Care You Can Trust Starts With Our People

Our team is united by a shared mission to provide reliable, compassionate support for patients and their families.

Tracy Ann Ramos, Founder, MS, CNP

Born in London, U.K., Tracy Ramos became a registered nurse in 1987 at Prince Charles Hospital in Wales. In 1988 she moved to Dorset England to study psychiatry, receiving her diploma in Mental Health Nursing in 1990.

She moved to Lowell, Massachusetts in the fall of 1990. Driven by a desire to help others, she continued her studies at University of Massachusetts. There, she earned an undergraduate degree in nursing in 2005. She moved on to achieve her master’s degree as a Gerontological Nurse Practitioner. In 2007, Tracy received a Post-Masters Certificate in End of Life and Palliative Care. She has extensive education as well as passion for her work.

As a Nurse Practitioner, Tracy has focused primarily on homebound older adults in residences such as Skilled Nursing Facilities, Assisted Living Communities, and individual homes. She continues to pursue her passion for serving the under-represented, fragile and vulnerable elders as founder of First Choice Community Medical Services.

Tracy exemplifies the reasons why our practice is special.  She involves herself with the daily machinations of First Choice. She provides personalized attention for all our patients, ensuring high quality care through her daily efforts. She hand-picked each member of our team to reflect her values. She holds each of us to her high standards of compassion and care.

Providers

  • A graduate of the Master’s Degree Nursing program at the University of Massachusetts Boston, Stephanie Ponte became an ANCC board-certified Adult Geriatric Primary Care Nurse Practitioner in 2016.

    She received her Bachelor’s Degree in Nursing from Salem State University. She practiced as a Registered Nurse both inpatient at Beverly Hospital, as well as outpatient as a Visiting Nurse in Assisted Living communities. She chose Geriatrics as her primary care specialty because of her compassion for the elderly, and her desire to understand and ameliorate the chronic conditions that affect their daily lives. Stephanie is dedicated to building strong working relationships with patients and their families through communication and respect. She prides herself on providing comprehensive, evidence-based care. Stephanie holds several certifications that bolster her areas of expertise. For example, as a certified Pain Resource Nurse, the exposition of different aspects of pain management are interspersed in her conversations with her patients and their families.

  • Jaclin Morrison received her Adult Gerontology Primary Care Nurse Practitioner degree from Salem State University in 2019. Since 2004 she has been working in various clinical settings caring for the older adult.

    Jaclin’s practicum was with First Choice Community Medical Services, as well as working with experienced Urological Nurse Practitioners. She is a wound care specialist and worked in a wound care clinic for many years. There, she excelled beyond proficiency at caring for wounds, acquainting herself with the minutia; identifying preventative measures to be taken to avert skin breakdown and to maintain skin integrity. Jaclin’s strengths are complementary to the needs of the older adult, especially important for patients with degrees of stasis in order to prevent bedsores and other problems.

  • The beginning of Hannah’s journey to becoming a Nurse Practitioner began on the unlikely path of being a middle school science teacher. She was drawn to science at a young age, winning multiple science awards and honors throughout her middle and high school career.

    After graduating Westfield State University, she became a 7th grade science teacher at Melrose Middle School. The first year was challenging in part because she was new and staff continuously stopped her in the halls, requesting to view her “hall pass” under the assumption she was a culpable student and not a teacher. After working there for two years and volunteering for a hospice organization, she decided her heart was in health care. She enrolled in nursing school at Regis College. Upon graduating with her bachelors in nursing, she landed a job at Norwood Hospital as a cardiac/telemetry nurse. Several years later, once the COVID-19 pandemic struck, her cardiac floor became the designated COVID unit for the hospital. Hannah worked in the COVID units at the peak of the pandemic while finishing her master’s degree at Regis as an Adult-Gerontological Nurse Practitioner. In her spare time, Hannah enjoys sports and most of her life coached and played basketball. In addition to playing basketball, she played singles tennis and volleyball for her high school. Hannah enjoys traveling and spent a semester in Florence, Italy. She speaks rudimentary Italian and Portuguese having spent many summers in the Azores Islands -an autonomous part of Portugal. Hannah also enjoys cooking, nature, reading, and playing with her perfect pup, Daisy.

  • Emily Robinson, MSN, FNP-BC obtained her bachelor’s degree in sociology at the University of Massachusetts Amherst before pursuing a career in nursing.

    She became a registered nurse in 2014 and cared for elders with psychiatric illnesses at a rest home in Boston, serving as the interim director of nursing for the facility while completing her graduate degree. Since graduating from Simmons College in 2016 with a Master of Science in Nursing, Emily has worked as a family nurse practitioner in a variety of settings. After working in urgent care and primary care in a federally qualified community health center, Emily returned to her passion for caring for elders. Prior to joining the team at First Choice in 2021, Emily served for four years as the primary nurse practitioner for a skilled nursing facility, caring for long-term independent, nursing home, and memory care residents, along with patients admitted for short-term rehabilitation. Emily is experienced in caring for elders of very advanced age and in bringing compassionate, comprehensive primary care to patients in their home settings. Emily has a particular passion for palliative and hospice care, guiding patients and their families in decisions around goals of care and providing support at end of life. It is a priority for Emily to create open lines of communication with patients and their families and to support their goals for health and quality of life.

