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DRIFTLESS DIABETES MANAGEMENT, LLC
NPI 1902592157
Internal Medicine - Endocrinology, Diabetes & Metabolism in Spring Green, WI

Active since April 12, 2023CLIA 52D2297969 · Waiver
285 S WINSTED ST, SPRING GREEN, WI 53588(608) 459-6172 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2026, Apr 12, 2023 (2 updates tracked since 2023).

About Driftless Diabetes Management, Llc NPPES

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

DRIFTLESS DIABETES MANAGEMENT, LLC (NPI 1902592157) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Spring Green, Wisconsin and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Jaclyn M Wilkinson, Member/president, as its authorized official.

NPPES Registry Identity

NPI1902592157
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameDRIFTLESS DIABETES MANAGEMENT, LLC
Location Address285 S WINSTED STSpring Green, WI 53588-9151
Mailing Address285 S Winsted StSpring Green, WI 53588-9151 · (608) 459-6172
Phone(608) 459-6172
Organization SubpartNo
Authorized OfficialJaclyn M WilkinsonMember/president · (608) 459-6172
Enumeration DateApril 12, 2023
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1902592157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

285 S WINSTED ST, Spring Green, WI 53588
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 52D2297969

Driftless Diabetes Management, LLC · Mineral Point, WI
Active · expires Jan 24, 2028
CLIA Number52D2297969
Laboratory TypePrivate Practice Clinc
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorJaclyn M. Wilkinson
Laboratory Phone(608) 459-6172
Laboratory LocationDriftless Diabetes Management, LLC241 High St, Mineral Point, WI 53565
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JACLYN M WILKINSON RD
Dietitian, Registered
285 S WINSTED ST
SPRING GREEN, WI 53588
Sauk County (608) 459-6172

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 Driftless Diabetes Management, LLC's NPI number?

The NPI number for Driftless Diabetes Management, LLC is 1902592157. It was assigned to this organization in the NPPES registry on April 12, 2023.

Where is Driftless Diabetes Management, LLC located?

Driftless Diabetes Management, LLC is located at 285 S Winsted St, Spring Green, WI 53588. The listed phone number is (608) 459-6172.

What is Driftless Diabetes Management, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Driftless Diabetes Management, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2297969) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Driftless Diabetes Management, LLC was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.