JEFFERSON I DRISCOLL MD
NPI 1437045127
Student in an Organized Health Care Education/Training Program in Monroe, WI

Active since June 17, 2025PECOS Enrolled
515 22ND AVE, MONROE, WI 53566(608) 324-2000 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson I Driscoll Md NPPES

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

JEFFERSON I DRISCOLL MD (NPI 1437045127) is an individual student in an organized health care education/training program in Monroe, Wisconsin, licensed in Wisconsin (101692) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437045127
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFERSON I DRISCOLLCredential: MD
Location Address515 22ND AVEMonroe, WI 53566-1569
Mailing Address1114 23rd AveMonroe, WI 53566-2103 · (608) 576-0499
Sole ProprietorYes
Enumeration DateJune 17, 2025
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
NPI 1437045127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in WI · 101692
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 101692851 (WI)
515 22ND AVE, Monroe, WI 53566

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jefferson I Driscoll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner (Family)
515 22ND AVE
MONROE, WI 53566
Emergency Medicine
515 22ND AVE
MONROE, WI 53566
Pharmacist
515 22ND AVE
MONROE, WI 53566
Family Medicine
515 22ND AVE
MONROE, WI 53566
Nurse Practitioner
515 22ND AVE
MONROE, WI 53566
Internal Medicine (Cardiovascular Disease)
515 22ND AVE
MONROE, WI 53566
Physician Assistant
515 22ND AVE, MONROE CLINIC
MONROE, WI 53566

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 Jefferson Driscoll's NPI number?

The NPI number for Jefferson Driscoll is 1437045127. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Jefferson Driscoll located?

Jefferson Driscoll practices at 515 22nd Ave, Monroe, WI 53566. The listed phone number is (608) 324-2000.

What is Jefferson Driscoll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jefferson Driscoll enrolled in Medicare?

Yes. Jefferson Driscoll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jefferson Driscoll was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.