Individual provider Active NPI

Donna Jean Peace Elliott, MD

  • Family Medicine Physician
  • Tuba City, AZ
National Provider Identifier
1346265501
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31893 Issued in AZ
Practice address
Tuba City Regional Healthcare Corporation
167 N Main St
Tuba City, AZ 86045
Phone
(866) 976-5941
Fax
(928) 367-9988
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31893 AZ Primary

Addresses

Primary practice location

Tuba City Regional Healthcare Corporation
167 N Main St
Tuba City, AZ 86045

Mailing address

Tuba City Regional Healthcare Corporation
167 N Main St
Tuba City, AZ 86045
Phone (866) 976-5941

Other identifiers 1

IdentifierTypeStateIssuer
836190MedicaidAZ

Other names 1

  • Dr. Donna J Peace Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040329000471 AZ Practitioner - Family Practice 5193617637 Reassigns benefits to 1 organization
I20060425000720 TX Practitioner - Family Practice 5193617637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

167 N Main St
Tuba City Indian Medical Center
Tuba City, AZ 86045-0600
Phone (928) 283-2094

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31893AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Native Americans for Community Action, Inc CurrentSince Jul 27, 2020 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Oct 7, 2024 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Oct 7, 2024 Accepting new patients

Locations

1500 E Cedar Ave
Ste 56
Flagstaff, AZ 86004
Phone (928) 526-2968

1500 E Cedar Ave
Ste 26
Flagstaff, AZ 86004
Phone (928) 773-1245

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1346265501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TUBA CITY REGIONAL HEALTHCARE CORPORATION",
            "address_2": "167 N MAIN ST",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "866-976-5941",
            "fax_number": "928-367-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TUBA CITY REGIONAL HEALTHCARE CORPORATION",
            "address_2": "167 N MAIN ST",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "866-976-5941",
            "fax_number": "928-367-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACE ELLIOTT",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "31893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836190",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "PEACE",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tuba City, AZ

Sources for this page

Verify at the official NPI Registry.