KRISTEN DOMBOVY DNP
NPI 1508481094
Nurse Practitioner - Family in Floodwood, MN
About Kristen Dombovy Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN DOMBOVY DNP (NPI 1508481094) is an individual family provider in Floodwood, Minnesota, licensed in Minnesota (7546) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Virginia, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Kristen Dombovy Dnp 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
2Medicare enrollment records show Kristen Dombovy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Floodwood, MN 55736
- Reassigned Medicare billing, Minnesota enrollment
- 27 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health Virginia
Acute Care Hospitals · Virginia, MNCook Hospital
Critical Access Hospitals · Cook, MNBigfork Valley Hospital
Critical Access Hospitals · Bigfork, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
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 Kristen Dombovy's NPI number?
The NPI number for Kristen Dombovy is 1508481094. It was assigned to this individual provider in the NPPES registry on June 10, 2020.
Where is Kristen Dombovy located?
Kristen Dombovy practices at 810 Poplar St, Floodwood, MN 55736. The listed phone number is (218) 476-2221.
What is Kristen Dombovy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristen Dombovy enrolled in Medicare?
Yes. Kristen Dombovy 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 Kristen Dombovy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Dombovy reassigns Medicare benefits to 2 organizations: Cook Area Health Services, Inc (Floodwood, MN) and Grand Itasca Clinic And Hospital (Grand Rapids, MN). 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 Kristen Dombovy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristen Dombovy accept?
Health plans from Sanford Health Plan list Kristen Dombovy 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.
Is Kristen Dombovy affiliated with any hospitals?
According to CMS data, Kristen Dombovy is affiliated with Essentia Health Virginia, Cook Hospital and Bigfork Valley Hospital.
When was this NPI record last updated?
The NPPES record for Kristen Dombovy was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Kristen Dombovy, DNP · NPI 1508481094
Family physician in Floodwood, Minnesota. Individual provider, active in the CMS NPPES registry since June 10, 2020.
## Identity
- **NPI:** 1508481094 (Entity type: Individual)
- **Enumerated:** June 10, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7546 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 810 POPLAR ST, Floodwood, MN 55736-4002
- **Phone:** (218) 476-2221 · **Fax:** (218) 476-2965
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cook Area Health Services, Inc (NPI 1174596027, Floodwood, MN); Grand Itasca Clinic And Hospital (NPI 1669426631, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1508481094) · Data from the CMS NPPES public registry.