Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer E Leibold, PA-C

Individual provider Medical Physician Assistant · NPI 1962710103

Jennifer E Leibold, PA-C is a Physician Assistant in Dayton, Ohio. Qualified in 2014, 12 years ago. Practices with Vertrae, Inc, a 3-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5491 Far Hills Ave
Dayton, OH 45429-2325
Phone: (937) 436-5763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9150 N Main St Ste 100, Englewood, OH 45415-1123 — (937) 771-3039
  • 6210 Brandt Pike Ste 102, Huber Heights, OH 45424-4019 — (937) 236-8630

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50001562 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 50.001562 (OH)
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1962710103
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2010
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vertrae, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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