NPPES file of Aug 9, 2026

Jaclyn S. Boardman, RD

Registered Dietitian · Madison, WI

Jaclyn S. Boardman, RD is a registered dietitian with a practice address in Madison, Wisconsin, and NPI 1053760553, issued on Jun 7, 2016. Check the license (Wisconsin 2911-029, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053760553
Name
Jaclyn S. Boardman
Credential
RD
Primary taxonomy
Registered Dietitian 133V00000X
License number
2911-029 WI
Self-reported in NPPES; status is on the state search
Practice location
700 S Park St Ste A, Madison, WI 53715
Phone
(608) 260-2900
Enumerated
Jun 7, 2016
Record last updated
Dec 30, 2024
Fax
(608) 260-2977
Medicaid ID
1053760553 WI
Medicare enrollment
Enrolled (PECOS I20160613000141); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest registered dietitian records → All 1,457 in Wisconsin → Look up another NPI →

Also registered at 700 S Park St Ste A

A shared address usually means a shared clinic or building; it does not show who employs whom.

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  4. Franklin Bendewald, M.D.Surgery Physician1275505646
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  6. Polly Boynton, APNPNurse Practitioner1871837633

Verify Jaclyn S. Boardman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 2911-029    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Dean Health Systems IncMadison, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jaclyn S. Boardman among 1,457 registered dietitian records in Wisconsin

Jaclyn S. Boardman, RD is one of 1,457 registered dietitian records with a practice address in Wisconsin. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 50% of them.

  • NPI issued2016 · 50% of these records are older, 46% newer
  • In a Medicare fileYes · 12% of these records are
  • In the CMS Doctors and Clinicians fileYes · 13% of these records are
  • Graduated2006 · median 2013 among the 182 with a school on file
  • Record last updated2024 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 133V00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

215 registered dietitian records list a practice address in Madison

They are 215 of the 15,014 NPPES records with a practice address in Madison, and 1,457 registered dietitian records in Wisconsin.

All 1,457 in Wisconsin → Every provider in Madison → Registered Dietitian nationwide →

The 8 registered dietitian records with the nearest ZIP codes

  1. Janice Antoniewicz-Werner, CDMadison, WI 537151790741288
  2. Melody Cole, MS RD CDMadison, WI 537151568421642
  3. Carly Degrood, RDMadison, WI 537151851409551
  4. Dana Evans, MS, RDMadison, WI 537151144383365
  5. Tammy Fumusa, RDMadison, WI 537151033277645
  6. Nan Olson, RD CDMadison, WI 537151255392155
  7. Diana Pederson, RDCDMadison, WI 537151578747630
  8. Kim Petershack, CDMadison, WI 537151346206323

Common questions

What is Jaclyn S. Boardman, RD's NPI number?

Jaclyn S. Boardman, RD's National Provider Identifier (NPI) is 1053760553, issued on Jun 7, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Jaclyn S. Boardman, RD located?

The NPPES record lists a practice address at 700 S Park St Ste A, Madison, WI, 53715. Phone: (608) 260-2900. Providers update this record themselves, so call before visiting.

How can I verify Jaclyn S. Boardman, RD's license?

NPPES lists Wisconsin license number 2911-029, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.