Firefly Medical
Quick Facts
| Membership Price Range | BHRT Package: Starts at $200/mo | DPC Package - Children (0-21): $100/mo | DPC Package - Adults: Starts at $150/mo | DPC Package - Families: Starts at $300/mo | Lab Package: $50/mo | Ketamine Package: Contact for Details | inTOXicate® Membership: Contact for Details | IV Package: Contact for Details |
| Practice Type | Hybrid |
| Location | Fargo, Fargo-Moorhead, Grand Forks, Liberty Lake |
| Doctors | Kristian Enghusen DO, Family Medicine, Nicole Lovat MD, PhD, Primary Care |
| Year Founded | 2021 |
| Telehealth Type | Secure messaging, phone, and telemedicine |
| Telehealth Available | Yes |
About
At Firefly Medical, Dr. Nicole Lovat and her husband Grant Baldwin built something the region was missing. They co-founded the practice in 2021 to bring comprehensive, evidence-based care to communities in the Northern Plains and Pacific Northwest. Today, Firefly Medical operates three locations in Fargo, ND, Grand Forks, ND, and Liberty Lake, WA. Dr. Lovat serves as Medical Director, bringing a combined MD and PhD in Pharmacology and Therapeutics to every clinical decision. Dr. Kristian Enghusen, a Doctor of Osteopathic Medicine, rounds out the clinical team with a focus on family medicine and women's health. The Fargo location offers a full suite of services including Direct Primary Care, Bioidentical Hormone Replacement Therapy, Medical Weight Loss, Ketamine Therapy, IV Therapy, and Advanced Esthetics. The practice runs on a cash-based model with no insurance and no co-pays. HSA and FSA payments are accepted. Firefly Medical also holds licenses in 30 or more states and provinces, allowing telehealth access well beyond its physical locations.
Details
Address
5189 44th St S, Fargo, ND 58104
Phone
(701) 757-1440Website
Visit websiteMembership
$150/monthly
Membership Details
Initial Visit (Consultation / Establish Visit): $350 (Non-Refundable), 45–60 min. Initial Visit Follow-up (If Recommended): Included with Initial Visit Fee, 30–45 min. Lab work, medications, supplements, and certain services are billed separately. Standard Walk-In: $200. Extended Walk-In: $350. Standard Telehealth Visit: $150. Extended Telehealth Visit: $300. Memberships billed in monthly installments. No insurance accepted. HSA/FSA accepted.
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Frequently Asked Questions
Firefly Medical's membership runs $150 per month. New patients also pay a one-time Initial Visit fee of $350, which covers a 45 to 60 minute consultation and any recommended follow-up visit. Lab work, medications, supplements, and certain services are billed separately from the membership.
Firefly Medical does not accept insurance for membership fees or services. The practice operates on a direct-pay model with no co-pays and no insurance intermediaries. However, Firefly Medical does accept HSA and FSA payments, and provides superbills that patients can submit to their insurance for potential reimbursement.
Yes. Direct Primary Care members at Firefly Medical have access to same-day and next-day appointments. The practice also offers direct text, phone, and telehealth access to providers, so members can reach the care team quickly when they need it.
Yes, Firefly Medical offers both standard and extended telehealth visits. A standard telehealth visit costs $150 and an extended visit runs $300. The practice holds licenses in more than 30 states and provinces, so telehealth patients across much of the US and Canada can access care remotely.
The Fargo location offers a full suite of services including Direct Primary Care, Bioidentical Hormone Replacement Therapy, Medical Weight Loss, Ketamine Therapy, IV Therapy, Vitamin Shots, Xeomin injections, Advanced Esthetics, and Health Coaching. Services vary by location, so patients at Grand Forks and Liberty Lake have access to different offerings.
No. Firefly Medical offers walk-in options for patients without a membership. A standard walk-in visit costs $200 and an extended walk-in visit costs $350. These visits cover episodic care for minor acute illness or injury.
New patients can contact the Firefly Medical location nearest them to set up an Establish Care Visit. This initial appointment runs 45 to 60 minutes and gives the care team a comprehensive picture of your health history and goals. Patients can also reach the practice by calling the office or submitting a contact form on the website.
Yes. Firefly Medical accepts HSA and FSA payments for eligible services and fees. The practice also provides superbills that patients can use for FSA, HSA, or out-of-network insurance submission.
Firefly Medical operates on the principle of being preventative by design and innovative by nature. The practice grounds its care in expertise, evidence-based methods, and a people-first approach. Dr. Lovat and the team prioritize precision and research over trends or quick fixes.
Yes. Firefly Medical extends well beyond traditional primary care. The practice offers BHRT, Ketamine Therapy, Medical Weight Loss, IV Therapy, Vitamin Shots, Advanced Esthetics including microneedling and chemical peels, Xeomin injections, Geneo Facials, and Health Coaching. The Fargo location carries the most complete service menu.
Practice last updated June 11, 2026