Lilia Ivette Bonilla, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001263A Issued in IN

Practice address

1313 W Chicago Ave
East Chicago, IN 46312-3316

Phone

(219) 398-9685

Fax

(219) 398-9695

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthlinc Inc 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lilia.bonilla@healthlinc.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthlinc, Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1528262581

  IN

  Medicare reassignment Care Compare group NPD
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1508433707
  Care Compare group NPD
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • Morocco, IN
  • NPI 1568354116
  Care Compare group NPD
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1063256626
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • La Porte, IN
  • NPI 1538728399
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • La Porte, IN
  • NPI 1538980990
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1578293452
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1790158244
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • Knox, IN
  • NPI 1801063268
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1811465602
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1972071769
  Care Compare group
• Healthlinc, Inc.

  • Federally Qualified Health Center (FQHC)
  • Michigan City, IN
  • NPI 1013105568
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1689776882

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1023040458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 VALLEY DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832520",
            "telephone_number": "219-413-5100",
            "fax_number": "219-465-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123316",
            "telephone_number": "219-398-9685",
            "fax_number": "219-398-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "LILIA",
        "middle_name": "IVETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001263A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200848650",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "71001263B",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lilia.bonilla@healthlinc.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1313 W Chicago Ave",
            "city": "East Chicago",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463123316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Archie Blackwood, LSW
• Gregory Lee Blair
• Alfonso A Blum, M.
• Addison M Boardman
• Deborah Kay Bona
• Eugene Keith Boone, D.D.S
• Tonda Rochelle Boyd, BS
• Kale Lean Bradford
• Stacie Braswell, MD
• John Francis Breslin, LSW, LCAC

• All providers in East Chicago, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.