1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Internal Medicine
  6. NPI Profile

EDRA NORDSTROM M.D.
NPI 1063823987
Internal Medicine in Saint Paul, MN

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
205 WABASHA ST S, SAINT PAUL, MN 55107(952) 967-5584 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2018, Jul 2, 2018 (2 updates tracked since 2018).

About Edra Nordstrom M.d. NPPES

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

EDRA NORDSTROM M.D. (NPI 1063823987) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (63394) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1063823987
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameEDRA NORDSTROMCredential: M.D.
Location Address205 WABASHA ST SSaint Paul, MN 55107
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
Phone(952) 967-5584
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2014
Enumeration DateMay 13, 2014
Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration
✔ NPI 1063823987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 63394
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
205 WABASHA ST S, Saint Paul, MN 55107
Open in Google Maps ↗

Secondary Practice Location 1

Location 1420 Delaware St SE, MMC 284Minneapolis, MN 55455-0341 · Phone (612) 626-5031

Other Identifiers 1

Medicaid1063823987MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edra Nordstrom M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850643800
PECOS Enrollment IDI20181003000010
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
223 services107 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services95 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services91 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
35 services32 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers17 claims78 services$3.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.34 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers33 claims1,110 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHELLE COLEEN HICKS FNP
Nurse Practitioner (Family)
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (651) 293-8100
HUIYING GUO M.D.
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (952) 967-5584
LILY KATHLEEN WARD MD
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (952) 967-5584
MS. JESSICA RANALLO CNM
Advanced Practice Midwife
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (952) 967-5584
ERIN FLORIN NP
Nurse Practitioner
205 WABASHA ST S
ST PAUL, MN 55107
Ramsey County (952) 853-8800
SAMANTHA ZARSKE PA-C
Physician Assistant
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (651) 293-8100
EMILY M THOMPSON MD
Emergency Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (952) 853-8800
DR. SALVADOR FEDERICO CALAF M.D.
Orthopaedic Surgery
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (651) 293-8100

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 Edra Nordstrom's NPI number?

The NPI number for Edra Nordstrom is 1063823987. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Edra Nordstrom located?

Edra Nordstrom practices at 205 Wabasha St S, Saint Paul, MN 55107. The listed phone number is (952) 967-5584.

What is Edra Nordstrom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edra Nordstrom enrolled in Medicare?

Yes. Edra Nordstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edra Nordstrom accept?

Health plans from HealthPartners and Medica list Edra Nordstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edra Nordstrom affiliated with any hospitals?

According to CMS data, Edra Nordstrom is affiliated with Park Nicollet Methodist Hospital and Regions Hospital.

When was this NPI record last updated?

The NPPES record for Edra Nordstrom was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.