Driftless Diabetes Management, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DRIFTLESS DIABETES MANAGEMENT, LLC

Practice address

285 S Winsted St
Spring Green, WI 53588-9151

Phone

(608) 459-6172

NPI assigned

Apr 12, 2023

Last updated

Apr 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaclyn M WilkinsonNPI 1023458338

Title

Member/President

Phone

(608) 459-6172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn M Wilkinson, RD

  • Registered Dietitian
  • Spring Green, WI
  • NPI 1023458338
  Medicare reassignment NPD Authorized official
• Brittany J. Chambers, PA-C

  • Medical Physician Assistant
  • Madison, WI
  • NPI 1710312970
  Medicare reassignment

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1902592157",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLESS DIABETES MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "608-459-6172"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Todd Christianson, D.C.
• Cristine L Cornelius, MD
• Sarah E Coy, R.D.H.
• Kelsi Marie Craker, RN
• Maria A Denu, PA
• Edward Wolpert MD SC LTD
• Luke W Fortney, MD
• Masaru Furukawa, MD
• Felyce Gilford
• Lauren Gullickson, RN

• Endocrinology, Diabetes & Metabolism Physician in Spring Green, WI
• Providers in Spring Green, WI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.