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Active NPI 1053760553 Individual Practitioner Female Practitioner

Jaclyn S Boardman , RD

Dietitian, Registered • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jaclyn Boardman, RD is a certified Dietitian, Registered practicing in Madison, WI. With approximately 20 years of clinical experience since completing medical education in 2006, Jaclyn Boardman delivers high-quality medical care to the local community at 700 S PARK ST STE A.

Jaclyn Boardman is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

700 S Park St Ste A

Madison, WI 537151830

Telephone 6082602900
Fax 6082602977
Associated Practice Facility / Clinic
🏢 Dean Health Systems, Inc Facility NPI 1821240979

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Madison, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +4.2 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
215 Specialists

Practicing in Madison, WI (1473 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boardman (20 Years) 20 Yrs
Madison Specialty Average (15.8 Years) 15.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-30
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WI 2911-029

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1053760553 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

700 S Park St, Madison, WI 537151830

Phone: 6082602900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jeremi Olson , PA-C

Physician Assistant - Surgical

NPI 1003803339

Physician Assistant (Certified)

Dr. Benjamin Kleiber , MD

Internal Medicine - Cardiovascular Disease

NPI 1003869587

Doctor of Medicine (M.D.)

Erin Mullan-Towns , PA-C

Physician Assistant

NPI 1013141035

Physician Assistant (Certified)

Dr. Arun Swaminathan , MBBS

Psychiatry & Neurology - Neurology

NPI 1013251057

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Matthew Ronck , MD

Psychiatry & Neurology - Neurology

NPI 1023497732

Doctor of Medicine (M.D.)

Melissa Mclean , APNP

Nurse Practitioner

NPI 1023891231

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated December 30, 2024

Recorded as JACLYN BOARDMAN, RD

📍
Updated Practice Location November 23, 2020

Registered at 700 S PARK ST STE A, MADISON, WI 537151830 (Tel: 6082602900)

📍
Updated Business Mailing Address November 23, 2020

Registered at 700 S PARK ST STE A, MADISON, WI 537151830 (Tel: 6082602900)

NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2016

Registered at 700 S PARK ST, MADISON, WI 537151830 (Tel: 6082602900)

📍
Updated Business Mailing Address June 07, 2016

Registered at 700 S PARK ST, MADISON, WI 537151830 (Tel: 6082602900)

👤
Provider Name / Credentials Updated June 07, 2016

Recorded as JACLYN REVELLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

Dietitian, Registered (License #2911-029 in WI)

🟢
Initial NPI Registration & Enumeration June 07, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053760553
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2016
Last Update: December 30, 2024
Sole Proprietor: No

Mailing Address

700 S Park St Ste A

Madison, WI 537151830

Phone: 6082602900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.