REVOLUTION HEALTH PC
NPI 1366091670
Clinic/Center - Primary Care in Sturgis, MI

Active since September 09, 2019CLIA Certified · 2 labs
104 S LAKEVIEW AVE, STURGIS, MI 49091(269) 319-8850(269) 464-0101 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revolution Health Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVOLUTION HEALTH PC (NPI 1366091670) is a healthcare organization registered as a primary care in Sturgis, Michigan and active in the NPI registry since September 2019. The organization holds 2 active CLIA laboratory certificates and lists Steven John Klingler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366091670
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameREVOLUTION HEALTH PC
Location Address104 S LAKEVIEW AVESturgis, MI 49091-1947
Mailing Address104 S Lakeview AveSturgis, MI 49091-1947 · (269) 319-8850 · Fax (269) 464-0101
Fax(269) 464-0101
Organization SubpartNo
Authorized OfficialSteven John KlinglerOffice Manager · (269) 716-1890
Enumeration DateSeptember 9, 2019
✔ NPI 1366091670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
104 S LAKEVIEW AVE, Sturgis, MI 49091

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)

Revolution Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Revolution Health PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner13
Family Practice1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1043044811
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1770303083
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962275206
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588317432
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942636832
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518537208
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOSSame address
Nurse Practitioner
NPI 1073496436
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407509219
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679513451
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427498682
104 S LAKEVIEW AVE
Sturgis, MI 49091
(269) 319-8850
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619976271
111 S MONROE ST
Sturgis, MI 49091
(269) 651-3218
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1629780879
5623 GULL RD STE 500
Kalamazoo, MI 49048
(269) 775-8031
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1093156010
400 RENAISSANCE CTR STE 2600
Detroit, MI 48243
(888) 731-8994
✔ PECOS✔ Accepts Medicare127 mi
Nurse Practitioner
NPI 1023736824
1600 N MAIN AVE
Lovington, NM 88260
(575) 396-6611
✔ PECOS✔ Accepts Medicare1,158 mi

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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 23D2255439

Revolution Health P C · Colon, MI
Active · expires Mar 14, 2028
CLIA Number23D2255439
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorJade L. Klingler
Laboratory Phone(269) 319-8850
Laboratory LocationRevolution Health P C121 E Franklin Street, Colon, MI 49040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D2171844

Revolution Health · Sturgis, MI
Active · expires Sep 9, 2027
CLIA Number23D2171844
Laboratory TypeIndependent
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorJade L. Klingler
Laboratory Phone(269) 319-8850
Laboratory LocationRevolution Health104 S Lakeview Street, Sturgis, MI 49091
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Revolution Health PC's NPI number?

The NPI number for Revolution Health PC is 1366091670. It was assigned to this organization in the NPPES registry on September 9, 2019.

Where is Revolution Health PC located?

Revolution Health PC is located at 104 S Lakeview Ave, Sturgis, MI 49091. The listed phone number is (269) 319-8850.

What is Revolution Health PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Revolution Health PC enrolled in Medicare?

Yes. Revolution Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revolution Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Revolution Health PC. 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. The largest specialties are Nurse Practitioner (13) and Family Practice (1). Of these, 10 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Revolution Health PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Revolution Health PC 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 Revolution Health PC 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 Revolution Health PC was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.