A urology-focused nurse practitioner (NP) is a licensed advanced practice clinician who evaluates, diagnoses, and manages urologic and related hormonal conditions — things like recurrent UTIs, overactive bladder, prostate health, low testosterone, and menopause-related urinary and sexual symptoms. NPs complete graduate-level clinical training, hold a state license, and in most cases a national board certification in their specialty area.
In many practices, NPs work alongside or in coordination with urologists: the NP handles ongoing management, medication adjustments, follow-up visits, and first-line evaluation, while the urologist is brought in for surgery, complex procedures, or cases that don't respond to first-line treatment. That division of labor is exactly how it should work — a good telehealth NP practice has a clear referral relationship for the situations telehealth can't handle, rather than trying to manage everything itself.
None of this means an NP is a lesser option for common concerns. For the large share of urologic and hormonal visits that don't require a hands-on exam, imaging, or a procedure, an experienced NP can offer thorough, unhurried evaluation — often with more available appointment time than a busy urology practice.
Any nurse practitioner treating you must be licensed in New York State. You can verify a license through the NYS Office of the Professions.
Board certification, such as Family Nurse Practitioner - Certified (FNP-C), reflects a national exam and ongoing continuing-education requirements beyond the NP degree itself.
A Doctor of Nursing Practice (DNP) or Master of Science in Nursing (MSN) indicates the level of graduate clinical training completed.
Membership in organizations such as the American Urological Association (AUA), the Sexual Medicine Society of North America (SMSNA), the International Society for the Study of Women's Sexual Health (ISSWSH), or the American Association of Nurse Practitioners (AANP) suggests a provider stays current in urologic and sexual health specifically.
Urology, pelvic health, and hormone therapy have their own nuances. A general background helps, but experience specifically in these areas tends to produce a smoother visit.
Recurrent UTI symptom review, treatment, and prevention planning
Overactive bladder symptom review and starting or adjusting medication
Urinary incontinence history-taking and initial treatment planning
Prostate health follow-up, PSA result review, and BPH medication management
Low testosterone symptom review and TRT initiation or monitoring, once labs are back
Menopause-related genitourinary and sexual health symptoms, including HRT discussion
Prescription renewals and follow-up visits for an established condition
Reviewing lab results drawn at an outside lab and adjusting a treatment plan
A pelvic or rectal examination — for example, to confirm GSM, evaluate pelvic pain, or perform a digital rectal exam for prostate symptoms
Imaging such as ultrasound, uroflow studies, or a CT scan
Any procedure — catheter placement, cystoscopy, biopsy, or surgery
Initial diagnostic blood or urine testing itself, which is drawn at a Quest Diagnostics or LabCorp location, not over video
Urgent symptoms such as an inability to urinate, significant blood in the urine, fever with flank pain, testicular pain, or a prolonged painful erection — these need urgent care or an emergency room, not a scheduled telehealth visit
New York telehealth rules require that the patient be physically located somewhere in New York State at the time of the appointment — not the provider's location, and not where you're a resident on paper. If you travel out of state, your visit generally needs to wait until you're back in NY.
A nurse practitioner can only legally treat you by telehealth in New York if they hold an active New York license (or an equivalent multistate arrangement recognized by the state), regardless of where their practice is physically based.
Telehealth practices don't draw blood or collect urine themselves. Expect a lab order sent electronically to a Quest Diagnostics or LabCorp location near you, which you schedule and pay for directly (insurance may apply to the lab visit separately from the telehealth visit).
Federal and state rules place additional limits on prescribing certain controlled substances by telehealth alone. If a treatment plan involves a controlled medication, ask how that's handled before you book.
Does this practice accept my insurance, and if not, what does a self-pay visit cost?
What are the appointment hours, and how far in advance can I typically get scheduled?
If labs are needed, how does that work — where do I go, and who pays for it?
If I need a prescription, can it be sent electronically to my pharmacy of choice?
