Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Dale Wayne Flewelling, NP-C

Individual provider Interventional Pain Medicine Physician · NPI 1417912700

Mr. Dale Wayne Flewelling, NP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2005, 21 years ago. Practices with Canyon Pain and Spine, an 18-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
21
Licensed in
AZ
In the registry since
2006
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

9305 W Thomas Rd Ste 500
Phoenix, AZ 85037-3354
Phone: (623) 792-1600
Fax: (602) 464-7427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 1417912700 (AZ)

Record details

NPI number1417912700
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESJanuary 15, 2022
Certification dateJanuary 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Canyon Pain And Spine — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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