Meet Bernadette Spencer, FNP-C
Board-certified family nurse practitioner, licensed in New York State. I work with adults whose thyroid, metabolic, or hormone concerns have not been fully explained — often after being told their results are normal.
One clinician throughout
The same nurse practitioner assesses you, reads your results, and adjusts your plan at every visit.
A ninety-minute first appointment
Long enough to review a full history rather than a summary of it.
Published pricing
The cost of care is stated on this website, not quoted after a sales call.
Where I come from clinically
I began in nursing and have spent my career in settings where patients arrive complicated: corrections medicine, skilled nursing facilities, and hospital medicine. In each of them, people showed up with long histories, several conditions running at once, medication lists nobody had reconciled, and a chart that no single clinician had ever read end to end.
That work taught me two things I still practice by. The first is that most of the answer is already in the record, if someone takes the time to read it. The second is that the question worth asking is not only what the numbers say, but what the person can actually do — get up the stairs, work a full shift, think clearly by mid-afternoon, sleep through the night.
As a family nurse practitioner I saw the same pattern from a different angle. Thyroid and metabolic concerns are common, they are rarely simple, and they do not fit neatly into a fifteen-minute appointment. Patients would come in having been told their results were fine, having been given a prescription without an explanation, or having been passed between clinicians who each saw one piece of the picture.
Raven was built to remove that constraint. A ninety-minute first appointment is not a luxury; it is roughly how long it takes to work through a real history, a medication list, several years of laboratory results, and a set of goals, and then say something useful about them.
The practice is deliberately small. I see every patient myself, review every result myself, and write every plan myself. There is no rotating panel of clinicians and no handoff between the person who assesses you and the person who follows up. When you send a question, I am the one reading it.
It is also cash-pay, which is a trade-off I made on purpose. It means the length of your appointment is determined by what your situation requires rather than by what a payer will reimburse. It also means the cost is visible up front, which is why pricing is published rather than quoted on request.
How I Practice
Six commitments that shape every appointment.
I read the whole record first
Your assessment, history, medication list, and previous laboratory work are reviewed before your appointment begins — not during it. The visit is for discussion, not data entry.
I look at values in context
A laboratory reference range describes a population, not a person. A result inside the range answers a narrower question than the one most patients are actually asking, which is why they feel the way they do.
I ask about function
Energy, strength, sleep, concentration, and what a normal day costs you. These are clinical information, and they change what is worth pursuing and in what order.
I explain my reasoning
You should understand why a test was ordered, what the result means, and what would change the plan. Patients who understand their own care make better decisions about it.
I do not use shame
Weight, diet, and adherence get discussed honestly and without judgment. Shame is not a clinical tool and it does not produce durable change.
I say what I do not know
Some questions stay open after a careful assessment. When that happens I will tell you, rather than offering a tidy explanation that is not supported by the evidence.
What is actually different here
- One clinician throughout. The same nurse practitioner assesses you, reads your results, and adjusts your plan at every visit.
- A ninety-minute first appointment. Long enough to review a full history rather than a summary of it.
- A written assessment completed before you are seen. Your appointment starts with the record already read.
- A specialty focus. Thyroid and metabolic health, rather than a general practice that also treats them.
- Strength and function tracked alongside weight. Particularly during GLP-1 therapy, where preserving lean mass matters.
- Published pricing. The cost of care is stated on the website, not quoted after a sales call.
- Cost of care treated as part of care. Where appropriate, we help identify legitimate ways to reduce what medication costs you.
Credentials and professional information
Bernadette Spencer, RN, MSN, FNP-C, FMACP
Certified Family Nurse Practitioner (FNP-C)
Registered Nurse and Nurse Practitioner, New York State
Master of Science in Nursing (MSN)
Frontier Nursing University, 2017
FMACP — Functional Medicine Academy, 2023
Corrections medicine, skilled nursing, and hospital medicine, followed by family practice
Thyroid health, metabolic health, weight management, and GLP-1 therapy when clinically appropriate
1154840007
Secure video visits for patients physically located in New York State at the time of the visit
Bernadette Spencer Family Health NP, PLLC
See whether this is the right fit
A twenty-minute introductory call, at no cost. We will talk about what you are dealing with and whether this practice is the right place for it. No diagnosis is made and no medication is prescribed during this call.