Individual provider Active NPI

Lilia Avila, FNP-C

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1063993731
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017962 Issued in IL
Practice address
351 Executive Pkwy
Rockford, IL 61107-5339
Phone
(815) 398-4057
NPI assigned
Aug 22, 2018
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209017962 IL Primary

Addresses

Primary practice location

351 Executive Pkwy
Rockford, IL 61107-5339

Mailing address

351 Executive Pkwy
Rockford, IL 61107-5339
Phone (815) 398-4057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181126003880 IL Practitioner - Nurse Practitioner 1254685514 Reassigns benefits to 2 organizations
I20200918001725 WI Practitioner - Nurse Practitioner 1254685514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Urological Associates LTDGroup PAC ID 3971604380, 13 clinicians

Practice addresses (Care Compare)

351 Executive Pkwy
Rockford, IL 61107-5339
Phone (815) 398-4057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.99 of 100Reported as group
Quality
83.04
Promoting interoperability
100
Improvement activities
40
Cost
77.67

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Urological Associates, LTD. CurrentSince Mar 1, 2024 Accepting new patients
Rna of Rockford, PLLC CurrentSince Oct 6, 2018 Accepting new patients

Locations

351 Executive Pkwy
Rockford, IL 61107
Phone (815) 398-4057

612 Roxbury Rd
Rockford, IL 61107
Phone (815) 227-8300

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc30108_rockforduroassoc
  • Direct secure messaging: liliaavila@rua.medalliesdirect.net

Organizations & group practices 2

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1063993731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 EXECUTIVE PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075339",
            "telephone_number": "815-398-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 EXECUTIVE PKWY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075339",
            "telephone_number": "815-398-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "LILIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.