Individual provider Active NPI

Donna Louise Elam, PA-C

  • Physician Assistant
  • Tumwater, WA
National Provider Identifier
1386796753
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003960 Issued in WA
Practice address
3118 Banks LN SW
Tumwater, WA 98512-1451
Phone
(360) 561-3098
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003960 WA Primary

Addresses

Primary practice location

3118 Banks LN SW
Tumwater, WA 98512-1451

Mailing address

3118 Banks LN SW
Tumwater, WA 98512-1451
Phone (360) 561-3098

Other identifiers 1

IdentifierTypeStateIssuer
8361933MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000103 WA Practitioner - Physician Assistant 8921158791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Integrative Medicine of Seattle Institute PLLCGroup PAC ID 6002155595, 4 clinicians

Practice addresses (Care Compare)

1136 Poplar PL S
Seattle, WA 98144-2834
Phone (206) 420-1321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrative Medicine of Seattle Institute, PLLC CurrentSince Jan 24, 2026 Accepting new patients
Sea Mar Community Health Centers CurrentSince Mar 1, 2020 Accepting new patients
Donna Elam PLLC Physician Assistant CurrentSince Sep 1, 2022 Accepting new patients
Sea Mar Community Health Centers CurrentSince Mar 1, 2020 Accepting new patients

Locations

130 Marvin Rd SE
Ste 111
Lacey, WA 98503
Phone (360) 357-9392

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

1136 Poplar Pl S
Seattle, WA 98144
Phone (206) 420-1321

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1386796753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 BANKS LN SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121451",
            "telephone_number": "360-561-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 BANKS LN SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121451",
            "telephone_number": "360-561-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "DONNA",
        "middle_name": "LOUISE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "10003960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8361933",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.