Hormone and metabolic health telemedicine for men and women across Washington State. Longer visits, comprehensive labs, and thoughtful care focused on finding root causes — not rushing to prescriptions.
"You've had blood work done. Your doctor said everything looks normal. But you're still tired all the time, still carrying weight you can't get rid of, still not sleeping well. You don't feel like yourself anymore. And nobody seems to know why."
You deserve a real answer — not "everything looks fine." There usually is one. It just takes the right tests and a provider who takes the time to look.
Patients across Washington State — from Ellensburg and upper Kittitas County to the Eastside Seattle communities, the Cascade foothills, Lake Chelan wine country, and the San Juan Islands — get the same level of care from the comfort of home. Every visit is 60 minutes with a board-certified nurse practitioner who has read your chart before you join the call.
Stubborn weight, fatigue after meals, blood sugar that keeps creeping up — these are signs of insulin resistance, and standard labs almost never catch it early. We check fasting insulin, HOMA-IR, and advanced metabolic markers to find the real problem and fix it. Nutrition guidance for metabolic health, stress and cortisol management, and sleep support are built into every metabolic care plan.
Metabolic →Low testosterone in men, perimenopause and menopause in women — hormone changes are real, measurable, and treatable. We evaluate your labs in context of how you actually feel and build a personalized hormone therapy plan when the evidence supports it.
Most chronic disease starts quietly — years before symptoms appear. Cardiovascular risk assessment and advanced lipid testing — ApoB, fasting insulin, and cardiovascular risk markers reveal what's building under the surface. We catch it early, when lifestyle changes still make the biggest difference.
Preventive Medicine →Nutrition, movement, sleep, and stress are not soft recommendations — they are medicine. We build lifestyle protocols that work alongside clinical treatment and monitor your progress with regular lab re-testing and follow-up visits.
Lifestyle Medicine →We take a thoughtful, individualized approach to hormone replacement therapy. Hormones are prescribed only when lab results and symptoms align, at the lowest effective dose, and with careful follow-up monitoring. This is not one-size-fits-all care.
Hormone therapy for women is about far more than managing hot flashes. When started at the right time and tailored to the individual, it is a proactive strategy to support resilience, protect long-term health, and sustain quality of life — well beyond the menopausal transition.
Testosterone therapy is not just about energy and libido — it is a proactive investment in long-term health. Healthy testosterone supports metabolic function, cardiovascular resilience, cognitive clarity, and body composition in ways that go well beyond symptom relief.
I'm a board-certified Family Nurse Practitioner with nearly 20 years of experience in healthcare. Over time, I became increasingly disillusioned with a "sick care" system that often profits from chronic disease rather than preventing it.
Beacon Hormone & Wellness reflects a different philosophy — one centered on prevention, partnership, and meaningful outcomes. My clinical interests include lifestyle medicine, insulin resistance, metabolic health, and hormone therapy for men and women.
Most of us have felt it — the rushed appointment, the hand on the door, the sense that no one really looked. That isn't anyone's fault. It's the system. Here's how a cash-pay model changes what's possible.
You're not paying for a quicker prescription. You're paying for time, attention, and a provider who actually looks for the cause.
We're a cash-pay practice, which means no insurance gatekeeping, no surprise bills, and more time focused on your actual care.
Everything begins here. An unhurried, thorough start — so your care is built on a real understanding of you, not a rushed first impression.
For patients who continue care after their evaluation. Steady, attentive partnership — not a once-a-year checkup.
We believe in full transparency. The following are not included in practice fees and are billed separately.
Getting started is straightforward — no referrals, no waiting rooms, no runaround.
Schedule your initial consultation from anywhere in Washington State in minutes — no referral needed.
A thorough 60-minute video visit with Sergio to review your symptoms, health history, and goals. Labs ordered to a site near you.
Review your results together and receive a personalized care plan — lifestyle-first, root cause focused, and built around you.
We're a fully telemedicine practice — expert, personalized care available no matter where you live in Washington State. From Ellensburg and Suncadia in upper Kittitas County, to North Bend and Snoqualmie along I-90, to Mercer Island and the Eastside, to Bainbridge and the San Juan Islands — we can see you.
Labs are ordered to a Quest Diagnostics draw site near you. Prescriptions sent to your local pharmacy or by mail. Everything else happens through a secure, HIPAA-compliant video platform.
Appointments from home, your car, or your office.
Serving men and women statewide — urban and rural.
All visits via encrypted, compliant video platform.
Labs ordered to a draw site near you — simple and convenient.
Beacon Hormone & Wellness serves Washington State residents via telemedicine — with a particular focus on communities where thoughtful, unhurried specialty care is often hardest to find.
Also serving Camas, Ridgefield, and Columbia River Gorge communities in Southwest Washington — and all Washington State residents statewide via secure video.
