Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Nevada
Cash-pay telehealth psychiatry for adults in Nye County — where the nearest alternative is over the mountain.
Pahrump has tens of thousands of residents and very little specialty medical care of its own. The default answer to a psychiatric referral here is to drive to Las Vegas — sixty miles over the pass on Highway 160, each way, for a twenty-minute appointment.
A large share of the valley is retired or semi-retired, often managing several medications and living on a fixed income. That combination makes both the drive and a $400 first visit genuinely prohibitive.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Nevada. Appointments happen by video from home: $175 for a full hour, $65 for follow-ups, usually available within the week.
A published flat price on a fixed income, rather than a number nobody will quote until after the visit.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Pahrump-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 Pahrump with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Pahrump pharmacy the same day. Follow-ups are $65 and always with the same provider.
When several prescriptions have accumulated over years from different providers, somebody needs an hour to look at the whole list. That’s the appointment.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines, no exceptions. Stating it plainly saves everyone a wasted appointment.
Where a medication should stay, it stays. Where it shouldn’t, we taper slowly and deliberately — never abruptly.
Nye County and the rest of Nevada:
See the full Nevada page for statewide pricing, licensing and FAQs.
Sixty minutes with a board-certified provider for $175.
Book your first appointment