Our Services

The nurse practitioner team at Lakeview offers a variety of services and specialties, all of which are listed below. If you would like more information on a particular service, give us a call or complete our contact form. You can click on any of the highlighted services listed below to see more information.

Primary Care & Family Medicine

The providers at Lakeview Health Clinic take pride in caring for the whole patient at every stage of life. Often, patients who come to the clinic for other reasons end up establishing primary care because of their positive experience. Lakeview’s experienced nurse practitioners, Jennifer Napora and Cimberly Berg-Hooker have rave reviews from the community for their compassion and quality care. They can care for patients of any age, and in any state of health.

Q: I have North Dakota Medicaid, do I Need a Referral to See Someone at Lakeview?

A: It all depends on your plan. A quick call to your case worker at the Department of Human Services can tell you whether or not you will need a PCP referral. Lakeview will need a copy of that prior to your visit. 

Q: Can my Provider at Lakeview Prescribe all of my Medications?

A: Yes, our providers can prescribe your medications. They will coordinate with your pharmacy, or your past providers to ensure that you receive the proper prescriptions.

Medicare Annual Exams

The Annual Wellness Visit (AWV) is a yearly appointment with your primary care provider (PCP) to create or update a personalized prevention plan. This plan may help prevent illness based on your current health and risk factors. Keep in mind that the AWV is not a head-to-toe physical. Also, this service is similar to but separate from the one-time Welcome to Medicare preventive visit.

Eligibility

Medicare Part B covers the Annual Wellness Visit if:

  • You have had Part B for over 12 months.
  • And, you have not received an AWV in the past 12 months.

Covered Services

During your first Annual Wellness Visit, your PCP will develop your personalized prevention plan. Your PCP may also:

  • Check your height, weight, blood pressure, and other routine measurements
  • Give you a health risk assessment:
    • ​This may include a questionnaire that you complete before or during the visit. The questionnaire asks about your health status, injury risks, behavioral risks, and urgent health needs.
  • Review your functional ability and level of safety
    • ​This includes screening for hearing impairments and your risk of falling.
    • Your doctor must also assess your ability to perform activities of daily living (such as bathing and dressing), and your level of safety at home.
  • Learn about your medical and family history
  • Make a list of your current providers, durable medical equipment (DME) suppliers, and medications
  • Create a written 5-10 year screening schedule or check-list
  • Screen for cognitive impairment, including diseases such as Alzheimer’s and other forms of dementia

Costs

​If you qualify, Original Medicare covers the Annual Wellness Visit at 100% of the Medicare-approved amount when you receive the service from a participating provider. This means you pay nothing (no deductible or coinsurance). Medicare Advantage Plans are required to cover AWVs without applying deductibles, copayments, or coinsurance when you see an in-network provider and meet Medicare’s eligibility requirements for the service.

During the course of your AWV, your provider may discover and need to investigate or treat a new or existing problem. This additional care is considered diagnostic, meaning your provider is treating you because of certain symptoms or risk factors. Medicare may bill you for any diagnostic care you receive during a preventive visit.

Pediatrics

Lakeview Health Clinic offers pediatric and well-child visits with Cimberly Berg-Hooker, FNP-C. Parents can trust that their children are in good hands with Cim and her nursing staff. Lakeview offers childhood vaccinations, pediatric lead testing, and much more.

Is your child due for vaccinations? Check the CDC Childhood Immunization chart here.

Q: I Do Not Vaccinate My Children, Will Lakeview Still See Them?
A: No. Unfortunately, we are unable to provide care for children whose parents do not vaccinate.

Q: Can I Bring in My Newborn For a Well Baby Visit?
A: Yes, absolutely. We are able to see children of all ages and stages.

Q: Does Lakeview Offer Allergy Testing or Allergy Shots?
A: No, but we are able to refer patients to local allergists for these services.

Q: My Child has Special Needs, is Lakeview Accessible/Accommodating?
A: Yes. Lakeview Health Clinic is ADA compliant, and our compassionate staff are ready to meet the needs of any patient with special or unique needs.

