Individual provider Active NPI

Mary Jo Hall, M.D.

  • Pediatrics Physician
  • Chambersburg, PA
National Provider Identifier
1295732014
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD419110 Issued in PA
Practice address
830 5TH Ave Ste 103
Chambersburg, PA 17201-4224
Phone
(717) 709-7950
Fax
(717) 263-8898
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD419110 PA Primary

Addresses

Primary practice location

830 5TH Ave Ste 103
Chambersburg, PA 17201-4224

Mailing address

111 Chambers Hill Dr Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922

Other identifiers 1

IdentifierTypeStateIssuer
001898069MedicaidPA

Other names 1

  • Mary Jo Foreman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000357 PA Practitioner - Pediatric Medicine 0244413805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center CurrentSince Jan 1, 2011 Accepting new patients
Keystone Rural Health Center CurrentSince Jan 1, 2011 Accepting new patients
Keystone Rural Health Center Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
The Chambersburg Hospital Past Accepting new patients

Locations

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

511 S 6th St
Chambersburg, PA 17201
Phone (717) 709-7956

22 St Paul Dr
Ste 200
Chambersburg, PA 17201
Phone 71770979227985

830 5th Ave
Ste 103
Chambersburg, PA 17201
Phone (717) 263-0550

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

45 Roadside Ave
Frnt
Waynesboro, PA 17268
Phone (717) 387-3860

Interoperability endpoints

  • Direct secure messaging: mhall241985@wellspan.direct-ci.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1295732014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 5TH AVE STE 103",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-709-7950",
            "fax_number": "717-263-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD419110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001898069",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FOREMAN",
            "middle_name": "JO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.