1518
- **Phone:** (603) 668-4111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Mental Health Center Of Greater Manchester (NPI 1609848811, Manchester, NH); Elliot Professional Services (NPI 1285627935, Manchester, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 10, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1548048010) · Data from the CMS NPPES public registry.