Individual provider Active NPI

Jaclyn M Wilkinson, RD

  • Registered Dietitian
  • Spring Green, WI
National Provider Identifier
1023458338
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2640-29 Issued in WI
Practice address
285 S Winsted St
Spring Green, WI 53588-9151
Phone
(608) 459-6172
Fax
(608) 459-6173
NPI assigned
Jul 1, 2013
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2640-29 WI Primary

Addresses

Primary practice location

285 S Winsted St
Spring Green, WI 53588-9151

Mailing address

285 S Winsted St
Spring Green, WI 53588-9151
Phone (608) 459-6172

Other names 1

  • Jaclyn Schreiner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131003000418 WI Practitioner - Registered Dietitian Or Nutrition Professional 8022242155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

285 S Winsted St
Spring Green, WI 53588-9151
Phone (608) 459-6172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2640WIMDPeriodontist
2640-29WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc CurrentSince Oct 1, 2019 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Driftless Diabetes Management, LLC CurrentSince Apr 18, 2023 Accepting new patients
Upland Hills Health, Inc, CurrentSince Oct 1, 2019 Accepting new patients

Locations

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

285 S Winsted St
Spring Green, WI 53588
Phone (608) 459-6172

Interoperability endpoints

  • Direct secure messaging: jaclyn.wilkinson.1@29718.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1023458338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 S WINSTED ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535889151",
            "telephone_number": "608-459-6172",
            "fax_number": "608-459-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S WINSTED ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535889151",
            "telephone_number": "608-459-6172",
            "fax_number": "608-459-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "JACLYN",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2640-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "SCHREINER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Green, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.