MR. VICTOR LEE ILOG FNP
NPI 1134628563
Community Health Worker in Las Cruces, NM

Active since February 12, 2018
6202 ALCHEMY ST, LAS CRUCES, NM 88012(575) 520-2824 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2026, Sep 15, 2021, Aug 26, 2021 and 1 more (4 updates tracked since 2018).

About Mr. Victor Lee Ilog Fnp NPPES

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

MR. VICTOR LEE ILOG FNP (NPI 1134628563) is an individual community health worker in Las Cruces, New Mexico, licensed in New Mexico (G-1916) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1134628563
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameMR. VICTOR LEE ILOGCredential: FNP
Location Address6202 ALCHEMY STLas Cruces, NM 88012-0850
Mailing Address6202 Alchemy StLas Cruces, NM 88012-0850 · (575) 520-2824
Sole ProprietorNo
Enumeration DateFebruary 12, 2018
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1134628563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
License✔ Licensed in NM · G-1916
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
6202 ALCHEMY ST, Las Cruces, NM 88012

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Victor Lee Ilog Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Victor Ilog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
6202 ALCHEMY ST
LAS CRUCES, NM 88012
Community Health Worker
6202 ALCHEMY ST
LAS CRUCES, NM 88012
Health and Wellness Coach
6202 ALCHEMY ST
LAS CRUCES, NM 88012

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 Victor Ilog's NPI number?

The NPI number for Victor Ilog is 1134628563. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Victor Ilog located?

Victor Ilog practices at 6202 Alchemy St, Las Cruces, NM 88012. The listed phone number is (575) 520-2824.

What is Victor Ilog's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

Is Victor Ilog enrolled in Medicare?

Yes. Victor Ilog is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victor Ilog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victor Ilog reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Victor Ilog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victor Ilog was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.