What happens if my condition turns out to need an in-person exam, imaging, or a procedure — will I get a referral?
How do I message the provider between visits with follow-up questions?
Is there a membership or subscription option, or is every visit billed separately?
Insurance coverage for telehealth urology visits varies widely by plan and by practice. Before booking, confirm that your specific plan — not just your insurer in general — is actively accepted, and ask what a self-pay visit costs as a fallback. Also ask separately about lab costs: telehealth practices typically order labs but don't bill for them directly, since testing is done at an outside lab such as Quest Diagnostics or LabCorp and billed by that lab (through your insurance or as self-pay).
See our Insurance page for our full accepted-insurance list.
Guaranteed results or promises of a specific outcome from any treatment, including hormone therapy
Hormone therapy (TRT or HRT) offered with no baseline labs and no plan for ongoing lab monitoring
No clear pathway to a referral when a condition turns out to need an in-person exam, imaging, or a procedure
Vague or unverifiable licensure, certification, or credentials
Pressure to commit to a long-term membership before you've had a first visit
Care is provided by Inga Melnikova, DNP, FNP-C, FMG — a Doctor of Nursing Practice and board-certified Family Nurse Practitioner licensed in New York State.
Member of ISSWSH, AUA, SMSNA, and AANP — societies focused specifically on urologic, sexual, and advanced-practice nursing care.
IM Care Family NP is 100% telehealth, with no physical office — available to patients located anywhere in New York State at the time of their visit.
Appointments are available evenings Monday, Tuesday, Thursday, and Friday (6–9pm), plus alternating Saturdays & Sundays (9am–4pm). Closed Wednesdays.
We currently accept 13 insurance plans, with self-pay options also available — see the full list on our Insurance page.
Rated 5.0/5 across 125+ verified patient reviews on BestDoc.
New patients register through our Athenahealth patient portal, then schedule appointments through our online scheduling link — keeping records and booking in one secure place.
Can a nurse practitioner treat urology problems over telehealth in New York?
Yes. A licensed nurse practitioner can evaluate, diagnose, and manage many common urologic conditions — such as recurrent UTIs, overactive bladder, and BPH symptoms — by telehealth for patients physically located in New York State at the time of the visit. Conditions that need a physical exam, imaging, or a procedure are referred out.
Is a urology NP as good as a urologist?
They're different roles, not a ranking. A urology-focused nurse practitioner can evaluate and manage many common, non-surgical urologic and hormonal concerns, often with more available appointment time and faster access. Urologists are physicians trained to perform surgery and complex procedures. A well-run NP-led practice knows the difference and refers you to a urologist when your condition calls for it — that referral pathway is a sign of good care, not a limitation.
What's the best way to find a telehealth urology provider that takes my insurance?
Start by checking the practice's insurance page directly rather than relying on your insurer's provider directory alone, since telehealth-only practices are sometimes listed inconsistently. Then call or message the practice to confirm your specific plan is active, not just "in network" broadly, and ask about self-pay pricing as a backup.
Do I need to live in New York to book a telehealth urology visit there?
You need to be physically located in New York State at the time of your appointment — not necessarily a permanent resident. If you're temporarily out of state (for example, on vacation), most NY-licensed telehealth providers cannot legally treat you during that time, and the visit typically needs to be rescheduled.
Can telehealth handle hormone therapy like TRT or HRT safely?
Telehealth can safely manage TRT and HRT for many patients, provided there's a real evaluation process — baseline lab testing, an individualized protocol, and ongoing lab monitoring rather than a one-size-fits-all prescription. Ask any provider how they handle baseline labs and follow-up monitoring before starting.
What should I ask about before my first telehealth urology visit?
At minimum, confirm the provider's NY licensure and certifications, ask whether your insurance is accepted or what self-pay costs, understand how labs and referrals are handled, and ask how to reach the provider between visits with follow-up questions.
New patients register through our patient portal; everyone schedules through our online scheduling link.