Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Nevada
Cash-pay telehealth psychiatry for adults in Fernley — without the drive west on I-80 for every appointment.
Fernley has grown quickly on the back of the industrial corridor east of Reno, and essentially all of its specialty medical care is thirty miles west. For a monthly twenty-minute appointment, that’s an hour of I-80 attached to every visit — on top of a commute many residents already make for work.
Add winter weather on that stretch and the arithmetic gets worse. Appointments get postponed, then dropped, and treatment quietly stops.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Nevada. Video appointments only: $175 for a full first hour, $65 for follow-ups, usually available within the week.
Published, flat, cash-pay pricing — and no insurance network to check.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Fernley-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 Fernley with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Fernley pharmacy the same day. Follow-ups are $65 and always with the same provider.
Psychiatric medication is refined through follow-up, and follow-up is exactly what a sixty-mile round trip destroys. Twenty minutes by video is a commitment people keep.
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.
Northern Nevada and the rest of the state:
See the full Nevada page for statewide pricing, licensing and FAQs.
A full hour for $175, from anywhere in Fernley.
Book your first appointment