NPIMap

Fairview Bethesda Hospital

Organization Active NPI Long Term Care Hospital · Saint Paul, MN

NPI 1194787465 · NPPES record last updated Jun 26, 2026

Key facts

NPI
1194787465
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Hospital 282E00000X
License
338943 (MN)
Legal business name
FAIRVIEW BETHESDA HOSPITAL
Practice address
45 10TH St W
Saint Paul, MN 55102-1062
Phone
(651) 232-2000
Fax
(651) 232-2118
NPI assigned
Apr 4, 2006
Organization subpart
Yes
Parent organization (as reported)
FAIRVIEW BETHESDA HOSPITAL

Authorized official

Name
Maureen Veronica-Reger Ring
Title
Sys Dir Govt Reimb & Netwk Rel
Phone
(612) 672-6740

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 545

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 545

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Long-term care hospital

Listed as
M Health Fairview Bethesda Hospital CCN 242004
Ownership
Non-profit
Certified
Jan 20, 1989
Medicare certification status
Active (Provider of Services file)
Beds
254

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN

Hospital certification: CCN 242004

Legal name
FAIRVIEW BETHESDA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 20, 1989
Last certification
Jan 13, 2011
Beds
254
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
May 4, 1983 in MN
Enrollment address
45 10TH St W
Saint Paul, MN 55102-1062
Main/Primary Hospital Location
Hospital subgroups
Long-term

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Ann Geller
Individual 		Corporate Director
Board of Director		 Oct 18, 2019
David Martin Levy
Individual 		Corporate Director
Board of Director		 Jan 1, 2021
Maureen Veronica-Reger Ring
Individual 		Corporate Director
System Director		 Dec 9, 2022
W-2 Managing Employee Dec 9, 2022
Stephen Jeffrey Swensen
Individual 		Corporate Director
Board of Director		 Feb 12, 2021
Srijoy Mahapatra
Individual 		Corporate Director
Board of Director		 Jan 1, 2026
Jodi Richard
Individual 		Corporate Director
Board of Director		 Jan 1, 2019
Shawntera Monique Hardy
Individual 		Corporate Director
Board of Director		 Jan 1, 2021
Joe Charles Gaylord
Individual 		Corporate Officer
Cfo		 Dec 9, 2022
W-2 Managing Employee
Cfo		 Dec 9, 2022
Kenneth Joseph Roering
Individual 		Corporate Director
Board of Director		 Jun 1, 2017
James Hereford
Individual 		Corporate Director
Board of Director		 Jun 1, 2017
Paul Jr Hill
Individual 		Corporate Director
Board of Director		 Jan 1, 2022
Tami Lynn Reller
Individual 		Corporate Director
Board of Director		 Jan 1, 2025
Michael Roger Connly
Individual 		Corporate Director
Board of Director		 Jun 1, 2017
Karen Swearingen Richard
Individual 		Corporate Director Jan 1, 2025
John Charles Heinmiller
Individual 		Corporate Director
Board of Director		 Jul 1, 2017
Julie S Causey
Individual 		Corporate Director
Board of Director		 Dec 1, 2011
Barclay Edward Berdan
Individual 		Corporate Director
Board of Director		 Oct 18, 2019
Timothy Engel Marx
Individual 		Corporate Director
Board of Director		 Jun 1, 2017

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cerenity Care Center on Humboldt
Saint Paul, MN · CCN 245255A		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%) Jul 1, 2005
Cerenity-Marian of St. Paul, LLC
Saint Paul, MN · CCN 245365B		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%) Dec 15, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031208000483 MN Part B Supplier - Clinic/Group Practice 7214833763 Receives reassigned benefits from 526 practitioners
1 other NPI on this enrollment
Practice locations: Saint Paul, MN
O20040216000433 MN Part a Provider - Hospital 7214833763 Practice locations: Saint Paul, MN

National Provider Directory

Part of
Fairview Bethesda Hospital

Locations

1747 Beam Ave
Maplewood, MN 55109
Phone (651) 326-5444

2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 338943 MN Yes

Addresses

Primary practice location

45 10TH St W
Saint Paul, MN 55102-1062

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740

Other identifiers

IdentifierTypeStateIssuer
921547600MedicaidMN

Other names

  • Fairview Bethesda Hospital Doing business as
  • HealthEast Bethesda Hospital Former legal business name
  • M Health Fairview Bethesda Hospital Other name

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Long Term Care Hospital in Minnesota

Sources for this page

Verify at the official NPI Registry.