Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulmira Boltaeva

Individual provider Family Nurse Practitioner · NPI 1275242851

Gulmira Boltaeva is a Nurse Practitioner in Brooklyn, New York. Qualified in 2022, 4 years ago. Practices with Mission Medical Care PC, a 54-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
4
Licensed in
NJ, NY
In the registry since
2022
Specialties on file
3

Practice location Address checks out

1901 Avenue P Apt 3B
Brooklyn, NY 11229-1354
Phone: (347) 543-5255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ14922000 (NJ)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 755044 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F350545-01 (NY)

Record details

NPI number1275242851
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mission Medical Care Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Brooklyn