Individual provider Active NPI

Jonathan David Hall, PA-C

  • Physician Assistant
  • Carlisle, PA
National Provider Identifier
1124124771
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054762 Issued in PA
Practice address
1201 Letort Springs Way
Carlisle, PA 17015-8011
Phone
(717) 674-7600
NPI assigned
Sep 14, 2006
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003856 MD
Physician Assistant 363A00000X MA054762 PA Primary
Physician Assistant 363A00000X 104052 NC

Addresses

Primary practice location

1201 Letort Springs Way
Carlisle, PA 17015-8011

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

36 Robinhood Dr
Etters, PA 17319-9528
Phone (717) 388-7300

Other practice location 2

86 Thomas Johnson Ct
Frederick, MD 21702-4348
Phone (301) 694-8311

Other practice location 3

14781 Wolfe Rd
New Freedom, PA 17349-9571
Phone (717) 326-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, DC, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20081017000431 MD Practitioner - Physician Assistant 1355308123 Reassigns benefits to 6 organizations
I20120105000450 PA Practitioner - Physician Assistant 1355308123 Reassigns benefits to 1 organization
I20140319000175 DC Practitioner - Physician Assistant 1355308123 Reassigns benefits to 1 organization
I20191119002544 VA Practitioner - Physician Assistant 1355308123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157

25 Monument Rd
York, PA 17403-5073

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
90.2
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003856MDMDPhysician Assistant
104052NCMDPhysician Assistant
MA054762PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 10, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2014 Accepting new patients
Meritus Medical Center Inc CurrentSince Jun 6, 2025 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jun 6, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 10, 2024 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Mar 8, 2014 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jun 6, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2014 Accepting new patients
Commonwealth Emergency Physicians PC Physician Assistant PastSince Apr 17, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20010 Century Blvd
Ste 200
Germantown, MD 20874

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: jhall1114932@meritus.direct-ci.net
  • Direct secure messaging: jhall526609@wellspan.direct-ci.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1124124771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LETORT SPRINGS WAY",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170158011",
            "telephone_number": "717-674-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Robinhood Dr",
            "address_purpose": "LOCATION",
            "city": "Etters",
            "state": "PA",
            "postal_code": "173199528",
            "country_code": "US",
            "telephone_number": "717-388-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Thomas Johnson Ct",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024348",
            "country_code": "US",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14781 Wolfe Rd",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173499571",
            "country_code": "US",
            "telephone_number": "717-326-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003856",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054762",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.