As an Adult-Gerontology Primary Care Nurse Practitioner (APRN, AGPCNP-BC), I am licensed and board-certified to serve as a primary care provider. I can:

·        Diagnose and treat medical conditions

·        Prescribe medications (including sleep medications when appropriate)

·        Order and interpret labs, imaging, and other diagnostic studies

·        Provide preventive care, chronic disease management, and health counseling

·        Write orders for therapy, home health, and specialty referrals

The main difference between a nurse practitioner and a physician is our training model: physicians are trained in the medical model, while nurse practitioners are trained in the nursing model, which emphasizes patient-centered care, education, and wellness alongside medical treatment. Both NPs and physicians can serve as your primary care provider, but NPs bring a unique emphasis on holistic, relationship-based care.

Medicare patients: I will bill Medicare (and secondary insurance if you have it) for medically necessary visits and procedures.

·Non-Medicare patients: Visits are billed directly to you at the rates above; I can provide a superbill for potential reimbursement.

If you have private insurance other than Medicare, I am considered out-of-network. I can provide a superbill that you may submit to your insurer for potential reimbursement, depending on your plan.

• Annual laboratory panel

• Priority and same-week appointments

• Direct communication (phone, text, email)

• Transitional care coordination after hospital stays

• Exclusive discounts on wellness services such as IV therapy, injections, and weight management programs

Medically necessary visits will be billed to Medicare/insurance. Cash-based services such as IV infusions, vitamin injections, and weight management therapies are offered at member-discounted rates. House calls for convenience or non-medical purposes are also billed separately.

Covered: If a home visit is medically necessary (for example, a patient is homebound or unable to travel), it may be billed to Medicare.

Not covered: If the home visit is elective or for convenience (for example, you prefer not to come into the office), it is a cash service billed separately.

Cash-pay convenience visits are subject to a separate travel/driving fee determined by location

Medicare is always primary. Your secondary plan may cover co-pays, deductibles, or coinsurance left over after Medicare.

Membership fees are not covered by Medicare or secondary insurance — those are always out-of-pocket.

On the rare occasion I am away, I will notify my patients in advance and arrange for backup coverage from a trusted local provider (Dr. Gocke) or ensure you have appropriate access to urgent care or specialists as needed.

No — my patients have direct access to me. Calls, texts, or secure messages come straight to me, not through a call center.

No — I do not provide inpatient hospital rounding. However, I work closely with a specific JMC hospitalist (and her team) who handles admissions for my patients and collaborates with me throughout your stay.

This allows me to focus on transitional care:

• I track your hospital status

• Coordinate with the hospital team

• Review your discharge instructions and medications

• Ensure you have timely follow-up with me after your hospital stay

• This continuity helps reduce readmissions and ensures a smooth recovery.