Individual provider Active NPI

Jensen Brooke Potenza, M.D.

  • Psychiatry Physician
  • Owensboro, KY
National Provider Identifier
1194259473
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55357 Issued in KY
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

Updated by the provider on May 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712002389 KY Practitioner - Psychiatry 4981006038 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
Dr Charles Bensenhaver III LLC CurrentSince Jan 31, 2023 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Louisville Behavioral Health Systems PLLC Psychiatry CurrentSince Jul 1, 2021 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.