Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Nevada
Cash-pay telehealth psychiatry for adults in northeastern Nevada — where the nearest city is hours away.
Elko is roughly 230 miles from Salt Lake City and nearly 300 from Reno. There is no version of “just drive to the specialist” that works here. Whatever psychiatric care exists locally is what exists, and when it’s full the honest alternative has often been nothing.
The mines run on rotating schedules and long rotations, which makes even local weekday appointments impossible for a large share of the workforce — and does real damage to sleep, which does real damage to everything else.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Nevada. Appointments are by video with early, late and weekend slots: $175 for a full hour, $65 for follow-ups.
Cash-pay and published, which in a town this size is the difference between booking and not.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Elko-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 Elko with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Elko pharmacy the same day. Follow-ups are $65 and always with the same provider.
The thing isolation destroys is follow-up. Twenty minutes on video every one to three months keeps a medication plan being adjusted instead of frozen for years.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines, no exceptions. Stating it plainly saves everyone a wasted appointment.
Antidepressants, mood stabilizers, non-stimulant ADHD medication and non-habit-forming options for anxiety and sleep — with an honest conversation about whether a rotation, rather than an illness, is driving the sleep problem.
Northeastern Nevada and the rest of the state:
See the full Nevada page for statewide pricing, licensing and FAQs.
A full hour with a board-certified provider for $175.
Book your first appointment