Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Idaho
Cash-pay telehealth psychiatry for adults on the Palouse — from a provider licensed in Idaho.
Moscow sits almost on the state line, with Pullman just across it. For everyday life the border is invisible; for telehealth it isn’t. A provider generally has to be licensed in the state where the patient is physically located, so a Washington-based practice often can’t see you at your apartment in Idaho.
Add a university town’s demand for first-time evaluations and a small local supply of prescribers, and the wait for a psychiatric appointment on the Palouse gets long quickly.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Idaho. Video appointments: $175 for a full first hour, $65 for follow-ups, usually available within the week.
Flat published pricing, cash-pay, no network to verify first.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Moscow-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 Moscow with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Moscow 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, including across a move if you stay in one of the four states I’m licensed in.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines. It’s a fixed policy, and better read here than discovered in your appointment.
First evaluations get a full hour, because the useful information is usually in the chronology rather than in a symptom checklist.
The Palouse and the rest of Idaho:
See the full Idaho page for statewide pricing, licensing and FAQs.
A full hour for $175, from anywhere in Moscow.
Book your first appointment