1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Pediatrics
  6. NPI Profile

DR. DENISSE LETICIA STAUFERT GUTIERREZ MD
NPI 1912428590
Pediatrics - Developmental - Behavioral Pediatrics in Jackson, MS

Active since July 04, 2017PECOS Enrolled
4400 OLD CANTON RD FL 3, JACKSON, MS 39211(888) 815-2005 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Denisse Leticia Staufert Gutierrez Md NPPES

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

DR. DENISSE LETICIA STAUFERT GUTIERREZ MD (NPI 1912428590) is an individual developmental - behavioral pediatrics provider in Jackson, Mississippi, licensed in Mississippi (31016) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1912428590
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. DENISSE LETICIA STAUFERT GUTIERREZCredential: MD
Location Address4400 OLD CANTON RD FL 3Jackson, MS 39211-5982
Mailing Address504 Clinton Center Dr Ste 4300Clinton, MS 39056-5610 · (601) 984-1000 · Fax (601) 815-2005
Phone(888) 815-2005
Sole ProprietorNo
Enumeration DateJuly 4, 2017
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1912428590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in MS · 31016
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
4400 OLD CANTON RD FL 3, Jackson, MS 39211
Open in Google Maps ↗

Other Names 1

Other Name (5)Denisse Staufert-gutierrez

Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 984-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Denisse Leticia Staufert Gutierrez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Denisse Staufert Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Mississippi - University Of Mississippi Medical Center
2.0 mi
End-Stage Renal Disease (ESRD) Treatment
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1477734689 (866) 842-7574

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 Denisse Staufert Gutierrez's NPI number?

The NPI number for Denisse Staufert Gutierrez is 1912428590. It was assigned to this individual provider in the NPPES registry on July 4, 2017. The provider is also known as Denisse Staufert-Gutierrez.

Where is Denisse Staufert Gutierrez located?

Denisse Staufert Gutierrez practices at 4400 Old Canton Rd Fl 3, Jackson, MS 39211. The listed phone number is (888) 815-2005.

What is Denisse Staufert Gutierrez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Denisse Staufert Gutierrez enrolled in Medicare?

Yes. Denisse Staufert Gutierrez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denisse Staufert Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denisse Staufert Gutierrez reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). The 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 Denisse Staufert Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denisse Staufert Gutierrez accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Denisse Staufert Gutierrez 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 Denisse Staufert Gutierrez was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.