Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Idaho
Cash-pay telehealth psychiatry for adults in the Idaho panhandle — from a provider licensed in Idaho, not across the line.
The nearest large medical system to Coeur d’Alene is in Spokane, thirty-five miles west and in another state. That works for many things, but for telehealth it often doesn’t: a provider must generally be licensed in the state where the patient is located at the time of the visit. Plenty of Washington practices simply cannot see you at home in Idaho.
So panhandle residents get squeezed from both directions — limited local psychiatric capacity, and a nearby metro whose telehealth options may not legally reach across the border.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner **licensed in Idaho**. Appointments are by video from wherever you are in the panhandle: $175 for a full hour, $65 for follow-ups.
Published, flat, cash-pay — and no insurance network to check first.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Coeur d'Alene-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 Coeur d'Alene with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Coeur d'Alene pharmacy the same day. Follow-ups are $65 and always with the same provider.
Antidepressants, mood stabilizers, non-stimulant ADHD medication and non-habit-forming options for anxiety and sleep, managed continuously rather than restarted every time an arrangement falls through.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines. It’s a fixed policy, and better read here than discovered in your appointment.
If a previous telehealth provider stopped being able to see you after a move or a licensing change, picking that thread back up properly is exactly the kind of visit this is built for.
The panhandle and the rest of Idaho:
See the full Idaho page for statewide pricing, licensing and FAQs.
A full hour for $175, from anywhere in the panhandle.
Book your first appointment