MRS. MINDY KAYE DOMBROVSKI LICSW
NPI 1093033805
Social Worker - Clinical in Woodbury, MN
About Mrs. Mindy Kaye Dombrovski Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MINDY KAYE DOMBROVSKI LICSW (NPI 1093033805) is an individual clinical provider in Woodbury, Minnesota, licensed in Minnesota (15202) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Golden Valley, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mindy Kaye Dombrovski Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show Mindy Dombrovski reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1467159210 (Wisconsin)
- 3,633 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 94 clinicians in this Medicare group
Hudson, WI 54016
- Reassigned Medicare billing, Wisconsin enrollment
- 158 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
New Richmond, WI 54017
- Reassigned Medicare billing, Wisconsin enrollment
- 357 clinicians in this Medicare group
Amery, WI 54001
- Reassigned Medicare billing, Wisconsin enrollment
- 348 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mindy Dombrovski's NPI number?
The NPI number for Mindy Dombrovski is 1093033805. It was assigned to this individual provider in the NPPES registry on May 4, 2010.
Where is Mindy Dombrovski located?
Mindy Dombrovski practices at 8675 Valley Creek Rd, Woodbury, MN 55125. The listed phone number is (651) 241-3000.
What is Mindy Dombrovski's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mindy Dombrovski enrolled in Medicare?
Yes. Mindy Dombrovski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mindy Dombrovski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mindy Dombrovski reassigns Medicare benefits to 8 organizations: Allina Health System (Woodbury, MN), Fairview Express Care (Woodbury, MN), Healtheast Medical Research Institute (Woodbury, MN), Lakeview Memorial Hospital Association Inc. (Stillwater, MN), Hudson Hospital, Inc. (Hudson, WI) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mindy Dombrovski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mindy Dombrovski accept?
Health plans from Sanford Health Plan and UnitedHealthcare list Mindy Dombrovski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mindy Dombrovski was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Mindy Kaye Dombrovski, LICSW · NPI 1093033805
Clinical provider in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since May 4, 2010.
## Identity
- **NPI:** 1093033805 (Entity type: Individual)
- **Enumerated:** May 4, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 15202 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8675 VALLEY CREEK RD, Woodbury, MN 55125-2337
- **Phone:** (651) 241-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1497279756, Woodbury, MN); Fairview Express Care (NPI 1700235587, Woodbury, MN); Healtheast Medical Research Institute (NPI 1588063580, Woodbury, MN); Lakeview Memorial Hospital Association Inc. (NPI 1821114729, Stillwater, MN); Hudson Hospital, Inc. (NPI 1255532875, Hudson, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** May 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093033805) · Data from the CMS NPPES public registry.