Medical Marijuana Frequently Asked Questions

Q: What Conditions Qualify Someone For Medical Marijuana?
A: 
The North Dakota Century Code 19-24.1 defines debilitation conditions as any of the following: 

  • A Terminal Illness
  • Acquired Immune Deficiency Syndrome
  • Agitation of Alzheimer’s Disease or related Dementia
  • Amyotrophic Lateral Sclerosis
  • Anorexia Nervosa
  • Anxiety Disorder 
  • Autism Spectrum Disorder
  • Brain Injury
  • Bulimia Nervosa 
  • Cancer
  • Crohn’s Disease
  • Decompensated Cirrhosis caused by Hepatitis C
  • Ehlers-Danlos Syndrome
  • Endometriosis 
  • Epilepsy
  • Fibromyalgia
  • Glaucoma
  • Interstitial Cystitis
  • Migraine
  • Neuropathy
  • Positive Status for Human Immunodeficiency Virus
  • Post-traumatic Stress Disorder
  • Rheumatoid Arthritis 
  • Spinal Stenosis or chronic back pain, including neuropathy or damage to the nervous tissue of spinal cord with objective neurological indication of intractable spasticity
  • Tourette Syndrome
  • A chronic or debilitating disease or medical condition or treatment for such disease or medical condition that produces one or more of the following
    • Cachexia or wasting syndrome
    • Severe debilitating pain that has not responded to previously prescribed medication or surgical measures for more than three months or for which other treatment options produced serious side effects
    • Intractable nausea 
    • Seizures 
    • Severe and persistent muscle spasms, including those characteristic of multiple sclerosis

Q: Will My Insurance Cover My Appointment for Medical Marijuana?
A: Yes, your insurance will typically cover a portion of the appointment, depending on your deductible and out of pocket status. Lakeview Health Clinic accepts all major commercial insurances, as well as Medicare, Medicaid, and Sanford Medicaid Expansion. Please refer to our Policies page for information on amounts due up front at your appointment. 

Q: How Often am I Required to Come Back to See My Provider for Medical Marijuana Follow-Ups?
A: In the first year, you are required to be seen for follow-up appointments every three months. If you fail to comply with this, your card can be revoked by the state.  

Q: What do I Need to Bring to My Appointment?
A: You will need your photo ID, insurance card(s), and at least two years of medical records. If you are unable, or are unsure of how to release medical records from your previous healthcare provider(s), you may sign a release at your appointment. It is important to note that this may add significant delays to the process. You can print and fill out a release of information form here

Q: Where Can I Purchase Product Once I Get My Card?
A: There are seven dispensaries in North Dakota, they are located in MinotWillistonBismarckDevil’s LakeGrand ForksJamestown, and Fargo

Q: I Need Help With the Application Process- Where Can I Look?
A: You can watch a video here, or see the written walk-through of the process here.

Q: I Need My Provider’s Email Address for the Application- Where Can I Find That?
A: The instruction sheet given to you at your appointment has your provider’s email address on it. If you have lost your instruction sheet, you can call or email the clinic to get it. 

Bone Health

Osteoporosis is a disease of the bone that makes a person’s bones weak and more likely to break. Approximately 10 million Americans have osteoporosis and another 44 million have low bone density, placing them at increased risk. 54 million Americans, half of all adults age 50 and older, are at risk of breaking a bone and should be concerned about bone health.  
One in two women and up to one in four men will break a bone in their lifetime due to osteoporosis. For women, the incidence is greater than that of heart attack, stroke and breast cancer combined. 
Here at Lakeview, we have multiple options for managing osteoporosis and osteopenia. Utilizing our on-site lab, we can find out if patients are deficient in any vitamins or minerals, and get them started on a supplement regimen. In addition to supplements, the clinic offers Prolia injections- Prolia is a biologic medication used to prevent fragile bones and bone fractures. Patients can also be prescribed Forteo, an at-home injection regimen that increases bone mineral density and bone strength, which may prevent fractures.

Are you concerned about your bone health or risk status? Take the International Osteoporosis Foundation’s Risk Check quiz here.

Chronic Pain Management
Take the first step toward a pain-free life.

Desiree Desjardins, APRN, MSN, FNP-C, ONP-C specializes in pain management and treating the patient as a whole. Finding the right combination of hands-on manipulation, medications, and injections is an art, and one that you will find she excels in. Patients who have struggled with chronic pain their whole lives often find that they leave the clinic pain-free, and feel as if they “have their life back”. You can read testimonials from these patients here.

Pain Management Frequently Asked Questions

Q: What is Hands-On Manipulation?
A: Desiree uses a combination of stretching and manual application of pressure to the body along with a home exercise regimen to help alleviate pain. Many patient’s see relief after the first visit. 

Q: I Don’t Want to Use Opioid Pain Medications for my Chronic Pain, Can Desiree Help me With This?
A: Yes. Desiree can help you find a solution that does not utilize opioid medications.  The plan of action may include cortisone injections, medical marijuana, hands-on manipulation of the body, or muscle relaxing medications.

Q: Does Desiree Prescribe Opioid Pain Medications? 
A: In certain cases, yes. Prescribing of these medications does require the patient to sign a pain management contract with the clinic. The patient is also subject to verification that they are not seeing other providers for the same or similar medications. 

