Leaf stoichiometry of plants can respond to variation in environments such as elevation ranging from low to high and success in establishing itself in a given montane ecosystem. An evaluation of the leaf stoichiometry of Qinghai Spruce (Picea crassifolia Kom.) growing at different elevations (2400 m, 2600 m, 2800 m, 3000 m, and 3200 m) in eastern China’s Qilian Mountains, showed that leaf carbon (LC) and leaf phosphorus (LP) were similar among elevations, with ranges of 502.76–518.02 g·kg−1, and 1.00–1.43 g·kg−1, respectively. Leaf nitrogen (LN) varied with changes of elevation, with a maxima of 12.82 g·kg−1 at 2600 m and a minima of 10.74 g·kg−1 at 2800 m. The LC:LN under 2400 m and 2600 m was lower than that under other elevations, while LC:LP and LN:LP were not different among these elevations. Except for LN and LC:LN, P. crassifolia’s other leaf stoichiometries remained relatively stable across elevations, partly supporting the homeostasis hypothesis. Variations in leaf stoichiometry across elevations were mainly linked to mean annual precipitation, mean annual temperature, soil pH, and the soil organic C to soil total N ratio. P. crassifolia growth within the study area was more susceptible to P limitation.