TJ WELLNESS, LLC
NPI 1275178188
Nurse Practitioner - Primary Care in Port St Lucie, FL
About Tj Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TJ WELLNESS, LLC (NPI 1275178188) is a healthcare organization registered as a primary care in Port St Lucie, Florida and active in the NPI registry since November 2019. The organization lists Taisha Johnson, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tj Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tj Wellness, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tj Wellness, LLC's NPI number?
The NPI number for Tj Wellness, LLC is 1275178188. It was assigned to this organization in the NPPES registry on November 14, 2019.
Where is Tj Wellness, LLC located?
Tj Wellness, LLC is located at 1893 SW Kimberly Ave, Port St Lucie, FL 34953. The listed phone number is (772) 643-1645.
What is Tj Wellness, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Tj Wellness, LLC enrolled in Medicare?
Yes. Tj Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tj Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tj Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tj Wellness, LLC was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tj Wellness, Llc · NPI 1275178188
Primary Care organization in Port St Lucie, Florida. Organization record, active in the CMS NPPES registry since November 14, 2019.
## Identity
- **NPI:** 1275178188 (Entity type: Organization)
- **Enumerated:** November 14, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Taisha Johnson, NURSE PRACTITIONER
## Practice location
- **Address:** 1893 SW KIMBERLY AVE, Port St Lucie, FL 34953-1020
- **Phone:** (772) 643-1645
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1275178188) · Data from the CMS NPPES public registry.