Personalized Primary Care & Complex Chronic Illness Management

Healthcare should feel personable. Granger Direct Care & Wellness is a membership-based Direct Primary Care practice in Riverton, Utah, designed to give patients more time with their provider, easier access to care, and a more personalized healthcare experience. Instead of paying a copay each time you need primary care, members pay a predictable monthly fee for the services included in their membership. And because Granger Direct Care & Wellness is part of Granger Medical Clinic, members also benefit from convenient access to a broad network of specialists, diagnostic services, imaging, laboratory services, and other healthcare resources when additional care is needed. More time. Better access. Personalized care.

Granger Direct Care & Wellness provider spending unhurried time with a patient in Utah
Direct Primary Care

With Direct Primary Care, You Get

This model gives your provider more time to listen, understand your concerns, and build a thoughtful care plan around your individual needs.
  • Same-day or next-day appointments when available
  • Longer, unrushed visits, typically 30–60 minutes or longer when needed
  • Unlimited in-person and telehealth visits with your Direct Care provider
  • Direct, secure communication with your care team
  • No copays for services included in your membership
  • Transparent, predictable membership pricing
  • Preventive and wellness care
  • Chronic disease management
  • Care coordination with specialists
  • Greater continuity with a provider who knows your health history
Specialty Care Membership

Conditions Requiring Specialty Care Membership

Patients with the following conditions require enrollment in the Specialty Care plan due to the complexity and level of care coordination involved.
  • Rare or undiagnosed medical conditions (“medical mystery” cases)
  • Postural Orthostatic Tachycardia Syndrome (POTS)
  • Orthostatic Intolerance (OI) not responsive to neurology or cardiology treatment
  • Autonomic disorders and dysfunction, including refractory vasovagal syncope, autonomic neuropathy, autonomic ganglionopathy, autonomic failure, and Multiple System Atrophy (MSA)
  • Ehlers-Danlos Syndrome (EDS)
  • Hypermobility Spectrum Disorders (HSD)
  • Myalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS)
  • Long COVID
  • Fibromyalgia
  • Complex Regional Pain Syndrome (CRPS)
  • Autoimmune complications related to GAD-65, Sjögren’s Syndrome, Lupus, Rheumatoid Arthritis, or Scleroderma (particularly when not adequately managed through rheumatology)
  • Small Fiber Neuropathy
  • Chronic complex migraines not responsive to neurology treatment
  • Orthostatic headaches, including Spontaneous Intracranial Hypotension (SIH) and Idiopathic Intracranial Hypertension (IIH) / Pseudotumor Cerebri
  • Mast Cell Activation Syndrome (MCAS)

More About This Service

What Is Direct Primary Care?

Direct Primary Care, often called DPC, is a healthcare model built around a direct relationship between you and your primary care provider.

Instead of billing insurance for the primary care services included in your membership, you pay a flat monthly fee directly to the practice. That membership gives you enhanced access to your provider and removes many of the barriers commonly associated with traditional primary care.

For patients with complex or chronic health concerns, we also offer an enhanced Specialty Care Membership with additional time, coordination, education, and support.

Primary Care Membership

The Primary Care Membership is designed for children and adults seeking preventive care, sick visits, ongoing management of common chronic conditions, and a more convenient, patient-centered primary care experience.

This membership includes comprehensive primary care, routine screenings, chronic disease management, telehealth access, behavioral health support, specialist coordination, and select in-office procedures, all delivered with more time, access, and continuity than traditional care models.

Comprehensive Primary Care

Your membership covers preventive wellness exams, routine screenings, and care for everyday illnesses and injuries. We also provide ongoing management for chronic conditions such as diabetes, high blood pressure, asthma, and more, with close monitoring and follow-up to help you stay on track and avoid complications.

Basic Procedures & In-Office Testing

Many common in-office services are included at no additional cost when performed by Brittany, including:

  • Wound care and stitches
  • EKG (heart tracings)
  • Breathing treatments

If additional services are needed, Granger Medical’s in-house resources make it easy to stay within one system. Services such as labs, X-ray, CT, MRI, vaccines, cortisone injections, IUD placement, and IV services can be completed on-site and billed through your insurance, reducing the need for outside referrals.

Mental Health Support

We recognize that mental health is a critical part of overall wellness. Your membership includes support for common conditions such as anxiety and depression, along with care coordination for therapy or specialty mental health services when needed.

Telehealth & Direct Communication

Can’t make it into the clinic? No problem. Members have access to:

  • Telehealth visits
  • Phone consultations
  • Secure messaging during office hours

This allows you to get answers, adjust treatment plans, and stay connected to your care without always needing an in-person visit. After-hours needs are supported through Granger’s on-call provider group.

Specialist Coordination

If specialty care is needed, we help guide the process from start to finish. Whether you’re seeing a cardiologist, neurologist, or another specialist, Brittany will coordinate referrals, assist with testing, and ensure your care remains connected and well-managed.