  • In Stephanie’s middle school yearbook, her future career is listed as nurse practitioner. She was born and raised in Lowell, Massachusetts and currently lives in Hampton, New Hampshire. Stephanie has been in the healthcare field since high school when she became a medical assistant at Greater Lowell Technical High School. She continued her education to become a registered nurse through the University of Massachusetts Lowell and received her bachelor’s degree. While in college, Stephanie worked as a nursing assistant at Lahey Hospital and Medical Center to gain bedside experience. After graduating college, Stephanie worked as a registered nurse at Beth Israel Deaconess Hospital on the neurology medical/surgical and step down units before transferring to Anna Jaques Hospital medical/surgical units. Stephanie received her master’s degree at the University of Massachusetts Lowell and her Adult-Gerontological Nurse Practitioner certification through the American Academy of Nurse Practitioners (AANP). Stephanie completed her Doctorate of Nursing Practice through the University of Massachusetts Lowell in May 2025 and currently serves as the Director of Quality Improvement at First Choice. When Stephanie isn’t working, she enjoys spending time on the seacoast of New Hampshire with her husband. She enjoys taking care of her indoor plants and outdoor gardens with a good cup of coffee. She also loves traveling and tries to attend a New York City opera at least once a year.

  • Tara started her academic career studying history and worked for a time in nonprofits, but she soon realized that she loved helping people and changed directions to study nursing. She obtained her BSN from the School of Nursing at the University of Medicine and Dentistry of New Jersey (now Rutgers University) and worked for several years in the Emergency Department of St. Joseph’s Regional Medical Center—one of the busiest ERs in the country.

    While there, she specialized in geriatric emergency care, working in a unit dedicated to older adults who needed emergency services. After five years there, she completed her master’s degree in nursing at William Paterson University and transitioned to a Nurse Practitioner role in a family practice in Hackettstown, NJ. Tara moved to Massachusetts in late 2022 and has been a part of First Choice since September 2023. She loves taking her dog for long walks in the state forest and can be found canoeing on the Nashua River when the weather is good.

  • Sarah has been dedicated to the healthcare field since 2015, building a strong foundation in patient care across long‑term care and hospital settings. She began her career as a Certified Nursing Assistant before advancing to a Registered Nurse after earning her bachelor’s degree with a minor in psychology from the University of Massachusetts Lowell.

    In 2024, Sarah became a board‑certified Adult Gerontology Primary Care Nurse Practitioner after completing her master’s degree at UMass Lowell. She specializes in primary care for older adults, managing both acute and chronic conditions with an emphasis on promoting quality of life. 

    Sarah is passionate about improving healthcare for the older adult population and is committed to delivering compassionate, patient‑centered care tailored to each individual’s needs. Her dedication is further inspired by her personal experience caring for family members.

  • Obianuju has been a registered nurse since 2007, bringing over 15 years of clinical experience to her practice. She advanced her career by earning her Nurse Practitioner degree in Adult and Geriatric Care in 2022 and completed her Doctor of Nursing Practice (DNP) in 2024. Dr. Ihechukwu is dedicated to providing comprehensive, patient-centered care with a focus on improving health outcomes for adults and older adults.

  • Tena obtained her master's degree in adult geriatric primary care from UMass Lowell, where she is currently pursuing her doctorate in nursing practice. Before becoming a nurse practitioner she worked as an RN for 7 years in various clinical settings including hospice and outpatient endoscopy.

  • Beth has 17 years of experience in nursing. She received her nursing degree at Soldiers home school of practical nursing in 2008. She then started her career working at a crisis unit as a psychiatric nurse for 2 years as well as part time home care worker with the pediatric patients.

    In 2012 she took a job as a Wellness nurse, and found what she feels is her niche. While working as a wellness nurse, she assisted patients in managing chronic conditions and illnesses. She lives with her husband and 3 children. She enjoys traveling and taking her 3 busy children to their sports and activities.

  • Joan has been a Licensed Practical Nurse for over 10 years. Due to her knowledge and compassion, she quickly became a Resident Care Director in Assisted Living, continuing in that role for approximately 10 years.

Administration Team

  • With over a decade of experience in healthcare, Shayna is a dedicated Certified Nursing Assistant specializing in care coordination and patient satisfaction. Shayna’s commitment to excellence is evident in her thorough approach to meeting patient needs.. Continuing to learn and make room for growth and improvement is always a priority, everyday is a new day. In her spare time she enjoys being outdoors with her friends and family and loves to travel.

  • Perla is Certified Medical Assistant with extensive experience in both clinical and administrative healthcare settings. With a strong background in patient care, communication, and organizational skills, Perla is committed to providing compassionate and efficient care to all her patients. Perla loves spending time with her daughter and taking her on adventures to different places, such as farms and zoos. Perla also likes watching interesting documentaries whenever she has some extra time.

  • Emmalys Ramos has over 10 years of administrative experience. Recently, she decided to pursue a new direction in her career by returning to school to gain a background in the medical field, with a focus on billing and coding.

    She is a proud parent of two children—a son and a daughter. Emmalys is committed to continuous learning and personal growth; she values spending quality time with her family and friends while embracing new experiences and opportunities.

  • Brianna earned her bachelor’s degree in business administration from UMass Lowell in 2025 and has a strong background in patient care. She is committed to providing quality care and attentiveness to all of our patients. In her free time, Brianna loves to go to concerts and be creative, often spending time crocheting or drawing.