Individual provider Active NPI

Rebecca Cissell Novo, MD

  • Plastic and Reconstructive Surgery Physician
  • Melbourne, FL
National Provider Identifier
1497996946
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME118444 Issued in FL
Practice address
6559 N Wickham Rd Ste C-105
Melbourne, FL 32940-2039
Phone
(321) 395-3298
Fax
(321) 241-1161
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME118444 FL Primary

Addresses

Primary practice location

6559 N Wickham Rd Ste C-105
Melbourne, FL 32940-2039

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

420 5th Ave
Indialantic, FL 32903-4280
Phone (321) 312-1352

Other practice location 2

6545 N Wickham Rd Ste 102
Melbourne, FL 32940-2042
Phone (321) 395-3298

Other practice location 3

6545 N Wickham Rd Ste 101
Melbourne, FL 32940-2042
Phone (321) 395-3298

Other practice location 4

2305 Vidina Dr Ste 102
Melbourne, FL 32940-8066
Phone (321) 441-8332

Other names 1

  • Dr. Rebecca Bachusz Former name

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address rnovomd@foryourbestself.emadirect.md
Direct Messaging Address rnovomd@foryourbestself.emadirect.md
Direct Messaging Address rnovomd@foryourbestself.emadirect.md
Direct Messaging Address rnovomd@foryourbestself.emadirect.md
Direct Messaging Address rnovomd@foryourbestself.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170515002273 FL Practitioner - Plastic and Reconstructive Surgery 8224315577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

6559 N Wickham Rd
Suite C 105
Melbourne, FL 32940-2039
Phone (321) 395-3298

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME118444FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Sep 1, 2020 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Sep 1, 2020 Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Health First Medical Group, LLC Plastic and Reconstructive Surgery PastSince Mar 25, 2017 Accepting new patients

Locations

420 5th Ave
Indialantic, FL 32903
Phone (321) 312-1352

6545 N Wickham Rd
Ste 102
Melbourne, FL 32940
Phone (321) 395-3298

6559 N Wickham Rd
Ste C105
Melbourne, FL 32940
Phone (321) 241-1160

6545 N Wickham Rd
Ste 101
Melbourne, FL 32940
Phone (321) 395-3298

2305 Vidina Dr
Ste 102
Melbourne, FL 32940
Phone (321) 441-8332

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

540 Fontaine St
Pensacola, FL 32503
Phone (800) 243-7546

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: rnovo71739@epicdirect.hf.org
  • Direct secure messaging: rnovomd@foryourbestself.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1497996946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 N WICKHAM RD STE C-105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402039",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329034280",
            "country_code": "US",
            "telephone_number": "321-312-1352",
            "fax_number": "321-312-1513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6545 N Wickham Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402042",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6545 N Wickham Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402042",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 Vidina Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408066",
            "country_code": "US",
            "telephone_number": "321-441-8332",
            "fax_number": "321-319-4931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVO",
        "first_name": "REBECCA",
        "middle_name": "CISSELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME118444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnovomd@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "420 5th Ave",
            "city": "Indialantic",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329034280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnovomd@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6545 N Wickham Rd Ste 101",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnovomd@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6545 N Wickham Rd Ste 102",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnovomd@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "2305 Vidina Dr Ste 102",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329408066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnovomd@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6559 N Wickham Rd Ste C-105",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BACHUSZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.