CK WELLNESS PLLC
NPI 1679363097
Nurse Practitioner - Psychiatric/Mental Health in Brockton, MA
About Ck Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CK WELLNESS PLLC (NPI 1679363097) is a healthcare organization registered as a psychiatric/mental health in Brockton, Massachusetts and active in the NPI registry since May 2025. The organization lists Shirnett Khorran Gajaraj, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Ck Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ck Wellness PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Ck Wellness PLLC's NPI number?
The NPI number for Ck Wellness PLLC is 1679363097. It was assigned to this organization in the NPPES registry on May 8, 2025.
Where is Ck Wellness PLLC located?
Ck Wellness PLLC is located at 529 Pearl Street, Brockton, MA 02301. The listed phone number is (339) 793-9080.
What is Ck Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ck Wellness PLLC enrolled in Medicare?
Yes. Ck Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ck Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ck Wellness PLLC, in Nurse Practitioner and Psychiatry. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ck Wellness PLLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Ck Wellness Pllc · NPI 1679363097
Psychiatric/Mental Health organization in Brockton, Massachusetts. Organization record, active in the CMS NPPES registry since May 8, 2025.
## Identity
- **NPI:** 1679363097 (Entity type: Organization)
- **Enumerated:** May 8, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Shirnett Gajaraj, OWNER
## Practice location
- **Address:** 529 PEARL STREET, Brockton, MA 02301
- **Phone:** (339) 793-9080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Psychiatry (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679363097) · Data from the CMS NPPES public registry.