PHILLIP JAMES CRAIG (PA-C) – Surgical Physician Assistant, NPI 1659340669

PHILLIP JAMES CRAIG (PA-C) is a healthcare provider. based in Edina, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9925 (MN). The NPI Number for PHILLIP JAMES CRAIG (PA-C) is 1659340669

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP JAMES CRAIG (PA-C)
NPI
1659340669
Phone
(952) 832-0805
Address
3400 W 66TH ST
Enumeration Date
14 March 2006
Last Update Date
9 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126727422
Graduation Year
2004 (22 years ago)
PAC ID
9133187495
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20050103000798
Address ID
MN554142959MI717XXSEXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for PHILLIP JAMES CRAIG (PA-C)

  • 3400, West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 350

    EDINA, MN 554352111

    Phone: (952) 832-0805

    Fax: (952) 832-5597

    Type: Mailing

  • 6405, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    #W440

    EDINA, MN 554352163

    Phone: (952) 927-7004

    Fax: (952) 927-5146

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050103000798IPhysician AssistantMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2011$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Where can patients find PHILLIP JAMES CRAIG (PA-C)'s NPI?
You can confirm PHILLIP JAMES CRAIG (PA-C) with NPI 1659340669; it appears in the national provider directory.
Does this profile mean PHILLIP JAMES CRAIG (PA-C) is currently active?
Yes — PHILLIP JAMES CRAIG (PA-C) appears active in the national provider directory.
Does PHILLIP JAMES CRAIG (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for PHILLIP JAMES CRAIG (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for PHILLIP JAMES CRAIG (PA-C)?
We surface Edina, Minnesota for PHILLIP JAMES CRAIG (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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