Active NPI
Blanche Kimbeng Afolabi, NP
- Psychiatric/Mental Health Nurse Practitioner
- Hanover, PA
National Provider Identifier
1891053211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP030413
- Practice address
- 120 Penn St
Hanover, PA 17331-1928 - Phone
- (717) 969-8400
- NPI assigned
- Apr 24, 2012
- Last updated
- Jun 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010913 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R199835 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP030413 | PA | Primary |
Addresses
Primary practice location
120 Penn St
Hanover, PA 17331-1928
Mailing address
120 Penn St
Hanover, PA 17331-1928
Phone (717) 969-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8-0010913 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
| R199835 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP030413 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1891053211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PENN ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311928",
"telephone_number": "717-969-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PENN ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311928",
"telephone_number": "717-969-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFOLABI",
"first_name": "BLANCHE",
"middle_name": "KIMBENG",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-24",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0010913",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R199835",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP030413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
- Adefolaseyi L Aderotoye, MD
- Christine Elizabeth Adkins, LSW
- Advanced Otolaryngology & Allergy LLC (Target Health)
- Advanced Otolaryngology & Allergy LLC (Advanced ENT and Allergy)
- Kathryn Afflebach, CRNP
- Esther S Ajjarapu, MD
- Kaitlyn Marie Akers, PA-C
- Ayoola O Akinbamowo, MD
- Amanda C Albin, CRNP
- Debbie Allison
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.