Frequently Asked Questions

WiseMind Wellness, LLC and Nathan Dingeldein, PMHNP-BC are committed to providing personalized and compassionate care to our patients. 

• I provide the best evidence-based treatment interventions, which may be medication and/or integrative (root cause) interventions.
• I offer a holistic approach, addressing lifestyle choices, promoting optimal wellness and a whole lot of common sense.
• I take the time to listen and understand the world from your perspective. Your      goals and values are central to your care.
• I work collaboratively to develop a treatment plan that meets their unique needs and goals. 

I provide outpatient psychiatric care for adults (18+) with concerns like 

• Anxiety Disorders (generalized anxiety, social anxiety, OCD, panic disorders) 
• Depression and Other Mood Disorders (major depressive disorder, dysthymia) 
• Bipolar Disorders (bipolar II, mild to moderate bipolar disorders)
• Attention Deficit Hyperactivity Disorder (ADHD)
• Insomnia (but may recommend sleep specialist referral)
• Post-Traumatic Stress Disorders (PTSD)
• Adjustment Disorders

I DO NOT have the ability to provide care for people currently experiencing psychiatric emergencies or individuals needing higher levels of care, such as:

• Actively suicidal patients with plans and intent
• Acute Mania or Psychosis
• Severe Substance Withdrawal
• Severe Personality Disorders
• People linked with Seriously Mentally Ill (SMI) services
• People currently on Court Ordered Treatment (COT). 

*When possible, I will try to help direct you to appropriate services. 

• I offer telehealth appointments on Tuesdays, Wednesdays and Thursdays.
• In person (face to face) appointments on Tuesdays from Noon - 8 PM.

The first visit is a comprehensive evaluation of symptoms, history, and goals, followed by a treatment plan.
Typical length: 60 minutes

• I provide medication management, which may include brief supportive therapy in visits. 
• If you need weekly therapy, I can coordinate with your therapist or provide you with referral suggestions and their contact information..

Follow-ups focus on progress, side effects, and plan adjustments.

Appointment Frequency:

• Early treatment: every 2-4 weeks or more frequent if needed. 
• Once stable: every 1–3 months(varies).

• Please request refills at least 2 business days in advance via phone.
• Controlled meds may require periodic visits and additional safety steps. 
• Note: I require at least 1 in person visit each year for continued controlled substance treatment.
• Early refills are generally not provided; lost/stolen controlled meds typically can’t be replaced.

• Contact me by phone for non-urgent questions. Response time is typically 1–2 business days.
• If it requires clinical decisions or medication changes, we’ll usually schedule a visit.

• I accept cash pay patients. I offer a 25% discount for cash pay patients.
• I am in network with Blue Cross/Blue Shield plans, Aetna, Cigna, Optum, Oscar, Oxford, Quest Behavioral and Carelon Behavioral Health plans. 
• I can send a super bill to people with other plans so they can submit for out of network reimbursement if you wish. 
• See my services and rates section for rates.
• All payments are due at the time of service.

• If you are having a life threatening medical problem or you do not feel safe, call 911, go to your nearest ER, or call/text 988.
• This is an outpatient practice and does not provide 24/7 crisis coverage. 

• Please provide 24 hours notice to cancel or reschedule.
• Late cancellations/no-shows may be charged a $100 fee (typically not covered by insurance). 
• If you’re more than 10–15 minutes late, we may need to shorten the session. 
• If you fail to show for or cancel less than 2 hours before a scheduled appointment, you WILL be charged the entire appointment fee.

• Yes, when clinically appropriate. 
• Most requests take 3–5 business days and may require a visit and/or a paperwork fee.
• Emotional Support Animal (ESA), Family and Medical Leave Act (FMLA) and disability forms are generally completed for established patients after adequate evaluation. 
• I do not provide court/forensic services.