Direct NP

About Direct NP

What is Direct NP?

Direct NP is a nurse practitioner-run practice at 404 4th St N in Jacksonville Beach, Florida. Its listed prescriber is Ashley Schivelbein, APRN, FNP-BC, an ANCC board certified Family Nurse Practitioner licensed as an Autonomous Practice APRN in Florida. She launched Direct NP, LLC in the Fall of 2023, with over 16 years of clinical experience behind her. The main business is direct primary care, sold as monthly memberships, and the practice does not accept or bill health insurance. In its own words: "Personalized Healthcare. The Way It Should Be." It has a 5-star rating on Google from 9 reviews.

Beyond primary care, the practice offers hormone therapy, medical weight loss, mental health care, and telemedicine. Hormone services include bioidentical hormone therapy and pellets for women, and testosterone therapy and pellets for men. Weight loss care centers on semaglutide and tirzepatide. Mental health care covers anxiety and panic disorders, depression, adult ADHD, and insomnia, but not bipolar disorder or substance use disorders. Peptide therapy is listed for appropriate clinical indications, subject to availability and applicable regulations. It does not name longevity medicine as a service.

What does it cost?

The Primary Care Membership is $165 a month. It covers office visits, ongoing medical management, an annual wellness exam, management of chronic conditions, four complimentary in-office blood draws a year, discounted lab testing, and prescription management. The Primary Care + Hormones membership is $225 a month and adds hormone evaluations, ongoing hormone monitoring, and testosterone and estrogen therapy management.

Weight loss is priced by medication and tier. Semaglutide programs run $295, $350, or $410 a month. Tirzepatide programs run $389, $489, or $549 a month. The practice does not say whether those monthly prices include the medication itself. Initial consultations are $245 for primary care or hormones, $185 for medical weight loss, and $385 for an initial ADHD evaluation. HSA and FSA payments are accepted for qualifying expenses, subject to plan eligibility, and patients may use insurance for outside lab testing and prescriptions. Outside lab fees and additional medications may apply on top of membership. It does not publish membership commitment or cancellation terms.

What should you ask before you book?

Start with who signs the prescriptions. Ask whether Ashley Schivelbein writes every prescription you receive and who covers when she is out. Ask whether the weight loss monthly price includes the medication, and whether the GLP-1 drugs are brand-name or compounded. Hormone products are described as both compounded and FDA-approved, so ask which you would receive and why. For peptide therapy, ask which peptides are used and whether they are compounded.

Then ask what follow-up visits, lab work, and outside lab fees cost each month. Ask how to cancel a membership and whether there is a minimum term. Ask which states telehealth visits can be done from, since none are named. The page mentions an "All-In" membership with no price or terms, so ask what it includes and costs. Posted hours run from 9:00 am to 4:00 pm, but the page does not tie those hours to specific days, so confirm them before you plan a visit. Call 904-339-8300 to put these questions to the office.

Who is it a good fit for?

This is a good fit if you want one nurse practitioner for ongoing primary care, hormone therapy, or medical weight loss, and you are prepared to pay out of pocket for a monthly membership, medication, and consultations. It is not a fit if you need insurance to cover your visits, or if you need care for bipolar disorder or a substance use disorder.

Sources: yourdirectnp.com, yourdirectnp.com/services, yourdirectnp.com/contact-us, yourdirectnp.com/about-3, yourdirectnp.com/memberships-pricing

Services Offered

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