Kristen Dombovy, DNP - Medicare Nurse Practitioner in Floodwood, MN

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Kristen Dombovy, DNP is a medicare enrolled "Nurse Practitioner - Family" in Floodwood, Minnesota. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cook Area Health Services, Inc, Grand Itasca Clinic And Hospital and her current practice location is 810 Poplar St, Floodwood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 476-2221.

Kristen Dombovy is licensed to practice in Minnesota (license number 7546) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508481094.

Contact Information

Kristen Dombovy, DNP
810 Poplar St,
Floodwood, MN 55736-4002
(218) 476-2221
(218) 476-2965

Map and Direction




Provider's Profile

Full NameKristen Dombovy
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location810 Poplar St, Floodwood, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristen Dombovy graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1508481094
  • Provider Enumeration Date: 06/10/2020
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355741786
  • Enrollment ID: I20210607001925

Medical Identifiers

Medical identifiers for Kristen Dombovy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508481094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7546 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand Itasca Clinic And HospitalGrand rapids, MNHospital
Bigfork Valley HospitalBigfork, MNHospital
Cook HospitalCook, MNHospital
Community Memorial HospitalCloquet, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cook Area Health Services, Inc488068130326
Grand Itasca Clinic And Hospital8123939550115

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Dombovy allows following entities to bill medicare on her behalf.
Entity NameGrand Itasca Clinic And Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209
Entity NameCook Area Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174596027
PECOS PAC ID: 4880681303
Enrollment ID: O20040427001470

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Dombovy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristen Dombovy, DNP
810 Poplar St,
Floodwood, MN 55736-4002

Ph: (218) 476-2221		Kristen Dombovy, DNP
810 Poplar St,
Floodwood, MN 55736-4002

Ph: (218) 476-2221

Reviews and Comments


Nurse Practitioner Nurses in Floodwood, MN

Dawn Christine Shafer, RN-CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 126 W 7th Ave, Floodwood, MN 55736
Phone: 218-476-2221    Fax: 218-476-2965

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.