Fairview Health Services
Organization Active NPI Psychiatric Hospital Unit · Minneapolis, MN
NPI 1679121024 · NPPES record last updated Feb 27, 2025
Key facts
- NPI
- 1679121024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- FAIRVIEW HEALTH SERVICES
- Practice address
- 2450 Riverside Ave
Minneapolis, MN 55454-1450 - Phone
- (612) 273-8700
- NPI assigned
- Aug 29, 2019
- Organization subpart
- No
Authorized official
- Name
- Maureen V Ring
- Title
- Sys Dir Govt Reimb & Netwk Rel
- Phone
- (612) 672-6740
Owners & managing parties with NPI records 1
-
Melissa Ann Geller, M.D.
Corporate family (same tax ID) 24
Related certifications (CCN) 3
Practitioners 21
-
Cristina Sophia Albott, M.D., M.A.
-
Matej Bajzer, MD, PHD
-
Biljana Capra, MD
-
Isadora L Felling, PMHNP-BC
-
Katarzyna J Litak, M.D.
-
Chiamaka Perditta Nwankiti, M.B.B.S, M.P.H
-
Caitlin Raasch, MD
-
John Ernest Simon, M.D.
-
Joel Strauch, M.D.
-
Allison Joan Yarusso, M.D.
-
Jennifer Lyn Zick, MD, PHD
-
Michael Anthony Fisher, M.D.
-
Jungjin Kim, MD
-
Tatyana Zharkova, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Hospital certification: CCN 24S080
- Legal name
- FAIRVIEW HEALTH SERVICES
- Doing business as
- FAIRVIEW HOSPITAL UNIVERSITY
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 20, 1972 in MN
- Enrollment address
- 2450 Riverside Ave
Minneapolis, MN 55454-1450 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Melissa Ann Geller |
Corporate Director |
Jan 1, 2024 | |
| David Martin Levy |
Corporate Director |
Jan 1, 2024 | |
| Maureen Veronica-Reger Ring |
Corporate Director |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Stephen Jeffrey Swensen |
Corporate Director |
Jan 1, 2024 | |
| Srijoy Mahapatra |
Corporate Director |
Oct 1, 2024 | |
| Jodi Richard |
Corporate Director |
Jan 1, 2019 | |
| Shawntera Monique Hardy |
Corporate Director |
Jan 1, 2024 | |
| Joe Charles Gaylord |
Corporate Officer |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Kenneth Joseph Roering |
Corporate Director |
Feb 23, 2017 | |
| James Hereford |
Corporate Director |
Dec 10, 2016 | |
| Paul Jr Hill |
Corporate Director |
Jan 1, 2024 | |
| Tami Lynn Reller |
Corporate Director |
May 9, 2024 | |
| Michael Roger Connly |
Corporate Director |
Jun 1, 2017 | |
| Karen Swearingen Richard |
Corporate Director |
Jan 1, 2025 | |
| John Charles Heinmiller |
Corporate Director |
Jul 1, 2017 | |
| Julie S Causey |
Corporate Director |
Jun 1, 2017 | |
| Barclay Edward Berdan |
Corporate Director |
Jan 1, 2024 | |
| Timothy Engel Marx |
Corporate Director |
Jun 1, 2017 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Capitol Park Mental Health Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (12.1%) | Dec 7, 2021 |
| Accentcare Fairview Home Health - East, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
| Accentcare Fairview Home Health - West, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
| Accentcare Fairview Hospice - West, LLC |
Hospice | 5% Or Greater Indirect Ownership Interest (20%) | Nov 2, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191220000114 | MN | Part a Provider - Hospital | 1951213057 | Practice locations: Minneapolis, MN |
National Provider Directory
- Tax ID family
- Mesaba Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Yes | ||
| Psychiatric Hospital | 283Q00000X |
Addresses
Primary practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (612) 672-6740
Other names
- UMMC, Fairview (Psych Unit)
Other providers in Minneapolis, MN
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Health Services
- Fairview Home Care and Hospice
- Fairview Home Care and Hospice
- Fairview Home Care and Hospice
All providers in Minneapolis, MN · Psychiatric Hospital Unit in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.