Discounts on Additional Services

Members may receive discounts on select services within Granger Medical that are not included in the membership. These may include:

  • Labs, imaging (X-ray, CT, MRI), and mammograms
  • Vaccines and fracture care
  • IUD placement and cortisone injections
  • IV placement and IV fluid administration

Services typically not covered by insurance, such as Botox, PRP joint injections, and vitamin or NAD+ IV infusions, may also be available at a discounted rate.

Member Benefits

  • Unlimited primary care visits
  • Same-day or next-day scheduling
  • No copays or per-visit charges
  • Direct access to your provider
  • Longer, unrushed appointments

Approximately 90% of healthcare needs can be effectively managed through high-quality primary care, and our goal is to handle as much of your care as possible in-house, saving you time, reducing complexity, and improving outcomes.

Your Health, On Your Terms. This model is designed to give you more control, better access, and a stronger relationship with your provider, so you can focus on staying healthy, not navigating the system.

Specialty Care Membership for Complex Chronic Illness

While our Primary Care Membership is designed to meet the needs of most patients, some individuals require a higher level of support, coordination, and clinical expertise.

If you are living with a complex chronic illness, you can upgrade to our Specialty Care Membership at any time. This advanced care model is built specifically for patients navigating multi-system, rare, or difficult-to-manage conditions, and ensures you receive the time, attention, and coordination your care requires.

As a Specialty Care Member, you will receive all care available under the Primary Care Membership, plus:

  • Extended visits: No limits on appointment length or frequency. Schedule as many visits as needed, with longer visit times available. Complex patients often need 1-hour visits; we make that possible so we can truly listen, review records, and form a comprehensive plan. There are zero co-pays or per-visit charges for these appointments.
  • In-depth care coordination: We become your healthcare quarterback. Brittany will coordinate with your specialists (cardiology, neurology, rheumatology, etc.) to ensure everyone is on the same page. We help arrange referrals, follow up on specialist recommendations, and even facilitate communication among providers. Our team has extensive experience managing multi-system conditions and will help orchestrate the complex puzzle of your care.
  • Personalized education & support: You’ll receive personalized education about your condition and guidance on management strategies. We take time to explain the “why” behind treatments and provide up-to-date information on your illness. Our clinic is a safe space where your concerns are heard and validated. No more feeling dismissed or told “it’s all in your head.”
  • Advocacy and navigational help: Managing rare diseases can be overwhelming. We offer ongoing support and advocacy, helping you navigate insurance hurdles, obtain necessary tests or therapies (appeals, letters of medical necessity), and connecting you with patient resources. We’re your partner in this journey, every step of the way.
  • Collaborative care plan: Brittany works in consultation with Dr. Coleby* and a network of specialists to craft and continually update a comprehensive care plan tailored to you. We focus on managing symptoms, improving quality of life, and maintaining optimal function. Our goal is to keep you as healthy and active as possible, coordinating everything from medications to lifestyle interventions across all your providers.

*In-person visits with Dr. Coleby are not part of the DPC plan. However, if needed, Brittany may consult with him and arrange a comprehensive evaluation through his Autonomic Disorders Clinic. She will then continue your care based on that plan. Appointments with Dr. Coleby require either insurance coverage or a separate cash payment. Although his clinic has been closed to new patients since 2022, he is now seeing new patients on a case-by-case basis if Brittany is established as their primary care provider and is the referring provider.

Designed for complex care, built around you. Patients in this program often require more time, deeper clinical investigation, and coordination across multiple specialties. The Specialty Care Membership ensures nothing is overlooked and that your care is continuously guided by a provider who understands the full picture.

Flexible, patient-centered access. If your health needs evolve, transitioning into the Specialty Care Membership is seamless. Our goal is to meet you where you are and provide the level of care that best supports your long-term health.

Membership Pricing

Primary Care Membership

Monthly pricing for individual members is age-based:

  • Ages 0–30: $100/month
  • Ages 31–60: $125/month
  • Ages 61+: $150/month
  • One-time enrollment fee: $100

Family pricing is also available:

  • Children ages 0–17: $50/month each
  • Spouse/partner add-on example for ages 31–60: $75/month
  • Two parents and two children: $200/month
  • Additional children: $50/month each
  • Family membership is capped at $350/month
  • Family enrollment fee: $250

Specialty Care Membership

  • $395/month
  • One-time enrollment fee: $995
What Is Not Included?

Some services fall outside the monthly membership and remain the patient’s financial responsibility. These include:

  • Emergency room and inpatient hospital services
  • Specialist care or outside facility services
  • Medications, vaccines, imaging, and labs performed outside the practice
  • Certain self-pay or cash-pay procedures outside basic in-office care, such as PRP injections or iron infusions

Members may receive discounts on select Granger services and some procedures not included in the membership. Certain in-house services and procedures may be eligible for discounts or insurance billing, depending on the service.

