DR. JENSEN BROOKE POTENZA (M.D.) – Psychiatry Physician, NPI 1194259473
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
398 PSYCHIATRY in KY
Provider Addresses for DR. JENSEN BROOKE POTENZA (M.D.)
3430 Newburg Rd Ste 210
Louisville, KY 402182458
Phone: (502) 454-8800
Fax: (502) 736-0140
Type: Location
1201 Pleasant Valley Rd
Owensboro, KY 423039811
Phone: (270) 417-3772
Fax: (270) 417-3709
Type: Location
323 E Chestnut St
Louisville, KY 402021823
Phone: (502) 852-3134
Fax: (502) 852-8866
Type: Location
908 Wallace Ave Ste 201
Leitchfield, KY 427541495
Phone: (270) 230-0212
Fax: (270) 230-0104
Type: Location
Abell Administration Center, 323, East Chestnut Street, Louisville, Jefferson County, Kentucky, 40202, United States
LOUISVILLE, KY 402021823
Phone: (502) 852-3134
Fax: (502) 852-8866
Type: Mailing
PO BOX 23229
OWENSBORO, KY 423043229
Phone: (270) 688-1330
Fax: (270) 688-1338
Type: Mailing
2211 MAYFAIR DR STE 409
OWENSBORO, KY 423014570
Phone: (270) 417-7980
Fax: (270) 417-7989
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210712002389 | I | Psychiatry | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | 15 | $0 |
Insurance plans in this area (ZIP 40218)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | CA | |
| O T O L A R Y N G O L O G Y | KY | |
| - | KY | |
| O T O L A R Y N G O L O G Y | MO | |
| - | KY | |
| Family Practice | IA | |
| - | KY | |
| Emergency Medicine | KY | |
| - | KY |
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