1. Home
  2. Directory
  3. Virginia
  4. Arlington
  5. Nurse Practitioner
  6. NPI Profile

MR. CRAIG JAMES PHILHOWER FNP-C
NPI 1285085076
Nurse Practitioner - Family in Arlington, VA

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
950 N GLEBE RD STE 4000, ARLINGTON, VA 22203(571) 366-8850(813) 315-6180 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2024, May 5, 2020, Apr 1, 2020 and 1 more (4 updates tracked since 2016).

About Mr. Craig James Philhower Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CRAIG JAMES PHILHOWER FNP-C (NPI 1285085076) is an individual family provider in Arlington, Virginia, licensed in Connecticut (12181) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rockledge, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285085076
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CRAIG JAMES PHILHOWERCredential: FNP-C
Location Address950 N GLEBE RD STE 4000Arlington, VA 22203-1824
Mailing Address11186 Wheeler Ridge DrManassas, VA 20109-5708 · (703) 922-3743
Phone(571) 366-8850
Fax(813) 315-6180
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 23, 2016
Last NPPES UpdateAugust 20, 20254 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1285085076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CT · 12181✔ Licensed in FL · APRN11006453✔ Licensed in VA · 0024173663
950 N GLEBE RD STE 4000, Arlington, VA 22203
Open in Google Maps ↗

Secondary Practice Location 1

Location 16450 US Highway 1Rockledge, FL 32955-5747 · Phone (321) 434-1512 · Fax (321) 434-5485

Other Identifiers 1

OtherMD597FL · Fl Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Craig James Philhower Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496038416
PECOS Enrollment IDI20170216001390, I20191106000273, I20200324000246, I20200403001278, I20200407000834, I20200428000816, I20240604001193, I20241118002294
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

12

Medicare enrollment records show Craig Philhower reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC
Same address
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, Maryland enrollment
  • 339 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
Same address
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850
Medstar Medical Group II LLC
3.0 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Oh Independent Medical Group LLC
326 mi
Family Medicine
3430 OHIO HEALTH PKWY
Columbus, OH 43202
  • Reassigned Medicare billing, Ohio enrollment
  • 174 clinicians in this Medicare group
NPI 1497482111 (614) 566-0152
Privia Medical Group Of Georgia LLC
556 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285
Privia Medical Group Tennessee LLC
563 mi
Family Medicine
1 VANTAGE WAY STE C240
Nashville, TN 37228
  • Reassigned Medicare billing, Tennessee enrollment
  • 173 clinicians in this Medicare group
NPI 1376110858 (571) 982-6636
Privia Medical Group Florida, LLC
770 mi
General Practice
140 6TH AVE
Indialantic, FL 32903
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Health First Privia Medical Group
  • 329 clinicians in this Medicare group
NPI 1700649043 (321) 312-3501
Privia Medical Group Gulf Coast, PLLC
1,220 mi
Obstetrics & Gynecology
7900 FANNIN ST STE 4000
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 497 clinicians in this Medicare group
NPI 1578969465 (713) 512-7500
Privia Medical Group West Texas, PLLC
1,346 mi
Specialist
1665 ANTILLEY RD, # 200
Abilene, TX 79606
  • Reassigned Medicare billing, Texas enrollment
  • 83 clinicians in this Medicare group
NPI 1346242567 (325) 793-5375
Great Falls Clinic LLC
1,807 mi
Multi-Specialty
3000 15TH AVE S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 119 clinicians in this Medicare group
NPI 1801897780 (406) 454-2171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
177 services171 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Philhower's NPI number?

The NPI number for Craig Philhower is 1285085076. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Craig Philhower located?

Craig Philhower practices at 950 N Glebe Rd Ste 4000, Arlington, VA 22203. The listed phone number is (571) 366-8850.

What is Craig Philhower's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Craig Philhower enrolled in Medicare?

Yes. Craig Philhower is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Craig Philhower's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Philhower reassigns Medicare benefits to 12 organizations: Privia Care Center LLC (Arlington, VA), Privia Medical Group, LLC (Arlington, VA), Medstar Medical Group II LLC (Washington, DC), Oh Independent Medical Group LLC (Columbus, OH), Privia Medical Group Of Georgia LLC (Fayetteville, GA) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Craig Philhower's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Philhower accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and MedMutual and 8 other insurers list Craig Philhower as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Craig Philhower was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.