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  • Niche

    Medical and Consulting

    An adult medicine micropractice in Carmel, Indiana

About Niche Medical

About Niche

Niche Medical is a limited-scope adult medicine primary care micropractice in Carmel, Indiana with a focus on prevention of illness and disease and partnering with patients to help them achieve optimal metabolic health and promote longevity. Niche Medical will best serve patients who are generally healthy and hope to stay that way! Our lovely 200 square foot space is conveniently located in West Carmel, Indiana.

OutCare Affirming Provider Menopause Society Certified
          Practitioner (MSCP)
Niche Medical and Consulting

Services Provided

New Patient / Establish Care
1 hour appointment / $250
  • Includes complete medical history and examination
  • Address acute concerns and chronic medical conditions
  • Introductory lifestyle medicine assessment
  • Includes written recommendations and resources
  • Includes post-visit electronic or phone interpretation of results and questions related to initial evaluation
  • Ideal for patients needing an annual exam or preventive care with or without acute concerns
  • Also ideal for patients without a primary care physician who need a preoperative evaluation before elective surgery
  • Also ideal for patients who already have a primary care physician but have niche needs including but not limited to:
    substance overuse / addiction / obesity / perimenopause / LGTBQ+ health including gender affirming care
Acute Concern or Follow Up Visit (established patients only)
30 minutes / $125
  • In-person or Virtual
  • Address new concerns and/or follow up on prior visit
Comprehensive Longevity / Lifestyle Medicine Evaluation
90 minute appointment / $400 (1 person)
120 minute appointment / $500 (2 persons / partners)
  • Includes detailed medical, family, metabolic, and environmental history
  • Includes personalized discussion about habits and goals in regards to nutrition, physical activity, stress management and emotional health, sleep health, and harm reduction
  • Includes InBody 380 body composition analysis and interpretation ($50 value)
  • Includes written detailed recommendations and resources to improve healthspan
  • Includes post-visit electronic or phone interpretation of results and questions related to initial evaluation
  • Ideal for patients who are generally well and want to maximize their healthspan by improving overall health and identifying and treating risks for chronic disease
  • Ideal for patients with chronic diseases including (but not limited to) hypertension, obesity, sleep apnea, high cholesterol, diabetes who are wanting to treat or prevent chronic health issues with a lifestyle based approach in addition to or instead of medications
Follow Up Visit for Longevity or Lifestyle Medicine Interventions
60 minutes / $200
  • Includes follow up of progress goals
  • Includes repeat InBody 380 body composition analysis and interpretation ($50 value)
Chronic Disease Prevention, Treatment, and/or Remission with Lifestyle-Based Medicine
60 minute initial in-person or virtual visit ($250) then monthly virtual or in-person visits ($125 each)
4-month package (initial visit plus 3 monthly visits)- $625
7-month package (initial visit plus 6 monthly visits)- $1000
13-month package (initial visit plus 12 monthly visits)- $1750
  • Includes a comprehensive review of your health history, diagnoses for which you are seeking treatment, and current lifestyle habits (nutrition, sleep, physical activity, social connection, stress management, harm reduction, and more)
  • Includes a baseline InBody body composition, vital signs, and focused physical examination
  • Includes coordination with the other members of your treatment team (primary care and/or specialists) to ensure synergy in our plans
  • Includes detailed personal recommendations and resources about lifestyle modifications to help treat and/or reverse your specific chronic conditions
  • Conditions amenable to lifestyle medicine approaches as a part of your total treatment plan include obesity, arthritis, Type 2 diabetes, high blood pressure, high cholesterol, metabolic syndrome, depression and anxiety, frailty, mild cognitive impairment, heart disease, irritable bowel syndrome, heart disease, fatty liver disease, obstructive sleep apnea, adult ADHD, COPD, alcohol overuse / use disorder, tobacco use / overuse disorder, erectile dysfunction, polycystic ovarian syndrome (PCOS)...
  • Not sure if your condition would benefit? Feel free to schedule a free meet and greet to see if this approach is right for you!
  • Ready to sign up? Registered under “Get Started” and in the comments list which service / package you are interested in.
A la carte services
($ established patients / non-established patients)
  • EKG / Electrocardiogram- ($25, additional $25 if cardiologist interpretation needed / NA)
  • InBody 380 Body Composition and Visceral Fat Evaluation- ($25 / $50)
  • In-office blood draws- $5 (new or established patients only)
  • Botox® Cosmetic Facial Injection– COMING SOON
Complimentary Virtual or In-Person Meet and Greet
15 minutes / FREE
  • Not sure if Niche is the right fit for your health? Schedule a complimentary meet and greet (virtual or in person) using this link: Meet and Greet

Dr. Laurel Fick

After 19 years in practice as a board-certified Internal Medicine physician and medical educator in traditional US healthcare systems, Dr. Fick ventured into the direct care model to provide high quality, affordable, and patient-centered primary and limited-scope care to her patients. Her approach to medicine is centered around preventive and lifestyle medicine philosophies and a sturdy belief that the body is capable of self-care and healing with proper nutrition, exercise, sleep and stress management, social connection, and avoidance of risky substances. As such, she is pursuing board certification from the American College of Lifestyle Medicine and eventually hopes to have a lifestyle-medicine predominant practice.

Dr. Laurel Fick is an accomplished medical educator having served in medical residency leadership for 16 years. Her academic areas of interest are in physician wellbeing, particularly physicians-in-training and mentorship / advocacy. Dr. Fick serves as an elected Councilor for the Association of Program Directors in Internal Medicine, was elected to serve as a member of the Transitional Year Review Committee of the Accreditation Council for Graduate Medical Education (ACGME), and on the advisory committee for the Women Physicians Wellness Conference. Dr. Fick has presented and published widely on topics related to physician wellbeing and educational innovation.

Dr. Fick and her husband of 15+ years have two school-aged children, a houseful of pets, and a growing garden. In her spare time Dr. Fick likes to read, travel, coach her kids' basketball and volleyball teams, and explore her culinary potential.

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Niche Medical and Consulting

Our office

Address:
10255 Commerce Dr.
Suite 212
Carmel, IN 46032

Call or text: 463-263-9184

Fax: 317-659-9390

drlaurel@nichemedandconsulting.com

Schedule an appointment

Mon-Fri: 9am-4pm

Other appointment requests will be considered to accommodate those with non-traditional schedules

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