Organization provider

TJ WELLNESS, LLC

Primary Care Nurse Practitioner Pain Medicine Physician Adult Health Nurse Practitioner Medicare enrolled

TJ WELLNESS, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1275178188, based in Port St Lucie, FL. The organization lists 4 taxonomy classifications, with Primary Care Nurse Practitioner recorded as primary.

Getting there

The practice address on file is 1893 SW KIMBERLY AVE, Port St Lucie, FL 34953. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1893 SW KIMBERLY AVE, Port St Lucie, FL 34953 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
2961838693
Enrollment ID
O20200128003118

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP2300X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP2300X Primary Care Nurse Practitioner Primary Care primary
208VP0000X Pain Medicine Physician Pain Medicine
363LA2200X Adult Health Nurse Practitioner Adult Health
363LG0600X Gerontology Nurse Practitioner Gerontology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1275178188 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateNov 14, 2019
Last updatedJun 2, 2022
StatusActive
Practice address 1893 SW KIMBERLY AVE
Port St Lucie, FL 34953
(772) 643-1645
The last update on file is Jun 2, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1275178188 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 7 5 1 7 8 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 5 5 2 7 7 1 7

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1275178188?
NPI 1275178188 is the National Provider Identifier assigned to TJ WELLNESS, LLC in Port St Lucie, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Care cover?
Definition to come...
How do I contact TJ WELLNESS, LLC?
The phone number on file with NPPES is (772) 643-1645, last updated Jun 2, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does TJ WELLNESS, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1275178188 a valid number?
Yes. 1275178188 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.