Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Jo Goller, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1548048010

Amy Jo Goller, PMHNP-BC is a Nurse Practitioner in Manchester, New Hampshire. Qualified in 2023, 3 years ago. Practices with Elliot Professional Services, a 424-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New Hampshire.

Years since qualifying
3
Licensed in
FL, NH
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2 Wall St
Manchester, NH 03101-1518
Phone: (603) 668-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 09305223 (NH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN11027279 (FL)

Record details

NPI number1548048010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 18, 2023
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Manchester