MED SPORTS VANTAGE PLLC
NPI 1326587114
Family Medicine in Brighton, MI
About Med Sports Vantage Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MED SPORTS VANTAGE PLLC (NPI 1326587114), doing business as Med Sports Vantage, is a healthcare organization registered as a family medicine in Brighton, Michigan and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through August 29, 2027, maintains a secondary practice location in Howell, and lists Rachel Lethorn, Ceo / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Med Sports Vantage 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 Med Sports Vantage PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2135943
Med Sports Vantage, PLLC · Brighton, MIFrequently 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 Med Sports Vantage PLLC's NPI number?
The NPI number for Med Sports Vantage PLLC is 1326587114. It was assigned to this organization in the NPPES registry on February 14, 2017. The provider is doing business as Med Sports Vantage.
Where is Med Sports Vantage PLLC located?
Med Sports Vantage PLLC is located at 210 S East St Ste 2, Brighton, MI 48116. The listed phone number is (810) 626-3036.
What is Med Sports Vantage PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Med Sports Vantage PLLC enrolled in Medicare?
Yes. Med Sports Vantage PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Med Sports Vantage PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Med Sports Vantage PLLC, in Allergy/Immunology and Family Practice. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Med Sports Vantage PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2135943) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Med Sports Vantage PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Med Sports Vantage PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Med Sports Vantage PLLC was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Med Sports Vantage Pllc · NPI 1326587114
Family Medicine organization in Brighton, Michigan. Organization record, active in the CMS NPPES registry since February 14, 2017.
## Identity
- **NPI:** 1326587114 (Entity type: Organization)
- **Enumerated:** February 14, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Med Sports Vantage (Doing Business As); Med Sports Vantage PLLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Rachel Lethorn, CEO / OWNER
## Practice location
- **Address:** 210 S EAST ST STE 2, Brighton, MI 48116-1592
- **Phone:** (810) 626-3036 · **Fax:** (810) 202-1130
## 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: Allergy/Immunology (1), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326587114) · Data from the CMS NPPES public registry.