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Direct Primary Care
Pediatrics

Little Nest Pediatrics

Quick Facts

Membership Price RangeFamily maximum of $450
Practice TypeDirect Primary Care
LocationChatham, Summit, Madison, New Providence, Berkeley Heights
DoctorsMeredith Irwin M.D., F.A.A.P., Pediatrics
Telehealth TypeVirtual visits / phone and video chat
HousecallsYes
Telehealth AvailableYes

About

At Little Nest Pediatrics, Dr. Meredith Irwin delivers direct primary care pediatrics in Chatham, NJ. She keeps enrollment intentionally low to give every family the attention they deserve. Her guiding philosophy: modern pediatric medicine delivered the old-fashioned way.

Dr. Irwin handles well-child visits, sick care, behavior and development screenings, and chronic condition management including asthma, eczema, and ADHD. She takes all measurements and vitals herself and runs in-office tests personally during the visit. Members reach her directly by text, call, or email, and she makes house calls for newborn, two-week, and one-month checkups. The office itself reflects her approach: a joyful, playful space with allergy-friendly snacks, a parenting book library, and an exam room full of toys and patient artwork.

Details

Address

283 Main Street, Chatham, NJ 07928

Membership Details

Monthly membership fee for direct access to pediatrician. Family maximum of $450. No copays or surprise bills. Payment via direct bank withdrawal or credit card, typically covered by HSA/FSA. Out of network provider.

Telemedicine
House Calls
Same-Day Appointments

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Frequently Asked Questions

Families pay a monthly membership fee that covers all included services with no copays or surprise bills. Little Nest Pediatrics caps family membership costs at $450 per month regardless of how many children are enrolled. Payment runs through direct bank withdrawal or credit card, and most families use their HSA or FSA funds to cover the cost.

Little Nest Pediatrics operates as an out-of-network provider and does not bill insurance for office visits or in-office labs. The monthly membership fee replaces insurance billing entirely. Many families carry a high-deductible insurance plan alongside their membership for specialist visits or hospital care.

Yes. Most families pay their Little Nest Pediatrics membership fee using HSA or FSA funds. Payment processes through direct bank withdrawal or credit card.

Members receive Dr. Irwin's cell phone number and can contact her directly by text, call, or email. She typically responds within minutes. She also offers after-hours and weekend visits, so families always know who to call no matter when illness strikes.

Yes. Dr. Irwin makes house calls for newborn, two-week, and one-month checkups as a standard part of membership. She also offers house calls on a case-by-case basis for other situations. Families who prefer virtual visits can access those as well.

Membership covers well-child checkups, routine vaccinations, unlimited sick visits, in-office labs for strep, flu, COVID, and urinalysis, management of minor injuries, and chronic condition care including asthma, eczema, ADHD, anxiety, and depression. Dr. Irwin also provides behavior and development screenings, parenting counseling on sleep, nutrition, and behavior, and coordination with specialists, therapists, and schools.

Dr. Irwin supports routine childhood vaccination and stays current on evidence-based vaccine guidance. She welcomes families who want flexible vaccine scheduling. Little Nest Pediatrics is not the right fit for families who choose not to vaccinate.

Yes. Dr. Irwin offers same-day and next-day appointments with no to minimal wait time. Because she keeps her enrollment low, families can almost always get an appointment when they need one rather than heading to urgent care.

Yes. Dr. Irwin performs medical-grade ear piercing for children ages two months and up using the Blomdahl system. Non-members pay $120, which includes the earrings. Members pay only for the cost of the earrings. Dr. Irwin charges an additional $50 for in-home piercing appointments.

Prospective families can request a meet-and-greet with Dr. Irwin through the practice website. This gives families a chance to ask questions and decide if Little Nest is the right fit before enrolling.

Practice last updated March 21, 2026