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

Miss. Beatrice Gilzine-Blackwood, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1093122525

Miss. Beatrice Gilzine-Blackwood, NURSEPRACTITIONER is a Nurse Practitioner in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Modern Physician Services PC, a 53-clinician group and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
5
Licensed in
MD, NY
In the registry since
2014
Specialties on file
5

Practice location Address checks out

5002 Flatlands Ave
Brooklyn, NY 11234-2223
Phone: (916) 527-4740
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R263821 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 349762 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R263821 (MD)
Registered Nurse Taxonomy 163W00000X · Licence 686918-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R263821 (MD)

Record details

NPI number1093122525
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJuly 16, 2014
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Modern Physician Services Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brooklyn