NPIMap

Organization Active NPI

Fairview Health Services

Doing business as Fairview Northland Hospital

  • General Acute Care Hospital
  • Princeton, MN
National Provider Identifier
1922085299
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
00408 Issued in MN
Legal business name
FAIRVIEW HEALTH SERVICES
Doing business as
Fairview Northland Hospital
Fairview Northland Regional Hospital
Practice address
911 Northland Dr
Princeton, MN 55371-2172
Phone
(763) 389-1313
Fax
(763) 389-6306
NPI assigned
Dec 28, 2005
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X
General Acute Care Hospital 282N00000X 00408 MN Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

911 Northland Dr
Princeton, MN 55371-2172

Mailing address

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

Other identifiers 15

IdentifierTypeStateIssuer
15F16VAOtherMNBCBS
5002OtherMNPREFERREDONE
76895OtherMNPREFERREDONE
9840014OtherMNMEDICA
24560FAOtherMNBCBS
3943740OtherMNMEDICA
5002017OtherMNMEDICA
980226003OtherMNMHP
1006066OtherMNPREFERREDONE
1814HFAOtherMNBCBS
8866OtherMNHEALTHPARTNERS
710047700MedicaidMN
140046OtherMNUCARE
20103813OtherMNMHP
27581OtherMNHEALTHPARTNERS

Other names 3

  • Fairview Northland Hospital Doing business as
  • Fairview Northland Regional Hospital Doing business as
  • M Health Fairview Northland Medical Center Other name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000461 MN Part B Supplier - Clinic/Group Practice 1951213057 Receives reassigned benefits from 4,101 practitioners
This NPI is an additional NPI on the enrollment
O20060428000402 MN Part A Provider - Hospital 1951213057 1 other NPI on this enrollment
Practice locations: Elk River, MN; Milaca, MN; Princeton, MN; Zimmerman, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922085299. Details of each certification follow.

Hospital certification: CCN 240141

Legal name
FAIRVIEW HEALTH SERVICES
Doing business as
FAIRVIEW NORTHLAND REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1976
Last certification
Sep 10, 1984
Beds
54
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Dec 20, 1972 in MN
Enrollment address
911 Northland Drive
Princeton, MN 55371-2172
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Fairview Northland Regional HospitalCCN 240141 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Fairview Riverside Med Ctr70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Ownership & related parties

All disclosed owners & managing parties 22

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 DirectorDirector Jan 1, 2022
David Martin Levy Individual Corporate DirectorDirector Jan 1, 2022
Maureen Veronica-Reger Ring Individual Corporate DirectorAo Director Dec 1, 2022
Operational/Managerial ControlAo Director Dec 1, 2022
Stephen Jeffrey Swensen Individual Corporate DirectorDirector Jan 1, 2022
Karen Minda Grabow Individual Corporate DirectorDirector/Secretary Jan 1, 2011
Robert Andrew McCoy Individual Corporate DirectorVP Revenue Management May 1, 2019
W-2 Managing EmployeeVP Revenue Management May 1, 2019
Operational/Managerial ControlVP Revenue Management May 1, 2019
Ann Marie Williamson Individual Corporate DirectorDirector Jan 1, 2022
Jodi Richard Individual Corporate DirectorDirector Jan 1, 2019
Shawntera Monique Hardy Individual Corporate DirectorDirector Jan 1, 2022
Myron Lee Frans Individual Corporate DirectorDirector Jan 1, 2022
Kenneth Joseph Roering Individual Corporate DirectorDirector Feb 23, 2017
James Hereford Individual Corporate DirectorPresident Dec 10, 2016
Richard Thomas Ostlund Individual Corporate DirectorDirector Jan 1, 2014
Paul Jr Hill Individual Corporate DirectorDirector Jan 1, 2022
Bradford Winston Wallin Individual Corporate DirectorDirector Jan 1, 2012
Michael Roger Connly Individual Corporate DirectorDirector Jun 1, 2017
Ann Christine Lowry Individual Corporate DirectorDirector Jan 1, 2012
John Charles Heinmiller Individual Corporate DirectorDirector Jul 1, 2017
Jakub Tolar Individual Corporate DirectorDirector Jan 1, 2017
Betsy Lou Wergin Individual Corporate DirectorDirector Jan 1, 2011
Julie S Causey Individual Corporate DirectorDirector Jun 1, 2017
Timothy Engel Marx Individual Corporate DirectorDirector Jul 1, 2017

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Capitol Park Mental Health HospitalSaint Paul, MN, CCN 244019 Hospital 5% Or Greater Direct Ownership Interest (12.1%) Dec 7, 2021
Accentcare Fairview Home Health - East, LLCOakdale, MN, CCN 247166 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Home Health - West, LLCSaint Paul, MN, CCN 247078 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020
Accentcare Fairview Hospice - West, LLCSaint Paul, MN, CCN 241514 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 2, 2020

Practitioners & affiliated clinicians

Practitioners 299

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 299

Affiliated clinicians 246

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

View all 246

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1922085299",
    "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": "911 NORTHLAND DR",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712172",
            "telephone_number": "763-389-1313",
            "fax_number": "763-389-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "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": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MN",
            "license": "00408",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15F16VA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "5002",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "76895",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "9840014",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24560FA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "3943740",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5002017",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP",
            "identifier": "980226003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1006066",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1814HFA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "8866",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710047700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "140046",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP",
            "identifier": "20103813",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "27581",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Northland Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Northland Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M Health Fairview Northland Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Princeton, MN

Sources for this page

Verify at the official NPI Registry.