Photo of Dr. Anna Mirer

Dr. Anna Mirer, MD

DPC Family Medicine physician, Milwaukee, WI

Presence Primary Care

Dr. Mirer is a DPC Family Medicine physician who founded Presence Primary Care, a membership-based direct primary care practice.

2500 W. Layton Ave, Ste 260, Milwaukee, WI 53221
At a glance
Practice model
Direct primary care, no insurance needed
Sustainable membership, age 26 and up
$90 a month, plus $100 one-time enrollment fee
Languages
Spanish

Facts on this page last checked October 2026. How we check doctors

About Dr. Mirer

Dr. Mirer completed the MD-PhD program at UW-Madison, with a doctorate in epidemiology. She also has a Master of Public Health from UC Berkeley, in epidemiology and biostatistics. She completed a family medicine residency.

Before starting her own direct primary care practice, she tried working in corporate medicine. She founded Presence Primary Care. She does not answer to executives or insurance companies.

She can see patients regardless of insurance status. She previously taught Head Start in New Mexico. Her interests include mental health, opioid use disorder treatment, size-neutral medicine, reproductive health, gender-affirming care and primary care for neurodivergent patients.

She speaks Spanish. The practice welcomes patients of all sizes, sexualities, neurotypes, incomes, genders and ages. She likes speculative fiction, musicals and dogs.

Membership and fees

Presence Primary Care offers membership-based direct primary care with no insurance needed, and the monthly fee covers virtual and in-person visits and basic office procedures with no copays.

The Sustainable membership is $90 a month for ages 26 and up and $75 a month for ages 25 and under, with 5% off for paying 12 months in advance and a one-time $100 enrollment fee.

The Accessible membership, at reduced cost as resources allow, is $50 a month for ages 26 and up and $35 for ages 25 and under with a one-time $25 enrollment fee, and the Equitable membership is $120 a month for ages 26 and up and $100 for ages 25 and under.

Services

Reproductive health Primary care for neurodivergent patients Gender-affirming care Size-neutral medicine Mental health Opioid use disorder treatment
What family medicine doctors commonly treat

Education and credentials

Degree
MD, PhD, MPH
Medical school
UW-Madison (MD-PhD program)
Graduate school
UC Berkeley (MPH, Epidemiology and Biostatistics)
Residency
Family medicine
Former name
Anna Cash

Hospital and practice affiliations

Founder, Presence Primary Care

Location

2500 W. Layton Ave, Ste 260, Milwaukee, WI 53221
Presence Primary Care practice page
Directions

Recognition and research

Publications

"Integrating Buprenorphine Treatment for Opioid Use with Primary Care is Associated with Greater Retention in Treatment" in Journal of the American Board of Family Medicine (2022).
"Sleep-disordered breathing and the menopausal transition among participants in the Sleep in Midlife Women Study" in Menopause (2017).
"Menopausal hormone therapy and sleep-disordered breathing: evidence for a healthy user bias" in Annals of Epidemiology (2015).

Patient reviews

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Questions patients ask

Does Dr. Mirer take insurance, or offer a membership?

Presence Primary Care is membership-based direct primary care. No insurance is needed, and there are no insurance middlemen.

How much does a membership at Presence Primary Care cost?

The Sustainable membership is $90 a month for ages 26 and up and $75 for ages 25 and under, with 5% off for paying 12 months in advance and a one-time $100 enrollment fee. The Accessible membership, at reduced cost as resources allow, is $50 a month for ages 26 and up and $35 for ages 25 and under, with a one-time $25 enrollment fee. The Equitable membership is $120 a month for ages 26 and up and $100 for ages 25 and under.

What does a membership at Presence Primary Care include?

The monthly fee covers virtual visits, in-person visits and basic office procedures. There are no copays.

Where did Dr. Mirer train?

She completed the MD-PhD program at UW-Madison and earned a Master of Public Health at UC Berkeley. She also completed a family medicine residency.

Does Dr. Mirer offer telehealth?

The practice's monthly fee covers virtual visits.

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