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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNEDY NICOLE GOMBERT
NPI 1154199792
Physician Assistant in Richardson, TX

Active since December 13, 2023PECOS Enrolled
2323 N CENTRAL EXPY, RICHARDSON, TX 75080(214) 453-4533 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Dec 13, 2023 (2 updates tracked since 2023).

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 physician assistant 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 6 additional practice locations.

NPPES Registry Identity

NPI1154199792
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY NICOLE GOMBERT
Location Address2323 N CENTRAL EXPYRichardson, TX 75080-2712
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(214) 453-4533
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 13, 2023
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1154199792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA19009
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA19009 (TX)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA19009 (TX)
2323 N CENTRAL EXPY, Richardson, TX 75080
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1325 Fm 548 Ste 100Forney, TX 75126-6992 · Phone (972) 771-8111
Location 2731 Woodbridge Pkwy Ste 100Wylie, TX 75098-7165 · Phone (972) 771-8111
Location 3200 N Virginia StTerrell, TX 75160-2732 · Phone (972) 771-8111
Location 4200 N Arch StRoyse City, TX 75189-8631 · Phone (972) 771-8111
Location 54200 W University DrProsper, TX 75078-9805 · Phone (682) 303-4200 · Fax (682) 303-4242
Location 61301 Summer Lee DrRockwall, TX 75032-5452 · Phone (972) 771-8111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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.

PECOS PAC ID9335665256
PECOS Enrollment IDI20250423003635
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEENA AKHTAR
Physician Assistant
2323 N CENTRAL EXPY
RICHARDSON, TX 75080
Dallas County (214) 453-4533
MICHAEL NGUYEN
Physician Assistant
2323 N CENTRAL EXPY
RICHARDSON, TX 75080
Dallas County (214) 453-4533
ASHLEY PESEK
Physician Assistant
2323 N CENTRAL EXPY
RICHARDSON, TX 75080
Dallas County (214) 453-4533
SAMANTHA THOMPSON
Physician Assistant
2323 N CENTRAL EXPY
RICHARDSON, TX 75080
Dallas County (214) 453-4533
CAROLINA MONEE RAMIREZ
Student in an Organized Health Care Education/Training Program
2323 N CENTRAL EXPY
RICHARDSON, TX 75080
Dallas County (214) 453-4533
RAMSHA KHAN
Student in an Organized Health Care Education/Training Program
2323 N CENTRAL EXPY
RICHARDSON, TX 75080
Dallas County (601) 212-8899
LATOYA BORDA APRN
Nurse Practitioner (Family)
2323 N CENTRAL EXPY
RICHARDSON, TX 75080
Dallas County (321) 987-5709
CRYSTALINE BUI
Physician Assistant
2323 N CENTRAL EXPY
RICHARDSON, TX 75080
Dallas County (214) 453-4533

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 with taxonomy code 363A00000X.

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 2 other insurers 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 October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.