Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Nevada
Cash-pay telehealth psychiatry for adults in Mesquite — without the drive down I-15.
Mesquite sits on the Arizona line, eighty miles up I-15 from Las Vegas and about forty from St. George. Primary care exists locally; psychiatric care largely does not, so a referral usually means a freeway trip in one direction or the other.
The city’s population skews older, and managing several medications at once is common. Those are exactly the patients for whom a long drive every few months means the review never happens and the prescription simply keeps renewing.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Nevada. Appointments happen by video: $175 for a full hour, $65 for follow-ups, usually available within the week.
Published, flat, cash-pay — and no Medicare or insurance billing to navigate.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Mesquite-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 Mesquite with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Mesquite pharmacy the same day. Follow-ups are $65 and always with the same provider.
When prescriptions have accumulated across several providers and several years, the useful appointment is the one where someone has an hour to examine the whole list rather than renew it.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines, no exceptions. Stating it plainly saves everyone a wasted appointment.
Where a medication is doing its job we leave it alone. Where it isn’t, tapering is slow and deliberate.
Southern Nevada and the rest of the state:
See the full Nevada page for statewide pricing, licensing and FAQs.
Sixty minutes for $175, from anywhere in Mesquite.
Book your first appointment