Real experiences from real patients across Washington State.
"Sergio has been a champion for my health journey. I struggled for almost a year and was very sick — he listened compassionately and went above and beyond any provider ever has. He opened doors to new opportunities and is now advocating for hormonal health in women. Saving sanity one hormone treatment at a time."
"Sergio is very caring and knowledgeable. I really appreciate the time he took researching the best plan for my hormone replacement therapy. He always answers my questions quickly and thoroughly and encourages me in my health journey."
"Sergio has been my provider for a few years now. My blood pressure is controlled, labs have improved, and he has taken the time to help me with low testosterone therapy. He follows up and encourages me to take my health seriously. I appreciate his dedication and care."
"Sergio listens to his patients and does complete work-ups, proper lab orders, imaging, and more. I have experienced genuine care and concern for my health and wellness. It's so easy to have a great provider available anytime. I highly recommend Sergio for your health."
"It's so nice to have a provider that understands and listens to my concerns. With my busy schedule it can be hard to visit a provider in person. This gives me the flexibility to meet virtually and better understand my symptoms and how to best manage them. I'm thankful for Sergio walking me through the best treatment options and being available to help."
"Sergio took the time to listen to my concerns, give me options for treatment, and most importantly did not push for unnecessary testing or medications. He understood I preferred lifestyle approaches and worked with me to do that."
"I stand by Sergio as a healthcare provider 100%. He listens, takes his time to understand me. I was taking 3 medications and after careful deliberation and monitoring, am still off them after a year. That is due to his proactive, preventative approach in changing my lifestyle."
"I cannot say enough about Sergio — one of the best providers I've ever had the privilege of working with. He takes the time to listen deeply and develops a solid plan moving forward. When it comes to male fertility and male hormones, you can't beat him. He researches constantly, stays up to date, and is willing to work outside the box to find the perfect solution."
"Sergio has been so great in helping me navigate perimenopause and is a wealth of knowledge on hormone therapy. He listens and answers questions with detail, using words I can understand. He cares about the whole patient, and I appreciate his holistic approach to healthcare."
"Sergio was thorough, explained things well, and did not try to get me on medications that were not indicated — in fact, he helped me wean off one I had been taking for far too long. He's followed up with me several times to make sure I am doing well. Would not hesitate to recommend him."
"Sergio has been an integral part of my health journey the last couple of years. He has helped me uncover the mechanisms behind certain health issues that have been difficult for other practitioners to figure out. He is knowledgeable, attentive and takes the time to actually listen, and from there does the best he can to provide a personalized plan to help you get better. I wouldn't want to work with anyone else as closely as I work with Sergio. If I really need help with something, he is my go-to. I highly recommend him to anyone that needs personal and focused healthcare."
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Spots are limited — Sergio takes a focused caseload by appointment.
Check AvailabilityA few of the things people most often ask. For everything else, see our full FAQ.
Many online hormone clinics follow a one-size-fits-all approach — a quick intake, a standard protocol, and a prescription. Beacon is built differently. Every patient receives a comprehensive evaluation of symptoms, health history, and in-depth lab work before any treatment is recommended. Hormone therapy is offered only when clinically appropriate, not as a default. And lifestyle changes are always foundational, because no prescription fixes what daily habits create.
Yes. We work with both men and women, commonly addressing low testosterone, perimenopause-related symptoms, fatigue and low energy, weight gain and metabolic concerns, and brain fog or poor sleep.
No. Beacon Hormone & Wellness is a cash-pay practice. This allows for longer visits, more personalized care, and freedom from insurance-driven limitations. For lab work, most patients use Rupa Health (cash-pay, typically the most affordable) or run labs through their insurance — we help you decide what makes sense.
Your $175 initial fee covers TWO visits: a 60-minute initial consultation AND a follow-up visit to review your labs and build your personalized care plan. After that, ongoing care is available through a $135/month membership. Labs and medications are billed separately. See full pricing →
We currently serve patients located in Washington State only. You must be physically present in Washington at the time of your telehealth visit.
Choosing a provider you've never met is a real decision, and it deserves more than a leap of faith. If you have questions, or you'd simply like to hear how we'd approach your situation, start here — no commitment. Not sure where to begin? Take our 2-minute symptom self-check first.
A free 15-minute video call to see if we're the right fit. We'll talk through what's going on, how we work, and whether this practice makes sense for you. No pressure, no obligation — just an honest conversation.
Send a note and Sergio will personally respond — usually within one business day.
Your $175 covers a 60-minute initial consultation AND a follow-up visit to review your labs and finalize your plan — both visits included. Comprehensive evaluation with Sergio Fernandez, FNP-C. Available to all Washington State residents from home. No referral needed.
Questions first? Call (509) 906-1935 or email sergio@beaconhormone.com