Key West Primary Care & Concierge Medicine

Primary care in Key West from Dr. Shannon Smeltzer, DNP, APRN — a concierge-style practice built around unhurried appointments, direct provider access, and the kind of continuity that's hard to find in a small island community. Whether you live in Key West full-time, split your year between the Keys and the mainland, or you're visiting and need a doctor who can actually see you, Keywest.Health provides comprehensive primary care for adults of all ages.

Why Keywest.Health for Primary Care?

With more than 30 years of experience in medicine, Dr. Smeltzer brings a depth of clinical knowledge that spans bedside care, leadership, and advanced practice nursing at the doctoral level. At Keywest.Health, you're not shuffled between providers — you see the same DNP every visit, and she knows your history, your goals, and your health inside and out.

• One provider, every visit: Dr. Smeltzer sees you personally — no rotating staff, no hand-offs, no repeating your story.
• Unhurried appointments: concierge-style care means you get the time you need without feeling rushed through a 10-minute slot.
• Direct access: reach your provider for questions, follow-ups, and care adjustments without navigating a call center.
• Visitors and seasonal residents welcome: whether you're in Key West for a weekend or spending the winter in the Keys, you can access primary care while you're here.

Primary Care Services

Wellness Exams

Comprehensive annual and preventive health assessments including medical history review, physical examination, age-appropriate screenings, and lab work for conditions like diabetes, high cholesterol, and thyroid disorders. The foundation of proactive health care.

Chronic Disease Management

Ongoing, personalized management of chronic conditions including diabetes, hypertension, heart disease, thyroid disorders, and autoimmune conditions. Dr. Smeltzer monitors your progress, adjusts treatment plans, and works with you to keep your health on track — not just manage symptoms.

Sick Visits — In-Office & Telehealth

Timely care for acute illnesses — colds, flu, infections, allergies, and minor injuries — available both in-office and via telehealth. If you're under the weather and can't make it in, a virtual visit can get you evaluated and treated without leaving where you're staying.

Hormone Replacement Therapy (HRT)

Bioidentical hormone pellet therapy designed to help balance estrogen and testosterone levels in men and women. HRT can address fatigue, mood swings, weight changes, and decreased libido through steady, long-lasting hormone support — monitored and adjusted by Dr. Smeltzer.

Pain Management

Comprehensive, non-narcotic pain management to improve function and quality of life. Treatment options include physical therapy referrals, trigger point injections, Botox for muscle tension, IV therapy, and anti-inflammatory medications — all tailored to your specific needs.

School & Sports Physicals

Health assessments required for school enrollment, sports participation, or annual check-ups — completed efficiently in-office so your child is ready for the season.

Preoperative Clearance

Medical evaluation to ensure you're safe for surgery, including diagnostic tests and risk assessment. If you have an upcoming procedure in Key West or need clearance before returning to the mainland, Dr. Smeltzer can coordinate your preop workup.

Wound & Post-Op Care

Expert management for healing and recovery — proper cleaning, dressing changes, infection prevention, and pain management. Especially useful for visitors who need wound care while away from their usual provider.

In-Office Lab Draws

Convenient blood work performed right in the clinic — no separate trip to an external lab. Results are reviewed by Dr. Smeltzer and discussed with you directly, keeping your care streamlined and your time your own.

What to Expect at Your First Visit

Your first appointment at Keywest.Health is a conversation, not a race. Dr. Smeltzer reviews your full medical history, discusses your current health concerns, and works with you to build a care plan that fits your life — whether you're a year-round Key West resident or here for the season. Expect to spend real time together: no clipboard hand-off, no waiting room shuffle, no "next patient" pressure.

If lab work or screenings are needed, they can often be drawn in-office during the same visit. Follow-up appointments are scheduled based on your needs, not a rigid calendar, and Dr. Smeltzer is available for questions between visits.

Visitor & Seasonal Resident Care

Key West attracts residents and visitors from across the country, and Keywest.Health is built to serve both. Snowbirds who spend winters in the Keys, tourists who need a doctor mid-vacation, and seasonal residents managing chronic conditions away from home all have a place here. Dr. Smeltzer can coordinate preop clearance before a procedure, manage an unexpected illness during your stay, or simply serve as your local provider while you're in the Keys — no long-term commitment required, though many visitors choose to return.

How Much Does Primary Care Cost?

Pricing depends on the type of visit and services provided. Keywest.Health does not bill insurance; this is a self-pay practice. Ask for current consultation pricing before your visit — we discuss the cost of any additional services with you before they begin. We accept major credit cards (Visa, MasterCard, Discover), Venmo, Apple Pay, Cash App, Zelle, cash, debit cards, and CareCredit financing (subject to approval); ask about available coupon discounts. Call (305) 514-0482 or schedule online for current pricing.

Primary Care in Key West — Frequently Asked Questions

Who provides primary care at Keywest.Health?

Dr. Shannon Smeltzer, DNP, APRN — founder of Keywest.Health — provides all primary care. With more than 30 years of experience in medicine, she takes a hands-on, unhurried approach: you see the same provider every visit, and you have her direct attention from consultation through follow-up.

Do you accept insurance for primary care visits?

Keywest.Health does not bill insurance for primary care visits; this is a self-pay practice. Ask for current consultation pricing before your visit — we discuss the cost of any additional services with you before they begin. Call (305) 514-0482 for current pricing and payment options.

Can I see a doctor in Key West while I'm visiting or staying for the season?

Yes — visitors and seasonal residents are welcome. Whether you're in Key West for a week or spending the winter months in the Keys, you can schedule primary care visits including wellness exams, sick visits, and preop clearance. Many snowbirds and vacationers find it reassuring to have a local provider while they're away from home.

What conditions does Keywest.Health treat?

Keywest.Health provides primary care for adults of all ages, including wellness exams, chronic disease management (diabetes, hypertension, thyroid disorders, and heart disease), acute sick visits via telehealth or in-office, hormone replacement therapy, pain management, school and sports physicals, preoperative clearance, wound care, and in-office lab draws.

How is concierge primary care different from a traditional doctor's office?

At Keywest.Health, appointments are unhurried — you get the time you need without feeling rushed. Dr. Smeltzer provides direct access and personalized care plans, building a relationship with you over time rather than handing you off to rotating providers. It's primary care designed around your schedule and your health goals.

Is telehealth available for sick visits?

Yes. If you're under the weather and can't make it into the office, telehealth sick visits are available for acute illnesses like colds, flu, infections, and allergies. Dr. Smeltzer can evaluate your symptoms remotely and determine whether an in-person visit or prescription is needed.

Do I need to be a full-time Key West resident to become a patient?

No. Keywest.Health welcomes full-time residents, seasonal visitors, and tourists alike. Whether you live in the Keys year-round or spend part of the year here, you can establish care with Dr. Smeltzer for the duration of your stay.

Related Services

Many primary care patients also benefit from medical weight management — a medically supervised approach to sustainable weight loss led by the same provider who knows your health best. Learn more about Dr. Shannon Smeltzer, DNP, APRN and her background in medicine.