Jaclyn M Wilkinson, RD
Individual provider Active NPI Registered Dietitian · Spring Green, WI
NPI 1023458338 · NPPES record last updated Apr 28, 2026
Key facts
- NPI
- 1023458338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2640-29 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131003000418 | WI | Practitioner - Registered Dietitian Or Nutrition Professional | 8022242155 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2640 | WI | MD | Periodontist |
| 2640-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Driftless Diabetes Management, LLC | Current |
Accepting new patients | |
| Upland Hills Health, Inc | Current |
Accepting new patients | |
| Upland Hills Health Inc | Current | Accepting new patients | |
| Upland Hills Health, Inc, | Current |
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
- jaclyn.wilkinson.1@29718.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2640-29 | WI | Yes |
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
- Jaclyn Schreiner
Other providers in Spring Green, WI
- Upland Hills Health, Inc
- Upland Hills Health, Inc,
- Upland Hills Health, Inc.
- Village Family Dental Associates
- Jeffrey L Vodak
- Robert John Wright
- Thomas D Yentz
All providers in Spring Green, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.