NPIMap

Organization Active NPI

Healtheast St. John's Hospital

Doing business as Fairview St John's Hospital

  • General Acute Care Hospital
  • Maplewood, MN
National Provider Identifier
1447218482
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
330904 Issued in MN
Legal business name
HEALTHEAST ST. JOHN'S HOSPITAL
Doing business as
Fairview St John's Hospital
Practice address
1575 Beam Ave
Maplewood, MN 55109-1126
Phone
(651) 232-7000
NPI assigned
May 1, 2006
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
General Acute Care Hospital 282N00000X 330904 MN Primary

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 1

IdentifierTypeStateIssuer
410852300MedicaidMN

Other names 2

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

Medicare participation

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

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447218482. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Apr 26, 1983 in MN
Enrollment address
1575 Beam Ave
Maplewood, MN 55109-1126
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
M Health Fairview St John's HospitalCCN 240210 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1017301Fairview St John's Hospital - Poc1575 Beam Avenue, Maplewood, MN 55109Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory

Member organizations 2

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

Locations

Nw8947
Minneapolis, MN 55485

1099 Helmo Ave N
Ste 110
Oakdale, MN 55128
Phone (651) 232-5075

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

17 Exchange St W
Ste 600
Saint Paul, MN 55102
Phone (651) 232-2550

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

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 Jan 1, 2023
David Martin Levy Individual Corporate DirectorBoard of Director Jan 1, 2023
Maureen Veronica-Reger Ring Individual Corporate DirectorAo Director Jan 1, 2023
W-2 Managing EmployeeAo Director Jan 1, 2023
Operational/Managerial ControlAo Director Jan 1, 2023
Stephen Jeffrey Swensen Individual Corporate DirectorBoard of Director Jan 1, 2023
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, 2023
Joe Charles Gaylord Individual Corporate DirectorCfo Jan 1, 2023
W-2 Managing Employee Jan 1, 2023
Operational/Managerial ControlCfo Jan 1, 2023
Kenneth Joseph Roering Individual Corporate DirectorBoard of Director Jun 1, 2017
James Hereford Individual Corporate DirectorDirector-President Jun 1, 2017
Paul Jr Hill Individual Corporate DirectorBoard of Director Jan 1, 2023
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 DirectorBoard of 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 Jan 1, 2023
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.

Practitioners & affiliated clinicians

Practitioners 931

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 931

Affiliated clinicians 1,177

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

View all 1,177

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1447218482",
    "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": "1575 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091126",
            "telephone_number": "651-232-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHEAST ST. JOHN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "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": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MN",
            "license": "330904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410852300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview St John's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M Health Fairview St John's Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.