Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennedy Nicole Gombert

Individual provider Medical Physician Assistant · NPI 1154199792

Kennedy Nicole Gombert is a Physician Assistant in Richardson, Texas. Qualified in 2024, 2 years ago. Practices with Orthopaedic Specialists of Dallas PA, a 40-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2323 N Central Expy
Richardson, TX 75080-2712
Phone: (214) 453-4533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 325 Fm 548 Ste 100, Forney, TX 75126-6992 — (972) 771-8111
  • 1301 Summer Lee Dr, Rockwall, TX 75032-5452 — (972) 771-8111
  • 200 N Arch St, Royse City, TX 75189-8631 — (972) 771-8111
  • 200 N Virginia St, Terrell, TX 75160-2732 — (972) 771-8111
  • 731 Woodbridge Pkwy Ste 100, Wylie, TX 75098-7165 — (972) 771-8111

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA19009 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA19009 (TX)

Record details

NPI number1154199792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2023
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address2323 N Central Expy, Richardson, TX 75080-2712

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Orthopaedic Specialists Of Dallas Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Richardson