Now scheduling first visits
Expert care for older adults, in the comfort of home
Sonoma Valley NP brings unhurried, personalized medical care to your door. No waiting rooms, no rushed appointments — just a trusted clinician who knows you, your home, and your goals.
Rebecca Spear, DNP · Serving the Sonoma Valley
“The best care happens where life happens. When I sit with someone at their own kitchen table, I see the whole picture — and I have the time to actually listen.”
— Rebecca Spear, DNP
Simple by design
How house calls work
Reach out
Send a message through the form below or email us. We’ll schedule a free phone conversation to make sure we’re the right fit for you or your loved one.
We come to you
Your first visit happens at home and is never rushed. We review health history, medications, mobility, and what matters most to you.
Ongoing partnership
Regular follow-up visits, clear communication with family, and coordination with your other providers — so nothing falls through the cracks.
A different kind of practice
Why families choose home-based care
Time to listen
Visits typically last 60–90 minutes — several times longer than a standard office appointment.
Care in context
Seeing the home reveals what an exam room can’t: fall risks, medication routines, nutrition, and daily life.
Geriatric expertise
Care designed specifically for older adults — from managing multiple conditions to supporting independence and dignity.
No middlemen
Simple, transparent per-visit pricing. Your care is guided by your needs — not by insurance paperwork.
What we offer
Services brought to your door
Comprehensive geriatric assessment
A whole-person review of health, function, memory, mood, and goals of care.
Chronic condition management
Ongoing support for diabetes, heart disease, COPD, hypertension, arthritis, and more.
Medication review & simplification
Careful review of every prescription to reduce side effects, interactions, and unnecessary pills.
Memory & cognitive concerns
Thoughtful evaluation of memory changes, with practical guidance for patients and families.
Fall prevention & home safety
In-home assessment of mobility and hazards, with a concrete plan to stay steady and independent.
After-hospital visits
Extra support during the fragile weeks after a hospital or rehab stay, when problems most often arise.
Care coordination & family support
Clear communication with specialists, caregivers, and family — everyone on the same page.
Advance care planning
Unhurried conversations about wishes and priorities, documented properly before a crisis.
Meet your clinician
Rebecca Spear, DNP
DNP, ARNP, AGNP-C, GS-C · 18+ years caring for older adults
I’ve spent more than 18 years caring for older adults, and I believe good medicine starts with a relationship — and relationships take time. Again and again I’ve seen the same thing: the people who most need thorough, thoughtful care are often the ones for whom getting to a clinic is hardest.
Sonoma Valley NP is my answer. I bring the visit to you: a full appointment at your kitchen table or favorite armchair, with time to talk through every medication, every concern, and every goal. I work alongside your specialists and other providers, and I keep your family in the loop at every step.
I earned my Master of Science in Nursing from Seattle University and my Doctor of Nursing Practice from the University of Arizona, where my award-winning research focused on preventing delirium in post-acute care. As a geriatric nurse practitioner at Sonoma Valley Hospital, I led senior-care initiatives that contributed to its recognition as an Age-Friendly Health System. I’m board-certified in adult-gerontology primary care (AGNP-C), hold the Gerontological Specialist certification (GS-C), and am an active member of the Gerontological Advanced Practice Nurses Association and the American Delirium Society.
Aging well doesn’t mean giving things up — it means having the right support to keep living the life you love, in the place you love. It would be a privilege to be part of that support for you.
Simple & transparent
Per-visit pricing, no memberships
Initial home visit
Up to 90 minutes
$395
- Comprehensive health & medication review
- Home safety walk-through
- Personalized care plan
- Family debrief included
Follow-up visit
45–60 minutes
$225
- Ongoing condition management
- Medication adjustments
- Progress on your care plan
- Care coordination updates
Telehealth check-in
20–30 minutes
$95
- Video or phone visit
- Quick questions & follow-ups
- Prescription refill review
- Between-visit peace of mind
Payment is due at the time of visit. No membership fees, no long-term commitment. Questions about coverage or costs? Just ask — we’re happy to talk it through.
Where we visit
Serving the Sonoma Valley
Home visits are available throughout the valley. Not sure if you’re in our service area? Send us a note — we’ll do our best to reach you.
Good questions
Frequently asked questions
What is a DNP, and what can a nurse practitioner do?
Do you replace my regular doctor?
Who is a good fit for house calls?
What happens at the first visit?
How do I pay? Do you take insurance?
What if I have an emergency?
Get in touch
Request a visit or ask a question
We’d love to hear from you
Whether you’re asking for yourself, a parent, or a neighbor, we’ll get back to you within one business day. No obligation — just a conversation.