Geriatric Psychiatrist Naples
Geriatric psychiatry for Naples and Collier County adults 60 and older, by HIPAA-secure telehealth. Real medication review, late-life depression and anxiety expertise, and a lifespan-trained PMHNP for a fraction of the cost of concierge psychiatry. The drive from Naples to our Wesley Chapel office is roughly three hours, so for Naples patients, telehealth is the primary mode of care.
Real geriatric psychiatry, without the concierge invoice.
Tell us what is going on. A care coordinator will set up a Florida telehealth visit, walk through your Medicare options, and confirm a real next-available appointment.
Got it. We will be in touch.
A care coordinator will reach out within one business day. If you would rather not wait, call (813) 670-3005.
Naples: the highest 65-and-older income density in Florida, with surprisingly thin access
Naples and Collier County hold the highest concentration of older-adult wealth in Florida. Pelican Bay, Park Shore, Old Naples, Port Royal, Aqualane Shores, and Marco Island together house tens of thousands of retirees, many of whom can afford whatever care they want. What most of them cannot get on a reasonable timeline is a real, board-certified geriatric-trained psychiatric provider. The Naples solution to that gap has historically been concierge medicine: a flat $3,000 to $8,000 annual fee for access to a primary care or psychiatric provider, paid out of pocket on top of insurance.
Concierge has its place. But for many Naples families, paying a five-figure annual retainer for what amounts to four to six psychiatric visits a year is an inefficient use of a fixed retirement budget. Statewide Florida telehealth at $260 for the initial evaluation and $160 for follow-ups (with a Medicare superbill for partial reimbursement) gets you the same lifespan-trained PMHNP, the same medication review, the same continuity, at a self-pay cost a small fraction of the concierge alternative.
Why a lifespan-trained PMHNP is the right fit for older Naples adults
Geriatric psychiatry is its own discipline. Older bodies metabolize psychiatric medications differently. Polypharmacy is the rule for the Naples patient population, where a 76-year-old on twelve daily medications between cardiology, endocrinology, and primary care is the typical first visit. Late-life depression frequently has a medication-list driver that has been missed. Grief and depression look almost identical at month three.
Margot Krahn, PMHNP-BC is lifespan-trained, which means she has the explicit geriatric curriculum and clinical training that a strictly adult-focused PMHNP does not have. She avoids benzodiazepines in the elderly when possible per Beers criteria, leans toward SSRIs and SNRIs with clean side-effect profiles in older adults, and treats the medication list as the starting point of every visit. She coordinates with the primary care physician and any concierge provider already on the team. Family members are welcome on every visit with the patient's consent.
How Naples-area telehealth visits actually run
The care coordinator does a 5-minute tech check by phone before the first appointment so the technology is not a surprise on visit day. Most Naples-area patients join from a tablet, a laptop, or an iPad in the lanai or a quiet study. The visit runs in a HIPAA-secure video room. We send appointment reminders by email and by phone for patients who prefer the call.
Adult children, spouses, and home health aides are welcome on the call with the patient's permission. We ask for photographs of every medication bottle to be sent in before the first visit, and the first 60-minute appointment is built around a careful medication review. We coordinate with the primary care physician (or concierge provider) on any prescription changes. We work with Medicare-eligible patients on a self-pay basis and provide a superbill that many patients submit to Medicare for partial reimbursement. We do not currently bill Medicare directly for psychiatric services.
Margot Krahn, PMHNP-BC
Board-certified Florida-licensed psychiatric mental health nurse practitioner. Lifespan-trained, which means her formal training covers child, adolescent, adult, and geriatric psychiatric care. She sees patients in person at our Wesley Chapel office and across Florida via HIPAA-secure telehealth.
Margot believes the first visit is for listening. Sixty minutes, the medication list out on the table, the family in the room when it helps. The treatment plan comes from what she actually learns about you, not from what fits a template.
Read Margot's full bioFrequently Asked Questions
Do you have a physical office in Naples?
Not at this time. We serve Naples and Collier County via statewide Florida telehealth. The drive from Naples to our Wesley Chapel office is roughly three hours, which makes telehealth the right primary mode for almost every Naples-area patient. The clinical care is the same.
How does this compare to a Naples concierge psychiatrist?
A typical Naples concierge psychiatric arrangement runs in the low five figures per year out of pocket. Our care model is self-pay per visit: $260 for the initial 60-minute evaluation, $160 for follow-up visits, with a Medicare superbill that many patients submit for partial reimbursement. For most retirees who see a psychiatric provider four to six times a year, the math favors per-visit self-pay by a wide margin.
Do you accept Medicare for Naples telehealth?
We work with Medicare-eligible patients on a self-pay basis and provide a superbill that many patients submit to Medicare for partial reimbursement. We do not currently bill Medicare directly for psychiatric services. Call (813) 670-3005 and we will walk through your specific reimbursement path before the first visit.
My father is in a Naples assisted-living facility. Will telehealth still work?
Yes. We work with Naples-area assisted-living and memory-care facilities whose staff set up telehealth visits either in a common-area video room or in the resident's apartment. A family member or aide can be present with the patient's consent.
Will you coordinate with my Naples concierge primary care doctor?
Yes. Many of our Naples patients already have a concierge primary care relationship. We treat that physician as the medical home and coordinate medication changes, lab work, and any new diagnoses with their office. The coordination happens with your written consent.
How fast can a Naples patient be seen?
Typically one to two weeks for a new telehealth intake. That is meaningfully faster than the multi-month waits that have become standard at most Collier County psychiatric practices.
Real psychiatric care, for the years that matter.
Same-week intake, real 60-minute first visits, and the same provider every time. Call us or send the form at the top of the page; a care coordinator will get back to you within one business day.