
Lisa Gay
Nurse practitioner · Family medicine
15+ years of experience
Menopause Society Certified Practitioner
About Midlife Wellness
Midlife Wellness is a solo, consultation-only telehealth practice run by Lisa Gay from St. Croix, seeing women in the US Virgin Islands only. It is explicitly a complement to a patient's primary care provider or gynecologist and does not provide primary care or general gynecology. Visits are long, with an hour for the first one, and cover both hormonal and non-hormonal options. Estrogen, progesterone, testosterone and thyroid hormone are prescribed when clinically appropriate, but the practice does not place hormone pellets and asks women on pellet therapy to book a full initial evaluation rather than a transfer visit. Follow-up runs six to twelve weeks after starting treatment, then every six to twelve months once a regimen is settled.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Non-hormonal medication
- Supplements & lifestyle
Particular focus
- Thyroid
Cost and insurance
Insurance
Not confirmed — ask the office about your plan.
Self-pay
- Initial Consultation
- $300
- Transfer of Hormone Care
- $200
- Follow-up visit
- $150 per visit
- HSA and FSA accepted
- Itemized receipts for out-of-network claims
Self-pay only; a superbill for out-of-network reimbursement is posted to the patient portal after each visit, and a sliding-scale programme is available on application.
Verified September 2026.
Qualifications
FNP, MSCP
