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

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
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Practice location Address checks out

2323 N Central Expy
Richardson, TX 75080-2712
Phone: (214) 453-4533
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Directions in Google Maps · Apple Maps · OpenStreetMap

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

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