Individual provider Active NPI

Sherome Tiara Ross, MSN, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Independence, OH
National Provider Identifier
1225646623
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0027370 Issued in OH
Practice address
6000 Freedom Square Dr FL 5
Independence, OH 44131-2577
Phone
(866) 686-2504
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0027370 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0027370 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0027370 OH Primary

Addresses

Primary practice location

6000 Freedom Square Dr FL 5
Independence, OH 44131-2577

Mailing address

6000 Freedom Square Dr FL 5
Independence, OH 44131-2577
Phone (866) 686-2504

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL n/a

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
I20210604002495 OH Practitioner - Nurse Practitioner 0042619421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Practice addresses (Care Compare)

3530 Westgate Mall
Suite D 432
Fairview Park, OH 44126-1300
Phone (440) 356-4265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027370OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Jan 12, 2020 Accepting new patients
Great Health Medical Oh Inc CurrentSince Dec 16, 2025 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Nov 28, 2024 Accepting new patients

Locations

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

36000 Detroit Rd
Ste 200
Avon, OH 44011
Phone (440) 577-8200

1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021

3530 Westgate
Ste D432
Fairview Park, OH 44126
Phone (440) 356-4265

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

1552 N Honeytown Rd
Wooster, OH 44691
Phone (216) 450-1643

Organizations & group practices 3

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1225646623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 FREEDOM SQUARE DR FL 5",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312577",
            "telephone_number": "866-686-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FREEDOM SQUARE DR FL 5",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312577",
            "telephone_number": "866-686-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHEROME",
        "middle_name": "TIARA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027370",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027370",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "486 Seneca Trl S",
            "city": "Richmond Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441432576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.