Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Ingrid Large Edstrom, BSNCFNPMED

Individual provider Family Nurse Practitioner · NPI 1689630410

MS. Ingrid Large Edstrom, BSNCFNPMED is a Nurse Practitioner in Eugene, Oregon. Qualified in 1974, 52 years ago. Accepts Medicare assignment. Licensed in Massachusetts and Oregon.

Years since qualifying
52
Licensed in
MA, OR
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

315 Goodpasture Island Rd
Eugene, OR 97401-2109
Phone: (541) 302-2977
Fax: (541) 302-6565
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 200550045NPPP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1113222 (MA)

Record details

NPI number1689630410
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSNCFNPMED
Sole proprietorNo
NPI enumeratedApril 21, 2006
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eugene