Liz Keller, FNP | Menopause Care for Nevada Women, by Video

Liz Keller, Family Nurse Practitioner — Liz Keller, APRN, FNP-C

Your clinician

You see me. Every visit.

I built this practice because I kept meeting the same woman. She is 47. She runs a household, a career, and everyone else’s appointments. She has seen three providers this year. Her labs are “normal.” She does not feel normal.

If you live in Reno, Elko, Fallon, or anywhere in between, specialist menopause care has meant a long drive or an app with a different provider every time. I treat the whole picture, by video, wherever you are in Nevada.

Elizabeth “Liz” Keller, APRN, FNP-C, MSN
Family Nurse Practitioner · Nevada State Board of Nursing License No. 884203
Member, The Menopause Society · Guideline-based care
3495 Lakeside Drive #1264, Reno, NV 89509

What I treat

One plan for the whole midlife picture.

Hormones, thyroid, sleep, mood, and metabolism affect each other. Here they are checked together.

Perimenopause & menopause

Hot flashes, night sweats, poor sleep, mood changes, brain fog, low libido, and vaginal and bladder symptoms. You get a full plan covering sleep, nutrition, strength training, stress, and labs, with FDA-approved hormone therapy when it fits. Care follows The Menopause Society guidance.

Midlife metabolic health

Thyroid testing, baseline metabolic labs, and GLP-1 oversight when it fits. You buy the brand medication directly from the manufacturer program. I never mark up or sell medication.

Mood & anxiety in midlife

Low mood, anxiety, irritability, and sleep trouble that started or got worse around perimenopause. You fill out short screening forms before your first visit. When medication fits, I use non-controlled options and check in 2 to 4 weeks after any change. I refer out for bipolar disorder, active thoughts of self-harm, and conditions that need a psychiatrist. If you are in crisis, call or text 988.

What I will not do

No hormone pellets. No compounded shortcuts when an FDA-approved option exists. No rotating providers, no surprise bills, no five-minute visits. And if hormone therapy is not right for you, you still leave with a plan for your symptoms.

How it works

Three steps, all from home.

A 60-minute first visit

By video. Your full story, symptoms, and history. You fill out a few short forms before we meet.

Labs near you

Blood work at a draw site in your town, at cash prices you see first. I go over every result with you.

A plan that adjusts

Prescriptions go to your local pharmacy. We adjust doses until you feel better. Members can message me between visits, and I answer.

Transparent pricing

You will always know what this costs.

Direct pay. No insurance billing, no surprise bills. You get a written Good Faith Estimate before you pay anything.

Step 1 · Everyone starts here

New Patient Visit

$249

60 minutes by video
Full history and symptom review
Mood and menopause screening
Lab orders and your written plan

After this visit, choose membership or pay per visit.

Step 2 · Option A

Membership

$119 / month

One 30-minute visit each month: follow-up, lab review, or mood and anxiety visit
GLP-1 dose check-ins count as that visit, with no extra fee
15-minute medication checks after any medication change
Messaging with me between visits
Refill management

Unused visits do not carry over. A second 30-minute visit in the same month is at the per-visit price. Renews monthly. Cancel anytime.

Step 2 · Option B

Pay per visit

$79–$149

Book only when you need a visit
Same clinician, same care
No monthly fee
Switch to or from membership anytime

Per-visit prices are listed below.

Visit prices
Service	Per visit	Members	What it covers
New Patient Visit (60 min)	$249	$249	Full history, symptom and mood screening, lab orders, and your plan
Lab Review and Treatment Plan (30 min)	$129	1 per month	Results reviewed with you, plan finalized
Follow-Up Visit (30 min)	$149	1 per month	Symptom and side-effect review, dose adjustments, including GLP-1
Medication Check (15 min)	$79	Included	2 to 4 weeks after starting or changing a medication
Mood and Anxiety Follow-Up (30 min)	$149	1 per month	Updated screening scores, treatment adjusted
Lab panels	at cost	at cost	Wholesale cash lab pricing passed through

Membership or pay per visit?

If you’d see me about once a month, membership costs less than paying per visit. Most women need that pace for the first few months while we adjust treatment. Once you’re stable, you can switch to paying per visit.

First two months, per visit

Lab Review   $129
Medication Check   $79
Follow-Up Visit   $149

$357

First two months, membership

2 months at $119 $238
All three visits included
Messaging between visits

$238

Labs are at cost either way. National cash menopause platforms commonly run $2,000 to $2,400 a year, and labs are often extra. Medications go to your own pharmacy at your pharmacy’s price (generic hormone therapy is often $23 to $40 a month) and are never marked up here.

Questions

Answered straight.

Do you take insurance?

No. This is a direct-pay practice, which is how visits stay long and prices stay honest. On request I provide an itemized receipt you may submit to your insurer for possible out-of-network reimbursement. I cannot treat Medicare or Medicaid enrollees at this time. This includes Medicare Advantage plans, even when the card shows a private insurer's name.

I live in a small town. Can you really treat me?

Yes, if you are in Nevada. Visits are by video. Labs are drawn at national draw sites, and many rural towns have one. Prescriptions go to your local pharmacy or one that ships to you.

Do I need labs before my first visit?

No. We decide together which labs make sense during your first visit. I order them at a draw site near you, and you see the cash price before you agree.

Where do my prescriptions go?

To your local pharmacy, or one that ships to you. You pay the pharmacy directly. I never sell or mark up medication.

Do you prescribe hormone pellets?

No. Major medical organizations, including The Menopause Society and ACOG, recommend against routine compounded pellet therapy. I prescribe FDA-approved hormone therapy, which is better studied, lower cost, and adjustable.

I am already on hormones from another provider. Can I switch my care to you?

Yes, and this is one of the most common ways women arrive here, often from an app where a different provider answers every time. Bring your current prescriptions and most recent labs to your intake. I review what you are on, keep what is working, adjust what is not, and make sure your refills bridge the transition so there is no gap.

Do I have to leave my current doctor?

No. I do not provide primary care, so there is nothing to leave. You keep your PCP for everything else, and with your permission I send them a note after visits so your care stays connected.

What if I am outside Nevada during my visit?

I am licensed to treat you while you are physically in Nevada. If you are traveling at visit time, we reschedule. Tell me about travel a week ahead and we will plan refills around it.

Is this covered by HSA or FSA?

Individual clinical services often qualify. You will receive itemized receipts that separate clinical services for your plan administrator. Confirm details with your plan.

Book online

Start with one visit.

Pick a time on my booking page. After you book, you get intake forms and short screening questionnaires to fill out before your visit.

You must be in Nevada at the time of each visit. Please have your location and an emergency contact ready.

Book your New Patient Visit

$249 for the first visit. Then join the membership at $119/month or pay per visit.

Menopause care for Nevada women, from home.

“Your labs came back normal.” You didn’t.