Virtual Visits

Twin Rivers Virtual Care

Don’t let a busy schedule keep you from getting the care you need. Twin Rivers Virtual Care allows you to see one of our experienced medical providers face-to-face through your smartphone no matter where you are. While we cannot treat everything over the app, but for the most common health issues, we can save you time and money.

Quick

Wait times are practically non-existent and you never need an appointment.

Affordable

Virtual Care is cost-efficient compared to a primary physician visit or a trip to the ER.

Trustworthy

Our patient-focused medical providers have a combined 190 years of experience.

There Virtual Care

In our fractured healthcare system the costs have gotten out of control. We launched virtual care as a way to help heal the healthcare experience by bringing care to you at a fair price – where you are and when you need it.

We cannot treat all illnesses or injuries through virtual care, but for the most common health issues we can save you time and money.

We’ve partnered with there.care to offer you even more convenience by completing a virtual visit via your computer or mobile device. With our user friendly program, you’ll see a familiar Twin Rivers provider and receive the same great service – whether at home, the office, or elsewhere within the state.

When you need us most, we’re there.

Click here to access there.care and start your visit, or download the there virtual care app for Android or iOS on your phone or tablet.

What Virtual Care Can Treat

  • Abrasions
  • Allergies
  • Anxiety
  • Bites & Stings
  • Body Aches
  • Bronchitis
  • Bruises
  • Cough
  • Dehydration
  • Diarrhea
  • Earache
  • Fever
  • Flu
  • Frostbite
  • Headaches
  • Hives
  • Insomnia
  • Itchy Eyes
  • Lice
  • Medication Refills
  • Mild Lacerations
  • Nasal Congestion
  • Nausea
  • Pink Eye
  • Respiratory Infections
  • Sinus Infections
  • Sinus Symptoms
  • Skin Issues & Rashes
  • Sore Throat
  • Sprains and Strains
  • Strep Throat
  • Travel Medications
  • Urinary Tract Infections
  • Vomiting
  • And More

Our Providers

With a combined 190 years of experience, our medical providers are committed to offering virtual patients the same quick, high quality service they would receive in one of our urgent care centers. Wait times in the queue average less than 5 minutes so you will be seen by a friendly, familiar provider – quickly. Call from your home, office, car, or anywhere in the state. Wherever you need us – we’re there.
Abby Hansen
PA-C
Bryan Mizner
PA-C
Bryan Nokelby
MD
Charly Spangler
APRN, FNP-C
Cheryl Hunt
APRN
Cheryl Roth
MD
David Farrar
PA-C
Jodi Fuehrer
APRN, FNP, NP-C
Johnna Pierson
PA-C
Julie Hatch
APRN
Nichole Kinnamon
APRN

Costs

Trusting your medical needs with Twin Rivers Virtual Care not only brings you the same high-quality patient-focused care that you will find in our clinics, but comes at a much cheaper cost compared with a primary doctor’s visit or a trip to the emergency room.

Twin Rivers Virtual Care

Visit Starts at
$ 69
  •  

Compare

An average trip to the ER costs
$ 900
  •  

Compare

Average Office Visit Costs
$ 200
  •  

Compare

An average trip to the ER costs
$ 900
  •  

Twin Rivers Virtual Care

Visit Starts at
$ 69*
  •  

Compare

Average Office Visit Costs
$ 200
  •  

The cost is less than many co-pays, and typically qualifies for FSA, HSA, HRA Accounts.

*For COVID-19 symptoms, most insurance carriers are covering telemedicine services like There Virtual Care with no cost-sharing by the patient.
Coverage for other illnesses may vary by individual plans, so you will want to check your plan.

Twin Rivers Urgent Care

Twin Rivers Urgent Care offers convenient, quality healthcare when you need it most. We’re open for walk-in service seven days a week with extended hours, to get you in and out quickly. Our medical team is ready to focus on you – whether it’s a cold or flu, a strain or sprain, or something more complicated.

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Notice:

Virtual Care is only available during Twin Rivers Urgent Care’s clinic hours.

  • Monday-Friday: 8a-8p
  • Saturday: 9a-6p
  • Sunday: 12p-5p

Abby Hansen, PA-C

Abby Hansen brings six years of experience to Twin Rivers Urgent Care. She received a Bachelor of Science with Distinction in Biopsychology from Nebraska Wesleyan University in Lincoln, NE in 2009. She went on to receive her Master of Physician Assistant Studies degree in 2012 from Union College in Lincoln, NE. For close to four years, Abby worked in a hospital in central Nebraska. She has been working in urgent care for two years. She has Life Support Certifications in Basic, Advanced Cardiac, Advanced Trauma, and Advanced Pediatric. She also is certified in IMPACT Concussion testing and is on the National Registry of Certified Medical Examiners. Abby also takes time to teach women in the community the importance of preventative health and has spoken on Breast Cancer awareness and screening as well as vaccinations and diabetes.
Bryan Mizner

Bryan Mizner, PA-C

Bryan Mizner brings eight years of healthcare experience to Twin Rivers Virtual Care. He is certified by the National Commission on Certifications of Physician Assistants (NCCPA) and holds a Nebraska Physician Assistant license. Bryan has worked in emergency medicine and joined Twin Rivers Urgent Care in August 2017. Bryan holds Advanced Trauma, Advanced Cardiovascular, and Pediatric Advanced Life Support as well as Basic Life Support certifications.
Dr. Bryan Nokelby

