Direct primary care in Bellevue, WA

Send me a message and get an answer from someone who knows your history, instead of a referral to urgent care.

I keep my practice intentionally small, so membership spots are limited.

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Current patients

How direct primary care works

One flat monthly membership covers your primary care:

  • No copays or per-visit bills for primary care

  • Direct access to me by secure messaging, phone, or video

  • Virtual and in-person visits, plus home visits when clinically appropriate

  • Labs and imaging billed to your insurance, with lower-cost cash options if your deductible is high

  • Care for patients located in Washington State

Most messages are answered and most visits are available the same day during business hours (Monday noon to 7 pm, Tuesday through Friday 9 am to 5 pm). Evening and weekend messages are answered as I’m able, and weekend and holiday visits aren’t guaranteed.

Is direct primary care a good fit for you?

Many of my patients see me once a year or less. What they have is a provider who knows them and answers when a question comes up.

A good fit if:

  • You want one provider who knows your history as well as your family’s history

  • You’d like to send a quick question and get a real answer, even if you rarely need a visit

  • You’d rather send a message than sit in an urgent care waiting room

  • You’re managing a chronic condition, a life transition like perimenopause, or medications that need regular follow-up

Not the right fit if:

  • You’re looking for a provider for prenatal care or delivery (I continue your primary care alongside your OB)

See what's included

Meet Colleen Pacem, ARNP

I’m a family nurse practitioner with 20 years of experience, and I see patients from birth through end of life. I left an insurance-based practice so every patient gets my time and attention, starting with getting to know them and their healthcare needs.

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Patient Testimonials

  • “From start to finish I got my X-rays. In 24 hours. If I had been working with a medical office it would have taken a couple of weeks by the time I made an appt.”

  • “Throughout the years she has also helped me with a few other medication needs along with woman's health screenings... She honestly restored my faith in physicians.”

  • “Colleen is a very caring, attentive and thoughtful PCP. As a skilled and patient listener, with a calming and unhurried demeanor, she creates a 'safe place' in which to share/inquire about health matters.”

  • “Colleen has always listened closely to my concerns. She is very respectful and empathetic and provides different options to various issues. I have referred her to several of my friends.”

  • “My whole family sees Colleen Pacem, ARNP and she's an outstanding practitioner. She truly takes the time to listen, discuss treatment options, and is willing to research and follow-up when needed. We have several unique conditions in our family and it's a relief to have a primary care provider that genuinely cares and wants to help. "

  • “Colleen is worth her weight in gold. I recommend her immediately to anyone who's looking for a PCP.”