1. Home
  2. Directory
  3. Oregon
  4. Eugene
  5. Nurse Practitioner
  6. NPI Profile

MS. INGRID LARGE EDSTROM BSN CFNP MED
NPI 1689630410
Nurse Practitioner - Family in Eugene, OR

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
315 GOODPASTURE ISLAND RD, EUGENE, OR 97401(541) 302-2977(541) 302-6565 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2021, Nov 8, 2018 (2 updates tracked since 2018).

About Ms. Ingrid Large Edstrom Bsn Cfnp Med NPPES

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

MS. INGRID LARGE EDSTROM BSN CFNP MED (NPI 1689630410) is an individual family provider in Eugene, Oregon, licensed in Oregon (200550045NPPP) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1689630410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. INGRID LARGE EDSTROMCredential: BSN CFNP MED
Location Address315 GOODPASTURE ISLAND RDEugene, OR 97401-2109
Mailing Address1102 Hodson LnEugene, OR 97404-2944 · (541) 302-2977 · Fax (541) 302-6565
Phone(541) 302-2977
Fax(541) 302-6565
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1689630410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 200550045NPPP✔ Licensed in MA · 1113222
315 GOODPASTURE ISLAND RD, Eugene, OR 97401
Open in Google Maps ↗

Other Names 1

Former Name (1)Ingrid Padberg

Other Identifiers 3

Medicaid269858OR
Other200550045NPPPOr Fnp#
OtherNP2194OR · Bcbs

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

Ms. Ingrid Large Edstrom Bsn Cfnp Med 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 ID6901821883
PECOS Enrollment IDI20051010000844
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES

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

GINA ANDREASON BAUER
Naturopath
315 GOODPASTURE ISLAND RD
EUGENE, OR 97401
Lane County (541) 714-3440

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 Ingrid Edstrom's NPI number?

The NPI number for Ingrid Edstrom is 1689630410. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Ingrid Edstrom located?

Ingrid Edstrom practices at 315 Goodpasture Island Rd, Eugene, OR 97401. The listed phone number is (541) 302-2977.

What is Ingrid Edstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ingrid Edstrom enrolled in Medicare?

Yes. Ingrid Edstrom 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.

When was this NPI record last updated?

The NPPES record for Ingrid Edstrom was last updated on July 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.