Active NPI
Jessica Sharale Fowler, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1861359556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0041144
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0041144 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Nurse Practitioner
- Beachwood, OH
- NPI 1407700966
-
- Home Health Agency
- Avon Lake, OH
- NPI 1225882707
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.