Individual provider Active NPI

Donna Renee Peeper, NP

  • Nurse Practitioner
  • Russellville, AR
National Provider Identifier
1407789860
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
236946 Issued in AR
Practice address
812 N Arkansas Ave
Russellville, AR 72801-3867
Phone
(479) 449-1085
NPI assigned
Jun 5, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 236946 AR Primary

Addresses

Primary practice location

812 N Arkansas Ave
Russellville, AR 72801-3867

Mailing address

812 N Arkansas Ave
Russellville, AR 72801-3867
Phone (479) 449-1085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 Calgary TRL
Little Rock, AR 72211-4177

PO Box
Nashville, TN 37230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
236946ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC CurrentSince Jun 10, 2026 Accepting new patients
Fast Pace Mississippi, PLLC PastSince Jun 10, 2026 Accepting new patients

Locations

812 N Arkansas Ave
Russellville, AR 72801
Phone (479) 449-1085

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1407789860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N ARKANSAS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013867",
            "telephone_number": "479-449-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N ARKANSAS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013867",
            "telephone_number": "479-449-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEPER",
        "first_name": "DONNA",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "236946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.