Individual provider Active NPI

Jessica Sharale Fowler, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1861359556
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0041144 Issued in OH
Practice address
814 E 185TH St Ste 200
Cleveland, OH 44119-2775
Phone
(216) 394-2275
Fax
(216) 394-2275
NPI assigned
Jan 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 0041144 OH Primary

Addresses

Primary practice location

814 E 185TH St Ste 200
Cleveland, OH 44119-2775

Mailing address

3659 Green Rd Ste 100-4
Beachwood, OH 44122-5727
Phone (216) 394-2275

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
I20260603004336 OH Practitioner - Nurse Practitioner 1658842349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23366 Commerce Park
Suite 100B
Beachwood, OH 44122-5801

23366 Commerce Park
Suite 100B
Beachwood, OH 44122-5811

3659 Green Rd
Suite 100 4
Beachwood, OH 44122-5715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0041144OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Providers LLC Current Accepting new patients
Tranquility Health Providers Current Accepting new patients

Locations

3659 Green Rd
Ste 1004
Beachwood, OH 44122
Phone (216) 394-2275

Organizations & group practices 2

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": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1861359556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3659 GREEN RD STE 100-4",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225727",
            "telephone_number": "216-394-2275",
            "fax_number": "216-649-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E 185TH ST STE 200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441192775",
            "telephone_number": "216-394-2275",
            "fax_number": "216-394-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JESSICA",
        "middle_name": "SHARALE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0041144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.