Individual provider Active NPI

Jillian Sue Roe, NP

  • Family Nurse Practitioner
  • Wooster, OH
National Provider Identifier
1144669144
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA. 14653-NP Issued in OH
Practice address
1740 Cleveland Rd
Wooster, OH 44691-2204
Phone
(330) 287-4500
NPI assigned
Jun 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA. 14653-NP OH Primary

Addresses

Primary practice location

1740 Cleveland Rd
Wooster, OH 44691-2204

Mailing address

PO Box 1239
Troy, MI 48099-1239

Other practice location 1

3515 Massillon Rd Ste 250
Uniontown, OH 44685-7854
Phone (330) 896-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015000884 OH Practitioner - Nurse Practitioner 6507090198 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA. 14653-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Traveling Nurse Practitioner, LLC CurrentSince Oct 2, 2015 Accepting new patients
Vpa PC Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 25, 2016 Accepting new patients
Wooster Clinic, LLC CurrentSince May 25, 2016 Accepting new patients
Vpa PC CurrentSince Jan 12, 2015 Accepting new patients
Vpa PC CurrentSince Jan 12, 2015 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC Current Accepting new patients

Locations

880 Mull Ave
Ste 200
Akron, OH 44313
Phone (330) 590-0847

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

4435 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 326-3007

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

3500 Massillon Rd
Ste 280
Green, OH 44685
Phone (330) 896-5651

3515 Massillon Rd
Ste 250
Green, OH 44685
Phone (330) 734-6015

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1144669144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912204",
            "telephone_number": "330-287-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 Massillon Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446857854",
            "country_code": "US",
            "telephone_number": "330-896-5651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "JILLIAN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA. 14653-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.