Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Idaho
Cash-pay telehealth psychiatry for adults in Boise and across the Treasure Valley — medication management without the months-long wait.
The Treasure Valley has added tens of thousands of people over the last decade. The number of psychiatric prescribers did not keep pace. The practical result is familiar to anyone who has tried to make an appointment: the front desk is friendly, and the next new-patient opening is in the spring.
Boise is also where the rest of Idaho drives. When Ada County’s providers are full, the options for someone in a smaller town thin out fast — and a four-hour round trip for a twenty-minute medication check is not a treatment plan anyone sticks with.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Idaho. Every appointment is by video: no parking downtown, no waiting room, no half day off work. A first visit is a full hour for $175, and there is usually availability within the week.
Most Boise practices won’t quote a price until you’ve already called billing. Here it is up front, in plain numbers.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Boise-area private psychiatrist, first visit, out of pocket | $250–$500 |
| Typical follow-up, out of pocket | $100–$250 |
Payment is collected after your appointment, not when you book. A valid card is kept securely on file and charged once the visit is complete. No insurance is billed, so there is no deductible to meet and no surprise bill weeks later.
Pick a time that works. No referral, no waitlist, no phone tag — most new patients are seen within a week.
A full 60 minutes with Tyler, from anywhere in Boise with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Boise pharmacy the same day. Follow-ups are $65 and always with the same provider.
The core of the work is medication: starting it, adjusting it, combining it carefully, and reassessing whether it’s still earning its place. Antidepressants, mood stabilizers, non-stimulant ADHD medications, and non-habit-forming options for anxiety and sleep.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines. That’s a fixed policy, not a case-by-case decision, and it’s better stated here than discovered in your appointment.
I also spend real time on what can come off. If you arrived in Boise already on something that was started years ago in another state and never reviewed, that reassessment is exactly the kind of visit this practice is built around.
Idaho is a big state with very few psychiatric providers outside the cities. Telehealth means the drive doesn’t decide whether you get care:
See the full Idaho page for statewide pricing, licensing and FAQs.
Sixty minutes, $175, from anywhere in Boise or the Treasure Valley.
Book your first appointment