Active NPI
Rebecca Cissell Novo, MD
- Plastic and Reconstructive Surgery Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME118444
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 14 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME118444 | FL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Current | 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 | Past | 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
- rnovo71739@epicdirect.hf.org
- 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.
-
dba Advanced Dermatology & Skin Care Centre
- Dermatology Physician
- Miramar Beach, FL
- NPI 1154815546
-
dba Henghold Dermatology, A Forefront Dermatology Practice
- Dermatology Physician
- Pensacola, FL
- NPI 1083259642
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Plastic and Reconstructive Surgery
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.