Active NPI
Jensen Brooke Potenza, M.D.
- Psychiatry Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 55357
- Practice address
- 2211 Mayfair Dr Ste 409
Owensboro, KY 42301-4570 - Phone
- (270) 417-7980
- Fax
- (270) 417-7989
- NPI assigned
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 55357 | KY | Primary |
Addresses
Primary practice location
2211 Mayfair Dr Ste 409
Owensboro, KY 42301-4570
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
3430 Newburg Rd Ste 210
Louisville, KY 40218-2458
Phone (502) 454-8800
Other practice location 2
323 E Chestnut St
Louisville, KY 40202-1823
Phone (502) 852-3134
Other practice location 3
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-3772
Other practice location 4
908 Wallace Ave Ste 201
Leitchfield, KY 42754-1495
Phone (270) 230-0212
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpotenza118217@direct.owensborohealth.org | ||
| Direct Messaging Address | jpotenza118217@direct.owensborohealth.org | ||
| Direct Messaging Address | jpotenza118217@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Kentucky College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
2211 Mayfair Dr
Owensboro, KY 42301-4569
2211 Mayfair Dr
Suite 409
Owensboro, KY 42301-4570
Phone (270) 417-7980
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Psychiatry | Current | Accepting new patients |
| Dr Charles Bensenhaver III LLC | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Louisville Behavioral Health Systems PLLC | Psychiatry | Current | Accepting new patients |
| Owensboro Health Inc | Past | Accepting new patients |
Locations
908 Wallace Ave
Ste 201
Leitchfield, KY 42754
Phone (270) 230-0212
3430 Newburg Rd
Ste 210
Louisville, KY 40218
Phone (502) 225-4900
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2211 Mayfair Dr
Ste 409
Owensboro, KY 42301
Phone (270) 417-7980
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Psychiatry Physician
- Louisville, KY
- NPI 1619088549
-
- Obesity Medicine (Psychiatry & Neurology) Physician
- Louisville, KY
- NPI 1962108118
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Medical Group - Behavioral Health
- Psychiatry Physician
- Owensboro, KY
- NPI 1013353101
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1194259473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 MAYFAIR DR STE 409",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423014570",
"telephone_number": "270-417-7980",
"fax_number": "270-417-7989"
}
],
"practiceLocations": [
{
"address_1": "3430 Newburg Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402182458",
"country_code": "US",
"telephone_number": "502-454-8800",
"fax_number": "502-736-0140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "323 E Chestnut St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021823",
"country_code": "US",
"telephone_number": "502-852-3134",
"fax_number": "502-852-8866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039811",
"country_code": "US",
"telephone_number": "270-417-3772",
"fax_number": "270-417-3709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "908 Wallace Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Leitchfield",
"state": "KY",
"postal_code": "427541495",
"country_code": "US",
"telephone_number": "270-230-0212",
"fax_number": "270-230-0104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTENZA",
"first_name": "JENSEN",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-13",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "55357",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpotenza118217@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "2211 Mayfair Dr Ste 409",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423014570",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpotenza118217@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "1201 Pleasant Valley Rd",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423039811",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpotenza118217@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "908 Wallace Ave Ste 201",
"city": "Leitchfield",
"state": "KY",
"country_code": "US",
"postal_code": "427541495",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.