Q: I Have Osteoporosis/Osteopenia That Contributes to My Pain, Are There Any Additional Options for Me?
A: Yes. Desiree also offers Prolia injections and prescribes Forteo. You can learn more about our bone health services here.

Cortisone Injections

What are Cortisone Injections?

Cortisone injections can be used to treat inflammation of small areas of the body, such as inflammation of a specific joint or tendon. They can also treat inflammation that is widespread throughout the body, such as with allergic reactions, asthma, and rheumatoid arthritis, which affects many joints. They offer quick relief for inflammation, and a single injection can avoid certain side effects, notably stomach irritation, that can happen with other anti-inflammatory drugs.

Are There Any Side Effects?

Possible side effects include:

  • Pain and swelling – The injected cortisone medication can crystallize inside the body. The crystals can cause pain and inflammation that is worse than the pain and inflammation caused by the condition being treated. This side effect is called a cortisone flare. A flare typically lasts one or two days and can be treated with rest and intermittent cold packs.
  • Skin discoloration – Patients may notice the skin around the injection site changes color a few weeks or months after the injection. This side effect is most common in darker-skinned patients, who notice the skin becomes lighter.
  • Fat atrophy – A cortisone injection may cause fat cells at the injection site to atrophy. A divot or depression in the skin may appear because the underlying fat cells have deteriorated. The skin’s appearance usually goes back to normal in 6 months but may take 2 or 3 years.
  • Elevated blood sugar – In addition to decreasing inflammation, corticosteroids can raise blood sugar levels. A patient with diabetes should inform their doctor prior to receiving an injection and then closely monitor blood sugar levels for a day or two following a cortisone injection.
  • Infection – Though rare,infection is a serious potential side effect. People who are more prone to infection, such as those who have autoimmune diseases and who take immune-suppressing medications, should inform their health care provider. After receiving a cortisone injection, any patient who suspects an infection or runs a fever is advised to contact their doctor.

Lab Services

Lakeview is able to offer patients a variety of lab services and tests on-site. We contract with Northern Plains Laboratory in Bismarck for interpretation, and are able to get results for most common tests within 24 hours of the blood draw.

 
Q: Do I Need to Fast Before my Labs?
A: For certain labs, you will need to fast, below you will find a list of common tests and their fasting times:
  • Comprehensive Metabolic Panel (CMP, or Chem14) – 10 to 12 hours
  • Basic Metabolic Panel (BMP or Chem8) – 10 to 12 hours
  • Renal Function Panel – 8 hours minimum
  • Vitamin B12 – 6 to 8 hours
  • Insulin – 8 hours
  • Iron Panel – 12 hours
  • Blood Glucose – 8 to 10 hours
Q: Can I Drink Anything While Fasting?
A: You can drink water and black coffee.
 
Q: I’m Scared of Needles, Does it Hurt?
A: Getting blood drawn is minimally invasive, but does cause a minor “pinching” sensation that some people find unpleasant. Our phlebotomist can provide a numbing cream to the draw site to help alleviate the pain if you are nervous. 
 
Q: How Quickly Will I Know the Results of a Test?
A: Most tests are back within 24 hours, but some more complex tests can take up to three days. Some examples of more complex tests are: Vitamin D, COVID-19 Antibodies, and heavy metal testing. 
 
Q: Will My Provider Call me With Results? 
A: Yes, even if all of your tests come back within normal range, the provider’s nurse will always call you. You can also access your results at any time via the Kareo patient portal

DOT Physicals

What to Bring to Your DOT Physical Appointment

Bring a complete list of your medications, including the dosage regimen, dosages, and your doctors’ names and addresses. To save time, it’s also recommended that drivers fill out the health history questionnaire before coming to the clinic. 
To make sure the exam runs as smoothly as possible, drivers with certain medical issues need to bring the appropriate documents or items. For example:
  • Drivers with vision or hearing problems must bring their eyeglasses, contacts, or hearing aids
  • Drivers with diabetes must bring the most recent lab results from their Hemoglobin A1C (HgAIC) and their blood sugar logs
  • ​Drivers with heart-related issues must, at minimum, bring a letter from their cardiologist that outlines their medical history and current medications, and indicates that they are safe to work

What the DOT Physical Covers

➽Vision – ​Drivers are required to have at least 20/40 acuity in each eye with or without correction. They are also required to have at least 70” peripheral in the horizontal meridian, measured in each eye.
➽Hearing – Drivers must be able to perceive what is known as a “forced whisper” at a distance of 5ft or less, with or without a hearing aid. This standard equates to an average hearing loss in the better ear of less than 40 dB.
➽Blood Pressure and Pulse Rate – The medical examiner will check the driver’s blood pressure and pulse to look for high blood pressure and irregular heartbeats.
➽Urinalysis – A urinalysis is required. The test looks for indications of underlying medical conditions such as diabetes.
➽Physical Examination

