NPIMap

Healtheast St. John'S Hospital

Organization Active NPI General Acute Care Hospital · Maplewood, MN

NPI 1447218482 · NPPES record last updated Jun 26, 2026

Key facts

NPI
1447218482
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
330904 (MN)
Legal business name
HEALTHEAST ST. JOHN'S HOSPITAL
Practice address
1575 Beam Ave
Maplewood, MN 55109-1126
Phone
(651) 232-7000
NPI assigned
May 1, 2006
Organization subpart
No

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.

Other NPIs on the same Medicare enrollment 2

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

Member organizations 2

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

Practitioners 931

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

View all 931

Affiliated clinicians 1,177

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

View all 1,177

Medicare Care Compare: Hospital

Listed as
M Health Fairview St John'S Hospital CCN 240210
Overall star rating
★★★★★ 5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1017301Fairview St John'S Hospital - Poc
1575 Beam Avenue, Maplewood, MN 55109		Certificate of waiverNov 17, 2027

Medicare participation

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

Hospital certification: CCN 240210

Legal name
HEALTHEAST ST JOHN'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 31, 1985
Last certification
Jan 20, 2015
Beds
184
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Apr 26, 1983 in MN
Enrollment address
1575 Beam Ave
Maplewood, MN 55109-1126
Main/Primary Hospital Location
Hospital subgroups
Acute care

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		 Jan 1, 2023
David Martin Levy
Individual 		Corporate Director
Board of Director		 Jan 1, 2023
Maureen Veronica-Reger Ring
Individual 		Corporate Director
Ao Director		 Jan 1, 2023
W-2 Managing Employee
Ao Director		 Jan 1, 2023
Operational/Managerial Control
Ao Director		 Jan 1, 2023
Stephen Jeffrey Swensen
Individual 		Corporate Director
Board of Director		 Jan 1, 2023
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, 2023
Joe Charles Gaylord
Individual 		Corporate Director
Cfo		 Jan 1, 2023
W-2 Managing Employee Jan 1, 2023
Operational/Managerial Control
Cfo		 Jan 1, 2023
Kenneth Joseph Roering
Individual 		Corporate Director
Board of Director		 Jun 1, 2017
James Hereford
Individual 		Corporate Director
Director-President		 Jun 1, 2017
Paul Jr Hill
Individual 		Corporate Director
Board of Director		 Jan 1, 2023
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
Board of 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		 Jan 1, 2023
Timothy Engel Marx
Individual 		Corporate Director
Board of Director		 Jun 1, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031208000320 MN Part B Supplier - Clinic/Group Practice 9234035742 Receives reassigned benefits from 777 practitioners
2 other NPIs on this enrollment
Practice locations: Maplewood, MN; Ste 101a, MN
O20040519001469 MN Part a Provider - Hospital 9234035742 Practice locations: Woodbury, MN; St Paul, MN; Maplewood, MN; Oakdale, MN

National Provider Directory

Locations

7370 N Palm Ave
Ste 101
Fresno, CA 93711
Phone (559) 228-4222

Nw8947
Minneapolis, MN 55485

1690 University Ave W
Ste 430
Saint Paul, MN 55104
Phone (651) 232-5412

1875 Woodwinds Dr
Ste 150
Woodbury, MN 55125
Phone (651) 683-7000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207PE0004X
General Acute Care Hospital 282N00000X 330904 MN Yes

Addresses

Primary practice location

1575 Beam Ave
Maplewood, MN 55109-1126

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
410852300MedicaidMN

Other names

  • Fairview St John's Hospital Doing business as
  • M Health Fairview St John's Hospital Other name

Other providers in Maplewood, MN

All providers in Maplewood, MN · General Acute Care Hospital in Minnesota

Sources for this page

Verify at the official NPI Registry.