INSTITUTE OF FACIAL SURGERY INC
NPI 1386855096
Specialist in West Melbourne, FL

Active since May 24, 2007
1093 S WICKHAM RD, WEST MELBOURNE, FL 32904(321) 674-3900(321) 722-3303 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Institute Of Facial Surgery Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INSTITUTE OF FACIAL SURGERY INC (NPI 1386855096) is a healthcare organization registered as a specialist in West Melbourne, Florida and active in the NPI registry since May 2007. The organization lists Lance F Grenevicki, Ownerdoctor, as its authorized official.

NPPES Registry Identity

NPI1386855096
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINSTITUTE OF FACIAL SURGERY INC
Location Address1093 S WICKHAM RDWest Melbourne, FL 32904-1652
Mailing Address1093 S Wickham RdWest Melbourne, FL 32904-1652 · (321) 674-3900 · Fax (321) 722-3303
Fax(321) 722-3303
Organization SubpartNo
Authorized OfficialLance F GrenevickiOwnerdoctor · (321) 674-3900
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 24, 2010
✔ NPI 1386855096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 429
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1093 S WICKHAM RD, West Melbourne, FL 32904

Other Identifiers 1

Medicare ID-Type UnspecifiedK3129FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Institute Of Facial Surgery Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Institute Of Facial Surgery Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maxillofacial Surgery
NPI 1255306866
1093 S WICKHAM RD THE INSTITUTE OF FACIAL SURGERY
West Melbourne, FL 32904
(321) 674-3900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Institute Of Facial Surgery Inc's NPI number?

The NPI number for Institute Of Facial Surgery Inc is 1386855096. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Institute Of Facial Surgery Inc located?

Institute Of Facial Surgery Inc is located at 1093 S Wickham Rd, West Melbourne, FL 32904. The listed phone number is (321) 674-3900.

What is Institute Of Facial Surgery Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Institute Of Facial Surgery Inc enrolled in Medicare?

Yes. Institute Of Facial Surgery Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Institute Of Facial Surgery Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Institute Of Facial Surgery Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Institute Of Facial Surgery Inc accept?

Health plans from Ambetter Health and Ambetter of Alabama list Institute Of Facial Surgery Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Institute Of Facial Surgery Inc was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.