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

Mr. Victor Lee Ilog, FNP

Individual provider Community Health Worker · NPI 1134628563

Mr. Victor Lee Ilog, FNP is a Nurse Practitioner in Las Cruces, New Mexico. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
9
Licensed in
NM
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6202 Alchemy St
Las Cruces, NM 88012-0850
Phone: (575) 520-2824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence G-1916 (NM)

Record details

NPI number1134628563
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 12, 2018
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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