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Direct Primary Care
Family Medicine

Four Mile Creek Health

Quick Facts

Membership Price Range$200/month Individual (single membership, any age) | $150/month Additional household members | Larger families: contact for pricing | 5% discount paid quarterly | 10% discount paid annually | One-time registration fee equal to one month subscription
Practice TypeDirect Primary Care
LocationBoulder
DoctorsLandrey Fagan MD, MS, NCMP, Family Medicine, Fabiana Fernandez MD, Internal Medicine
Telehealth TypeVirtual visits (telemedicine from home); secure messaging via Elation Passport portal
Telehealth AvailableYes

About

At Four Mile Creek Health, two physicians deliver direct primary care to the Boulder community. Dr. Landrey Fagan founded the practice after years of specializing in primary care and maternal health. She wanted to build something that gave her the time and space to truly know each patient. Dr. Fabiana Fernandez joined the team as an internal medicine physician, bringing deep expertise in endocrinology and preventive care.

The practice runs on 45-minute appointments and offers same-day or next-day availability for urgent needs. Members reach their physician directly by text, phone, or email. Four Mile Creek Health covers a broad clinical range: hormone replacement therapy, metabolic health and weight management, aging and longevity, preventive care, and in-office procedures. Members also access wholesale medication and lab pricing, Seca body composition scans, continuous glucose monitor guidance, and supplement ordering through Fullscript. Both physicians serve as featured speakers with MyMenoMap, reflecting the practice's particular focus on hormonal health. Dr. Fagan's panel is currently full, though a waitlist is available. Dr. Fernandez is actively enrolling new patients.

Details

Address

3434 47th St, Suite 225, Boulder, CO 80301

Membership

$200/monthly

Membership Details

Individual members pay $200/month. Each additional household member pays $150/month. Larger families should contact for pricing. Discounts available for Medicare enrollees. Membership costs may be paid through FSAs. 5% discount for quarterly payment, 10% discount for annual payment. One-time registration fee equal to one month subscription charged on first visit. No contracts, cancel anytime with 30 days notice.

Typical Appointment

45 minutes

Telemedicine
Same-Day Appointments

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Frequently Asked Questions

Individual membership at Four Mile Creek Health costs $200 per month. Each additional household member pays $150 per month. Larger families should contact the practice directly to discuss pricing. A one-time registration fee equal to one month's subscription applies at your first visit. The practice offers a 5% discount for quarterly payment and a 10% discount for annual payment.

The monthly fee covers all office visits, exams, and interactions with your physician. Members also receive direct access to their doctor by text, phone, and email, virtual and after-hours care, in-office procedures, and most in-office diagnostic testing. The practice provides wholesale pricing on medications, laboratory testing, and pathology when those services fall outside the membership.

Yes. In many cases, members pay their Four Mile Creek Health membership through a Flexible Spending Account. The practice also offers discounts for Medicare enrollees. Contact the practice to confirm your specific account eligibility before enrolling.

The practice does not bill insurance for primary care services, and insurance does not cover the membership fee. For services outside the membership, such as imaging or specialty referrals, the practice helps members navigate insurance when applicable. The practice recommends that members maintain a separate insurance plan for those situations.

The practice makes same-day or next-day appointments available for urgent needs. Every standard appointment runs 45 minutes. Members can also reach their physician directly by text, phone, or email without scheduling a formal visit.

Yes. Four Mile Creek Health offers virtual appointments for members. Telehealth visits give members flexible access to their physician from home or while traveling. Members can also use the Elation Passport portal to message the care team for non-urgent questions.

Dr. Fabiana Fernandez is currently enrolling new patients. Dr. Landrey Fagan's panel is full, but the practice maintains a waitlist for those who want to see her. Prospective members can schedule a free 15-minute meet-and-greet call to learn more before committing.

Four Mile Creek Health covers hormone replacement therapy, metabolic health and weight management, aging and longevity care, preventive screenings, in-office procedures, pathology, and laboratory testing. Members access unlimited Seca body composition scans, continuous glucose monitor guidance, compounded prescription skincare through the Virtual Derm Shop, and supplement ordering through Fullscript at up to 30% savings.

No. Four Mile Creek Health does not require a contract. Members who want to cancel give 30 days' notice, and no additional fees apply. The one-time registration fee charged at the first visit is not a recurring charge.

The easiest first step is scheduling a free 15-minute meet-and-greet with a physician. Call (720) 792-2852 to speak with the front desk team. The practice is located at 3434 47th St, Suite 225 in Boulder, on the second floor with mobility-accessible access and convenient parking. No payment or commitment is required to attend the meet-and-greet.

Practice last updated March 21, 2026