Active NPI
Dawn Mielke, MD
- Emergency Medicine Physician
- Grand Canyon, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 48080
- Practice address
- 1 Clinic Rd
Grand Canyon, AZ 86023-0290 - Phone
- (928) 638-2551
- Fax
- (928) 638-2598
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 037752 | GA | |
| Emergency Medicine Physician | 207P00000X | 48080 | AZ | Primary |
Addresses
Primary practice location
1 Clinic Rd
Grand Canyon, AZ 86023-0290
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9879
Other practice location 1
300 S 6th St
Williams, AZ 86046-0110
Phone (928) 635-4441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.59 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037752 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| North Country Healthcare Inc | Family Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients |
Locations
3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444
1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565
5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600
1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500
9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800
18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
Organizations & group practices 13
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1467564302
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1689745333
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1356674469
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1427615012
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1700423415
-
- Family Medicine Physician
- Payson, AZ
- NPI 1093146755
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1487754222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3630",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860033630",
"telephone_number": "928-522-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CLINIC RD",
"city": "GRAND CANYON",
"state": "AZ",
"postal_code": "860230290",
"telephone_number": "928-638-2551",
"fax_number": "928-638-2598"
}
],
"practiceLocations": [
{
"address_1": "300 S 6th St",
"address_purpose": "LOCATION",
"city": "Williams",
"state": "AZ",
"postal_code": "860460110",
"country_code": "US",
"telephone_number": "928-635-4441",
"fax_number": "928-635-4403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIELKE",
"first_name": "DAWN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "037752",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "48080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Canyon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.