CAMERON L GOLLER (FNPC) – Nurse Practitioner, NPI 1043878648
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
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Provider Addresses for CAMERON L GOLLER (FNPC)
1599, Pushaw Road, East Bangor, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044021599
Phone: (207) 404-8200
Fax: (207) 404-8039
Type: Mailing
735, Wilson Street, Brewer, Penobscot County, Maine, 04412, United States
BREWER, ME 044121000
Phone: (207) 989-1567
Fax: (207) 989-2287
Type: Location
934 Congress St
Portland, ME 041023032
Phone: (207) 874-2141
Fax: (207) 874-2164
Type: Location
63 Preble St
Portland, ME 041013014
Phone: (207) 874-2141
Fax: (207) 874-2164
Type: Location
180 PARK AVE
PORTLAND, ME 041022957
Phone: (207) 874-2141
Fax: (207) 761-3738
Type: Mailing
180 PARK AVE STE 1
PORTLAND, ME 041022927
Phone: (207) 874-2141
Fax: (207) 874-2164
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190815000839 | I | Nurse Practitioner | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ME | |
| O P T O M E T R Y | ME | |
| Family Practice | ME | |
| Family Practice | IL | |
| Family Practice | CA | |
| Nurse Practitioner | ME | |
| Physician Assistant | ME | |
| Internal Medicine | ME | |
| Physician Assistant | ME |
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