Virtual psychiatric evaluation and medication management for adults and teens in Washington State. In-network with most major plans.
Board-certified psychiatric nurse practitioner. Secure video visits, no office trip.
Getting the diagnosis right is most of the work. That takes a full history, the right questions, and sometimes basic lab work to rule out the things that look like depression or anxiety but aren't.
From there, medication is chosen with the whole picture in view: your sleep, your energy, what you've already tried, and what you actually want your life to look like. Follow-ups are sized to what you need, not a fixed slot.
Everything is by secure video, for people located in Washington State.
Evidence-based psychiatric care for adults and teens, billed through your insurance.
Accepted insurance
Washington State residents only. New patients are screened by message before scheduling so we can confirm coverage and fit.
Reach out through Spruce, our secure messaging app. We confirm you're in Washington, verify your insurance, and make sure we're a good fit before scheduling.
A thorough evaluation, not a questionnaire. Bring your history, your current medications, and your actual questions.
Basic lab work through your insurance when it helps rule things out or guide medication choices.
Diagnosis, medication, and next steps. Written down, explained, and adjusted as you go.
Dr. Alison DeMiero, DNP, ARNP, PMHNP-BC
Board-certified psychiatric mental health nurse practitioner
Doctor of Nursing Practice
Ongoing advanced fellowship training in psychiatry
I came into psychiatry convinced that the body and the mind aren't separate departments. That still shapes how I work: I ask about sleep, energy, and what's going on in your life, not just a symptom checklist, and I don't rush the evaluation.
I've spent years in ongoing fellowship training beyond my board certification, which means complex cases have a framework and supervision behind them, and you get care that's current.
My goal for you isn't "stable." It's sleeping well, having real energy, feeling steady, and enjoying your life again.
Yes. Licensure means I can only treat people physically located in Washington State at the time of each visit. All visits are by secure video.
Yes, teens and adults. For minors, a parent or guardian participates in the intake and consent process.
Regence, Premera, Kaiser, Aetna, LifeWise, UMP, and RGA. Plans change, so confirm your specific plan and copay when you request an appointment.
When it's the right tool, yes, and only after a full evaluation. Some medications, including controlled stimulants, may not be a fit for a new telehealth relationship; we'll discuss options honestly at your first visit.
My focus is psychiatric evaluation and medication management. If you'd benefit from therapy, I'll say so and coordinate with your therapist or help you find one.
Send a message through Spruce, our secure patient messaging app. After a brief screening to confirm location, insurance, and fit, you'll receive scheduling options and intake paperwork before your first visit.
Adults and teens in Washington State. Video visits. Most major plans accepted.
Send a message on Spruce