Nikki Parquette, PA
DPC Family Medicine physician assistant, Hayden, ID
Spear Direct CareNikki Parquette is a certified physician assistant and the founder of Spear Direct Care, a membership-based direct primary care practice.
Facts on this page last checked October 2026. How we check doctors
About Nikki Parquette
Parquette is the founder, CEO and provider of Spear Direct Care. She is a certified physician assistant with a master of physician assistant studies degree. She earned a Bachelor of Science in Exercise Physiology from Illinois College and a master's degree through the Interservice Physician Assistant Program.
She enlisted in the U.S. Army as a combat medic before becoming a physician assistant. Spear Direct Care is a membership-based direct primary care practice.
Membership and fees
At Spear Direct Care, the adult individual membership for ages 25 and over costs $125 per month.
It includes all care provided in the clinic, advanced primary care visits, health management visits, basic in-office labs, unlimited virtual care and simple treatments and procedures in the clinic.
There is a one-time, non-refundable enrollment fee of $125.
Lab tests done outside the clinic are at discounted pricing, imaging is at lower pricing and the pap smear pathology fee is billed separately.
Education and credentials
Hospital and practice affiliations
Location
Patient reviews
listens to all of my issues and does not dismiss them
"Spear Direct Care is always so kind to me! Nikki listens to all of my issues and does not dismiss any of them. She clearly cares about the health of every patient who walks through her door!"
The provider who sets the bar!
"Nikki is the provider who sets the bar! She got right to work and passionately delved into my and my family's health concerns."
"conventional" approach to health care
"If you're searching for a more "conventional" approach to health care, contact Nikki and she can explain further! They work well with both children and adults."
Questions patients ask
Is Nikki Parquette a doctor?
Nikki Parquette is a certified physician assistant, not a physician.
Does Spear Direct Care take insurance, or offer a membership?
Spear Direct Care is a membership-based direct primary care practice. The practice recommends a traditional health insurance plan or cost share program for specialist visits, tests, hospital stays and surgery.
How much does a membership at Spear Direct Care cost?
The adult individual membership for ages 25 and over costs $125 per month. There is also a one-time, non-refundable enrollment fee of $125.
Does Spear Direct Care offer telehealth?
Members can have virtual visits by video, phone or text.
Did Nikki Parquette serve in the military?
Parquette enlisted in the U.S. Army as a combat medic before becoming a physician assistant.
Where is Nikki Parquette's office?
Parquette is the founder, CEO and provider of Spear Direct Care.
