Individual provider Active NPI

Halina Dombkowski, APRN

  • Family Nurse Practitioner
  • Avon, CT
National Provider Identifier
1215330436
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005489 Issued in CT
Practice address
40 Dale Rd Ste 202
Avon, CT 06001-3692
Phone
(860) 644-1521
Fax
(860) 644-3335
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 005489 CT Primary

Addresses

Primary practice location

40 Dale Rd Ste 202
Avon, CT 06001-3692

Mailing address

30 Jordan Lane
Wethersfield, CT 06109-1278
Phone (860) 845-0905

Other practice location 1

100 Grand St
New Britain, CT 06052-2016
Phone (860) 518-7875

Other practice location 2

151 Hazard Ave Ste 9
Enfield, CT 06082-4588
Phone (860) 644-1521

Other practice location 3

925 Sullivan Ave Ste 1
South Windsor, CT 06074-2080
Phone (860) 644-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224000453 CT Practitioner - Nurse Practitioner 7113243841 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

40 Dale Rd
Suite 103
Avon, CT 06001-3692
Phone (860) 644-1521

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
005489CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Family CurrentSince Jun 6, 2023 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Jan 29, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Nov 1, 2023 Accepting new patients
Middlesex Hospital CurrentSince Jun 6, 2023 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Feb 15, 2016 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Dec 14, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Nov 1, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jan 12, 2015 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jan 12, 2015 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

200 Seabury Dr
Fl 5
Bloomfield, CT 06002

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • Direct secure messaging: halina.dombkowski@xdr.hhchealthdirect.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1215330436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LANE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091278",
            "telephone_number": "860-845-0905",
            "fax_number": "860-913-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DALE RD STE 202",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013692",
            "telephone_number": "860-644-1521",
            "fax_number": "860-644-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Grand St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522016",
            "country_code": "US",
            "telephone_number": "860-518-7875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Hazard Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824588",
            "country_code": "US",
            "telephone_number": "860-644-1521",
            "fax_number": "860-644-3335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Sullivan Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060742080",
            "country_code": "US",
            "telephone_number": "860-644-1521",
            "fax_number": "860-644-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBKOWSKI",
        "first_name": "HALINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.