Individual provider Active NPI

Ernesto Heraclito Weisson, MD

  • Emergency Medicine Physician
  • Pensacola, FL
National Provider Identifier
1962084798
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME180122 Issued in FL
Practice address
1501 W Nine Mile Rd
Pensacola, FL 32534-5307
Phone
(850) 746-4958
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036171411 IL
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X ME180122 FL Primary

Addresses

Primary practice location

1501 W Nine Mile Rd
Pensacola, FL 32534-5307

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Other practice location 1

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

Other practice location 2

1400 NW 12th Ave
Miami, FL 33136-1087
Phone (305) 325-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241205000155 IL Practitioner - Emergency Medicine 3870975238 Reassigns benefits to 1 organization
I20250905002050 IA Practitioner - Emergency Medicine 3870975238 Reassigns benefits to 1 organization
I20260402000757 FL Practitioner - Emergency Medicine 3870975238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Miami, LM Miller School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Iowa PLLCGroup PAC ID 3476909409, 29 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000

3801 E Hwy 98
Vituity
Port St Joe, FL 32456-5318
Phone (850) 229-5600

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME180122FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Aug 7, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Aug 7, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5700

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1962084798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W NINE MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325345307",
            "telephone_number": "850-746-4958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "708-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361087",
            "country_code": "US",
            "telephone_number": "305-325-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISSON",
        "first_name": "ERNESTO",
        "middle_name": "HERACLITO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036171411",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME180122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.