Kennedy Nicole Gombert

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA19009 Issued in TX

Practice address

2323 N Central Expy
Richardson, TX 75080-2712

Phone

(214) 453-4533

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Specialists of Dallas PAGroup PAC ID 4880756873, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
• Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044
• Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Orthopaedic Specialists of Dallas, PA

  • Orthopaedic Surgery Physician
  • Rockwall, TX
  • NPI 1841449584

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Orthopaedic Specialists of Dallas, PA

  • Orthopaedic Surgery Physician
  • Forney, TX
  • NPI 1811872187

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Michael Allison, M.D.

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1336144724

  Hospital

  Care Compare affiliation
• Renato Victor Bosita, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1184663163

  Hospital

  Care Compare affiliation
• Albert C Broders III, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1699721415

  Hospital

  Care Compare affiliation
• Clinton Ray Brunson, M.D.

  • Diagnostic Radiology Physician
  • Palestine, TX
  • NPI 1942252267

  Hospital

  Care Compare affiliation
• Allan Odell Cook Jr., M.D.

  • Vascular Surgery Physician
  • Richardson, TX
  • NPI 1902842008

  Hospital

  Care Compare affiliation
• Hunt Memorial Hospital District

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation
• Bobby Huynh, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Richardson, TX
  • NPI 1114035383

  Hospital

  Care Compare affiliation
• Teresa D Kowalczyk, MD

  • Gynecology Physician
  • Greenville, TX
  • NPI 1538170261

  Hospital

  Care Compare affiliation
• Lake Pointe Operating Company, LLC

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation
• Metdalspi, LLC

  • General Acute Care Hospital
  • Addison, TX
  • NPI 1023338142
  Care Compare affiliation
• Rockwall Regional Hospital, LLC

  • General Acute Care Hospital
  • Rockwall, TX
  • NPI 1629138029
  Care Compare affiliation
• Fayez G Seif, MD

  • Gastroenterology Physician
  • Mesquite, TX
  • NPI 1861591604

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1154199792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N CENTRAL EXPY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N CENTRAL EXPY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802712",
            "telephone_number": "214-453-4533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Fm 548 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266992",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Woodbridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987165",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Arch St",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751898631",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "TX",
            "postal_code": "751602732",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Summer Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750325452",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMBERT",
        "first_name": "KENNEDY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA19009",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA19009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Associates Inc
• Bryan Golden, ACA, BC-HIS
• Lindsay Brooke Goldman, M.S. CCC-SLP
• Christina Rose Gollis, M.S.
• Amol Golwala
• Gomer Hearing, LLC
• Chinghuey Anne Gomez, MD
• Lucita R Gonzales
• Genesis Gonzalez
• Jennifer Gonzalez

• Surgical Physician Assistant in Richardson, TX
• Providers in Richardson, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.