COVID-19 Testing

Lakeview offers a drive-through testing option for patients who have symptoms, or who have possibly been exposed to the Novel Coronavirus. The test involves a swab being inserted through the nose and into the nasopharyngeal cavity. The swab is then placed in Universal Transport Media and couriered to the North Dakota Public Health Lab in Bismarck for testing. Patients can expect results within 48-72 hours. 
TO REQUEST A TESTING APPOINTMENT, PLEASE  CALL THE CLINIC DIRECTLY


Q: Does the Test Hurt?

A: Some patients report discomfort from the swabbing procedure. It may cause you to sneeze, or your eyes may water. It is important to remain still and not try to pull away, as this may effect the accuracy of your test.

Q: Can I be Tested If I Don’t Have Symptoms?
A: Yes. Anyone can be tested, as many cases are asymptomatic at this time. 

Q: I had Symptoms Previously, But They are Gone Now- Should I Get Tested?
A: Patients who previously experienced symptoms should instead get the antibody screening test.

Q: My Employer is Requiring me to Get Tested, Can I Come to Lakeview?
A: Yes, you can get tested in the drive-through, and your results can be forwarded to your employer.

COVID-19 Antibody Testing

Lakeview Health Clinic has partnered with Northern Plains and ARUP Laboratories to provide the COVID-19 Antibody screening test to our patients. 
​​
Detection of IgG antibodies indicates exposure to SARS-CoV-2. Importantly, it has not yet been established that the presence of IgG antibodies implies immunity to COVID-19. Further, individuals may still be infectious for some time after seroconversion occurs and antibodies become detectable. For this reason, a positive antibody result should not alter quarantine, isolation, social distancing, or PPE practices. IgG results should not be used for diagnosis. Molecular tests are the only tests currently recommended for the diagnosis of COVID-19 infection.

IgG antibodies are likely to be present in the majority of individuals approximately two weeks after the onset of COVID-19 symptoms. If a specimen is collected too early, antibody tests can yield false-negative results. False-positive results are possible in a small percentage of individuals. These may be due to past or present infection with non-SARS-CoV-2 coronavirus strains, such as coronavirus HKU1, NL63, OC43, or 229E.

Both COVID-19 serology assays have been evaluated by their individual manufacturers and the FDA in partnership with the National Institutes of Health (NIH), the CDC, and the Biomedical Advanced Research and Development Authority (BARDA).

The Anitbody screening is a simple blood test, and Lakeview typically sees results within 48 hours. 

Genetic Testing

Lakeview currently offers two different types of genetic testing, MyRisk® Cancer Screening from Myriad, and the GeneSight® psychotropic use test from Assurex Health. 

MyRisk® Cancer Screening

The Myriad MyRisk® Hereditary Cancer test is a 35-gene panel that identifies an elevated risk for eight hereditary cancers:

 

 
If you are interested in the MyRisk® test, take the quiz here.

 

GeneSight® Psychotropic Test

GeneSight® is a genetic-based laboratory developed test that analyzes a person’s DNA, and matches it with known pharmacology about how medications work, to help healthcare providers develop an individualized treatment plan for their patients. The GeneSight® report uses color-coding to show which medicines may be more likely to work for a patient based on his/her genetic makeup.
The GeneSight® report also contains helpful information about how an individual’s genetic makeup may affect dosage based on an analysis of certain genes

Women’s Health

Lakeview offers a variety of women’s health services through Jennifer Napora, FNP-C. Patients can take comfort in the knowledge that they are in good hands with our all-female staff, and can expect top-notch care from the moment they enter the clinic.

Q: Do You Offer Birth Control Services?
A: Lakeview offers patients a few different options for birth control:

  • Depo-Provera Injections
  • Progestin only pill prescriptions
  • Combination hormone pill prescriptions
Unfortunately, we are unable to offer IUDs or implants at this time. 
Q: Do You Offer STD Testing?
A: Yes. We are able to test for all major STDs, with results being delivered within 24 hours.

Q: Do You Offer HPV Testing?
A: Yes, Lakeview has partnered with Pathology Consultants in Bismarck to provide HPV testing, with results being seen within 72 hours.

Q: Do You Perform Pap Smears?
A: Yes.

Need our care?
Please call us:

701-852-8502

Call us or complete the contact form below. Someone will be in contact with you within 24 hours.