KENNEDY NICOLE GOMBERT
NPI 1154199792
Physician Assistant - Surgical in Richardson, TX
About Kennedy Nicole Gombert NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDY NICOLE GOMBERT (NPI 1154199792) is an individual surgical provider in Richardson, Texas, licensed in Texas (PA19009) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kennedy Nicole Gombert is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hunt Regional Medical Center
Acute Care Hospitals · Greenville, TXBaylor Scott And White Medical Center Lake Pointe
Acute Care Hospitals · Rowlett, TXTexas Health Presbyterian Hospital Rockwall
Acute Care Hospitals · Rockwall, TXMethodist Hospital For Surgery
Acute Care Hospitals · Addison, TXOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHARDSON, TX 75080
RICHARDSON, TX 75080
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kennedy Gombert's NPI number?
The NPI number for Kennedy Gombert is 1154199792. It was assigned to this individual provider in the NPPES registry on December 13, 2023.
Where is Kennedy Gombert located?
Kennedy Gombert practices at 2323 N Central Expy, Richardson, TX 75080. The listed phone number is (214) 453-4533.
What is Kennedy Gombert's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kennedy Gombert enrolled in Medicare?
Yes. Kennedy Gombert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kennedy Gombert accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kennedy Gombert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kennedy Gombert affiliated with any hospitals?
According to CMS data, Kennedy Gombert is affiliated with Hunt Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe, Texas Health Presbyterian Hospital Rockwall and Methodist Hospital For Surgery.
When was this NPI record last updated?
The NPPES record for Kennedy Gombert was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kennedy Nicole Gombert · NPI 1154199792
Surgical physician in Richardson, Texas. Individual provider, active in the CMS NPPES registry since December 13, 2023.
## Identity
- **NPI:** 1154199792 (Entity type: Individual)
- **Enumerated:** December 13, 2023
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA19009 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2323 N CENTRAL EXPY, Richardson, TX 75080-2712
- **Phone:** (214) 453-4533
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154199792) · Data from the CMS NPPES public registry.