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Active NPI 1962710103 Individual Practitioner Female Practitioner

Jennifer E Leibold , PA-C

Physician Assistant • Dayton, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jennifer Leibold, PA-C is a certified Physician Assistant practicing in Dayton, OH. With approximately 12 years of clinical experience since completing medical education in 2014, Jennifer Leibold delivers high-quality medical care to the local community at 5491 FAR HILLS AVE.

Jennifer Leibold maintains professional affiliations with Vertrae, Inc., Urgent Care Specialists, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

5491 Far Hills Ave

Dayton, OH 454292325

Telephone 9374365763
Associated Practice Facility / Clinic
🏢 Buckeye Brace Facility NPI 1063478584

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dayton, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +3.3 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
250 Specialists

Practicing in Dayton, OH (5376 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leibold (12 Years) 12 Yrs
Dayton Specialty Average (8.7 Years) 8.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50001562

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License OH 50.001562

Definition to come...

Technician - Personal Care Attendant

NUCC Taxonomy Code: 3747P1801X

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0104799 (OH)

Hospital & Practice Group Affiliations

Urgent Care Specialists, Llc

6210 Brandt Pike, Huber Heights, OH 454244019

Phone: 9372368630

Vertrae, Inc.

4501 Lyons Rd, Miamisburg, OH 453426444

Phone: 8442552225

Secondary Practice Locations

6210 Brandt Pike Ste 102

Huber Heights, OH 454244019

Phone: 9372368630

9150 N Main St Ste 100

Englewood, OH 454151123

Phone: 9377713039

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Denita Fullam , PTA

Physical Therapy Assistant

NPI 1255124889

Physical Therapist Assistant

Dr. Joseph Paley , MD

Orthopaedic Surgery

NPI 1447325253

Doctor of Medicine (M.D.)

NPI 1477875805
Dr. Jonathan Paley , MD

Orthopaedic Surgery

NPI 1508967316

Doctor of Medicine (M.D.)

Chelsea Muncy , PTA

Physical Therapy Assistant

NPI 1669981890

Physical Therapist Assistant

Jonathan Gillman , PA-C

Physician Assistant

NPI 1750474821

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address March 05, 2026

Registered at 1430 OAK CT STE 100, BEAVERCREEK, OH 454301064 (Tel: 9374041101)

📍
Updated Practice Location July 23, 2024

Registered at 5491 FAR HILLS AVE, DAYTON, OH 454292325 (Tel: 9374365763)

📍
Updated Business Mailing Address July 23, 2024

Registered at 5491 FAR HILLS AVE, DAYTON, OH 454292325 (Tel: 9374365763)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Physician Assistant (License #50.001562 in OH)

NPI Profile Active October 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2014

Registered at 1010 WOODMAN DR, DAYTON, OH 454321400 (Tel: 9374242215)

📍
Updated Business Mailing Address October 30, 2014

Registered at 1010 WOODMAN DR, DAYTON, OH 454321400 (Tel: 9374242215)

👤
Provider Name / Credentials Updated October 30, 2014

Recorded as JENNIFER LEIBOLD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2014

Physician Assistant (License #50001562 in OH)

🟢
Initial NPI Registration & Enumeration September 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962710103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2010
Last Update: March 05, 2026
Sole Proprietor: No

Mailing Address

1430 Oak Ct Ste 100

Beavercreek, OH 454301064

Phone: 9374041101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.