Edra Nordstrom, M.D.
NPI 1063823987 · Internal Medicine Physician · Saint Paul, MN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edra Nordstrom, M.D. is a Internal Medicine Physician provider in Saint Paul, MN (NPI 1063823987).
Provider details
- NPI number
- 1063823987
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 63394 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
687 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 223 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 141 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 122 | $88 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 65 | $124 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test85027 | 35 | $6 |
| Screening Mammography77067 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 125 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 633 | 181 |
| Amlodipine Besylate | 411 | 122 |
| Lisinopril | 349 | 95 |
| Omeprazole | 277 | 83 |
| Levothyroxine Sodium | 242 | 71 |
| Losartan Potassium | 236 | 68 |
| Gabapentin |
Practice location
Mailing address
Additional practice locations (1)
- 420 Delaware St SeMmc 284Minneapolis, MN 55455-0341Phone: (612) 626-5031
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2018-08-30
Frequently asked questions
- What is Edra Nordstrom's NPI number?
- Edra Nordstrom's National Provider Identifier (NPI) is 1063823987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edra Nordstrom's specialty?
- Edra Nordstrom is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edra Nordstrom located?
- Edra Nordstrom's practice location on file with NPPES is 205 Wabasha St S, Saint Paul, MN 55107-1805.
- What is Edra Nordstrom's phone number?
- The practice phone number listed in the NPPES registry for Edra Nordstrom is (952) 967-5584.
- Does Edra Nordstrom accept Medicare?
- Edra Nordstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edra Nordstrom's NPI active?
- Yes — Edra Nordstrom's NPI (1063823987) is active in the NPPES registry as of the last update on 2018-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.