Bryan Nokelby, MD

Bryan Nokelby has 24 years’ experience in family practice and urgent care services. He received his medical degree from Creighton University in 1994, and after completing his residency settled in North Platte where he practiced family medicine for 8 years before opening Twin Rivers’ first urgent care center in 2006. Since then he has led Twin Rivers’ expansion to the four facilities in Nebraska with the mission of putting the patient first. Dr. Nokelby instills that philosophy with his teams in both the urgent care centers and the virtual care platform. He is certified by the American Board of Family Medicine.
Charly Spangler

Charlyne "Charly" Spangler, APRN, FNP-C

Charlyne (Charly) Spangler has worked in the healthcare industry for nine years. She received her Master of Science in Nursing in 2013 and joined Twin Rivers Urgent Care. She worked as a critical care nurse and a pediatric home health nurse before achieving her Advance Practice Registered Nurse certification. She is a Board-Certified Family Nurse Practitioner through The American Academy of Nurse Practitioners (AANP). She practices both urgent care and primary care.

Charly is currently enrolled in the Doctor of Nursing Program at the University of Missouri Kansas City, with a special focus on virtual medicine.

Cheryl Hunt

Cheryl Hunt, APRN

Cheryl Hunt has 35 years of experience as a Nebraskan medical professional. She started as a CNA and worked her way up to NP. She has practiced as a Licensed and Registered Nurse in both Medical Centers and Hospitals in Nebraska and was a flight nurse at Good Samaritan Hospital for over 10 years. While there, she received the Nursing Educational Excellence award in 2005 and 2008. She completed her Master of Science in Nursing from the Family Nurse Practitioner Program, University of Nebraska – Kearney in 2011. She has experience in the ER, ICU and flight. Cheryl has taught many medical courses including, ACLS, PALC, BLS, TNCC.

Dr. Cheryl Roth

Cheryl Roth, MD

A staple in the North Platte community, Dr. Cheryl Roth brings 25 years of experiences to Twin Rivers Urgent Care. She has 14 years of experience as an emergency room physician and acted as the Medical Director of Transport Services for Good Samaritan Health Services in Kearney, Nebraska. During her tenure there, she has also filled the roll as a Family Practice Physician at two of their health clinics as well as Chairman for both the Medicine Department and the Medicine Quality Committee at Good Samaritan Hospital in the years spanning 2011 to 2013. Dr. Roth has also been the Medical Director for the Kearney Volunteer Fire Department and for 12 rural volunteer EMS squads in Nebraska.
David Farrar

David Farrar, PA-C

David Farrar provides his 11 years of experience for Twin Rivers Virtual Care. He graduated from MidAmerica Nazarene University of Olathe, KS with a Bachelor’s Degree in Biology, Chemistry, and Secondary Education in 1990. He received his Physician Assistant Studies degree from Union College of Lincoln, NE in 2007. David’s experience includes working in family practices, medical clinics, and nursing homes as well as in hospitals and emergency rooms.
Jodi Fuehrer

Jodi Fuehrer, APRN, FNP, NP-C

Jodi Fuehrer brings 27 years of healthcare experience to Twin Rivers Virtual Care. She graduated with her Masters of Nursing Degree as an Advanced Practice Registered Nurse (APRN) from Creighton University in 2008. She is nationally certified through the American Academy of Nurse Practitioners (AANP) as a Family Nurse Practitioner and holds a Nebraska Physician Assistant license. She worked in family practice for 6 years before joining Twin Rivers Urgent Care career in 2014.

She completed a mini-fellowship from the Mayo Clinic in the Diagnosis and Treatment of Children and Adolescents with Psychiatric Disorders. Prior to completing her nurse practitioner degree, she worked as a RN for 15 years in the areas of obstetrics and gynecology, oncology, occupational medicine, and school nursing.

Johnna Pierson

Johnna Pierson, PA-C

Johnna Pierson received her Master of Science in Physician Assistant Studies in 2008 from the A.T. Still University, Arizona School of Health Sciences. She has 16 years of experience in the medical field including working as a Nurse’s Assistant and Home Health Aide to a Physician Assistant. Johnna is bilingual in both English and Spanish and not only received a Bachelor of Arts in Spanish from the university of Nebraska-Lincoln, but also studied abroad for a semester at the Universidad de Castilla la Mancha in Toledo, Spain.
Julie Hatch

Julie Hatch, APRN

Julie Hatch brings her 19 years in medicine to Twin Rivers Urgent Care. She graduated from Creighton University School of Nursing Omaha, NE obtaining a Bachelor of Science in Nursing in 2000 and a Masters of Science in Family Nurse Practitioner in 2009. She has worked in both clinic and hospital settings.
Nichole Kinnamon

Nichole Kinnamon, APRN

Nichole Kinnamon graduated from Creighton University in 2015 where she achieved her Master of Science degree in Nursing. Nichole is board certified in Family Practice by the American Academy of Nurse Practitioners. Prior to obtaining her graduate degree, Nichole worked as a registered nurse for 9 years in open heart recovery at Nebraska Heart Hospital. Nichole specializes in family practice and urgent care for patients of all ages.