Individual provider Active NPI

Erin Rachelle Edmunds, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1730765868
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
202108243NP-PP Issued in OR
Practice address
495 Silver Meadows Dr
Eugene, OR 97404-5906
Phone
(404) 862-0297
Fax
(404) 777-2042
NPI assigned
Mar 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN258379 GA
Acute Care Nurse Practitioner 363LA2100X 202108243NP-PP OR Primary

Addresses

Primary practice location

495 Silver Meadows Dr
Eugene, OR 97404-5906

Mailing address

495 Silver Meadows Dr
Eugene, OR 97404-5906
Phone (404) 862-0297

Other names 1

  • Erin Rachelle Macdonald Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901004208 OR Practitioner - Nurse Practitioner 4385040161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 International Way
Suite 200
Springfield, OR 97477-7004
Phone (541) 844-0151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN258379GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Advanced Illness Management - Oregon, L.L.C. CurrentSince Sep 3, 2024 Accepting new patients
Bristol Hospice - Eugene, LLC CurrentSince Sep 3, 2024 Accepting new patients
Daiya Healthcare PLLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

1735 Adkins St
Eugene, OR 97401
Phone (541) 683-5032

10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

1077 Gateway Loop
Ste B
Springfield, OR 97477
Phone (541) 844-0151

400 International Way
Ste 200
Springfield, OR 97477
Phone (541) 844-0151

2002 Timberloch Pl
Ste 150A
The Woodlands, TX 77380
Phone (281) 419-4476

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1730765868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 SILVER MEADOWS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045906",
            "telephone_number": "404-862-0297",
            "fax_number": "404-777-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 SILVER MEADOWS DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045906",
            "telephone_number": "404-862-0297",
            "fax_number": "404-777-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "ERIN",
        "middle_name": "RACHELLE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN258379",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "202108243NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MACDONALD",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.