Individual provider Active NPI

Dawn Mielke, MD

  • Emergency Medicine Physician
  • Grand Canyon, AZ
National Provider Identifier
1487754222
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
48080 Issued in AZ
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

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112000898 AZ Practitioner - Emergency Medicine 1850780834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
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

LicenseStateTypeSpecialty
037752GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Urgent Care, LLC CurrentSince May 9, 2022 Accepting new patients
Honorhealth Urgent Care, LLC Family Medicine Current Accepting new patients
District Medical Group, Inc CurrentSince Nov 15, 2021 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince May 23, 2022 Accepting new patients
North Country Healthcare Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
District Medical Group, Inc Emergency Medicine CurrentSince Nov 15, 2021 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. CurrentSince May 23, 2022 Accepting new patients
North Country Healthcare, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Cigna Health Care of Arizona Inc Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince May 9, 2022 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.

View all 13

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

Verify at the official NPI Registry.