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

Mrs. Jena Cosby, LISW-S

Individual provider Social Worker · NPI 1215376439

Mrs. Jena Cosby, LISW-S is a Physician Assistant in Moraine, Ohio. Qualified in 2023, 3 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2013
Specialties on file
2

Practice location Address checks out

5348 Lamme Rd
Moraine, OH 45439-3215
Phone: (937) 534-4651
Fax: (937) 522-8799
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1 Childrens Plz, Dayton, OH 45404-1815 — (937) 641-3401
  • 3095 Kettering Blvd., Dayton, OH 45439 — (937) 293-8300
  • 3333 W Tech Rd, Miamisburg, OH 45342-0955 — (937) 641-3401

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008345 (OH)
Social Worker Taxonomy 104100000X · Licence S.1302527 (OH)

Record details

NPI number1215376439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedJune 20, 2013
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Moraine