Meet Your Care Team

Our compassionate team is what truly sets Granger Direct Care & Wellness apart. We combine decades of experience in primary care and specialty medicine with a genuine passion for patient-centered care.

Brittany Jorgensen, FNP-C, Lead Provider

Brittany is a Board-Certified Family Nurse Practitioner with over 18 years of nursing experience. She spent 15+ years as an RN (including surgical and trauma care) before earning her Master’s and FNP certification in 2018. As a primary care provider, she grew frustrated with rushed, high-volume clinic settings that limited her time with patients. This led her to join the renowned Metrodora Institute in 2023, a multidisciplinary clinic for complex neuroimmune disorders, where she gained extensive experience caring for patients with conditions like POTS, autoimmune dysautonomia, and EDS in collaboration with top specialists. Now, Brittany brings that expertise to Granger Direct Care & Wellness. She is known for her empathetic listening, thorough approach, and dedication to helping patients who have “fallen through the cracks” of the healthcare system. Brittany will be your primary partner in health. Whether you’re coming in for a routine physical or navigating a rare illness, you will be in capable and caring hands.

Craig Coleby, MD, Medical Director

Dr. Coleby is a highly accomplished physician providing oversight and medical director support at our clinic. He is triple board-certified in Internal Medicine, Pediatrics, and Sports Medicine, with an additional subspecialty certification in Autonomic Disorders (Neurology subspecialty). A Utah native, Dr. Coleby has been with Granger Medical Clinic since 2010 and has 3,000+ hours of emergency and critical care experience. He has a special interest in complex conditions that affect the autonomic nervous system (like POTS and related syndromes) and helps organize the annual “POTS and Beyond” physician education conference at the University of Utah. Dr. Coleby is an Adjunct Assistant Professor in the Department of Education at the University of Utah. As Medical Director, Dr. Coleby ensures that our clinic provides the highest quality of care. He’ll work closely with Brittany on her approach to challenging care, bringing his broad expertise in adult and pediatric medicine. Patients appreciate Dr. Coleby’s down-to-earth demeanor and problem-solving mindset. Together, he and Brittany are excited to offer an innovative care model that puts patients first.

Ready to Enroll?

Choosing Granger Direct Care & Wellness means choosing a healthcare model built around access, continuity, and personalized support. Whether you are looking for a better primary care experience or need a more coordinated approach to managing complex chronic illness, this practice offers a more direct path to the care you need.

Granger Direct Care & Wellness
12391 S 4000 W
Riverton, UT 84096

Call today to learn more, schedule a free introductory visit, or find out which membership option is right for you.

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FAQ

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FAQ

Frequently Asked Questions

What’s included in the membership?
  • Unlimited office visits (in person or telehealth)
  • Secure messaging with your provider
  • Complex questions will be addressed in a visit, allowing time for discussion, documentation, and updates to your current treatment plan
  • Same- or next-day appointments for urgent concerns or complex questions
  • 30–60-minute appointments to address your questions without feeling rushed
  • Care coordination with your other providers
  • Point-of-care testing
Can I use my medical insurance?

Granger Direct Care & Wellness does not bill insurance for membership services. The monthly fee covers the direct care services included in the plan. Patients may still use insurance for services outside the membership, including labs, imaging, prescriptions, specialist visits, emergency care, and hospital services. The practice welcomes patients with insurance or no insurance at all, although Granger recommends pairing a membership with a health insurance plan to help cover services outside the direct care model.

Are Medicare and Medicaid patients eligible?

Granger is not able to accept Medicare or Medicaid patients in the Direct Care membership at this time. Patients may be added to a waitlist if that changes.

Can I use my HSA or FSA?
  • FSA funds may be used to cover the cost of the monthly membership.
  • HSA use may be allowed depending on the plan. Patients should confirm eligibility with their HSA administrator.
Is a Direct Care Practice the same as a Concierge Practice?

Direct Care Practice (DCP) takes the best parts of the concierge concept, unprecedented access to your provider and a focus on personalized care, and makes them accessible to more people. Concierge practices, however, charge a high annual membership fee in addition to billing your health insurance plan for your visits and procedures. This means that in addition to the high-cost annual fee, you are still responsible for copays, deductibles, and other costs dictated by your insurance. A concierge practice often has 24/7 access and is tailored to the wealthy.

DCP allows direct access to your provider, with same-day or next-day availability. While this is not 24/7 access, the fast appointments, direct communication with your provider, and proactive medical care make a significant difference in your health and well-being.

To ensure high-quality, accessible care, Brittany Jorgensen, FNP maintains a limited patient panel, balancing complex chronic disease management with primary direct care so each patient receives adequate time and attention each month.

Where to Find Us

Locations Offering Granger Direct Care & Wellness

Visit a Granger Medical Clinic location near you. Select a location for its address, phone number, and directions.

12391 S 4000 W, Riverton, UT 84096
801-302-1727
Our Team

Providers for Granger Direct Care & Wellness

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Granger Medical Clinic
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