NPIMap

Organization Active NPI

Fairview Bethesda Hospital

  • Long Term Care Hospital
  • Saint Paul, MN
National Provider Identifier
1194787465
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
338943 Issued in MN
Legal business name
FAIRVIEW BETHESDA HOSPITAL
Doing business as
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
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FAIRVIEW BETHESDA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

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

Specialties & licenses 1

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

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 names 3

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194787465. Details of each certification follow.

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
CorporationNon-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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
M Health Fairview Bethesda HospitalCCN 242004 · All quality measures
Ownership
Non-profit
Certified
Jan 20, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Beds
254

National Provider Directory

National Provider Directory
Part of
He Bethesda Luth Hosp

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

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

Owners & managing parties with NPI records 1

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

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 HumboldtSaint Paul, MN, CCN 245255A Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%) Jul 1, 2005
Cerenity-Marian of St. Paul, LLCSaint Paul, MN, CCN 245365B Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%) Dec 15, 2017

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 544

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 544

Affiliated clinicians 12

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

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1194787465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-6740",
            "fax_number": "612-884-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 10TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021062",
            "telephone_number": "651-232-2000",
            "fax_number": "651-232-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW BETHESDA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIRVIEW BETHESDA HOSPITAL",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "VERONICA-REGER",
        "authorized_official_title_or_position": "SYS DIR GOVT REIMB & NETWK REL",
        "authorized_official_telephone_number": "612-672-6740"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MN",
            "license": "338943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Bethesda Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthEast Bethesda Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HealthEast Bethesda Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "M Health Fairview Bethesda Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.