Tatyana Tsykman, ARNP, practices internal medicine for adults across Palm Beach County — unhurried visits, same-week appointments, and a clinician who reads your whole chart, not just the chief complaint.
Tatyana Tsykman, ARNP, opened her West Palm Beach practice on a simple conviction: adults deserve more than a seven-minute visit. Internal medicine works best when the clinician has time to listen, to review, and to follow up — so that is the model here. No conveyor belt. No rushed prescriptions. Just careful, evidence-based care for the long run.
Every new-patient visit runs a full sixty minutes. Follow-ups run forty. That room time is the difference between a prescription pad and a real plan — between managing a number and managing a person.
Trained in adult primary care with a focus on complex chronic disease — hypertension, diabetes, thyroid disorders, and cardiometabolic risk. Licensed in the State of Florida.
New patients are typically seen within forty-eight hours of requesting an appointment.
Serving Palm Beach County and the greater South Florida community.
You see the same ARNP every visit. No rotating locums, no third-party phone trees.
Indicative pricing is listed for self-pay patients. Most major insurance plans are accepted, and a good-faith estimate is provided before any elective service. The figures below reflect typical 2025 self-pay rates in Palm Beach County.
A comprehensive 60-minute preventive visit — full history, physical examination, vital signs, ECG screening, and a personalized risk profile. Includes a written summary and any routine lab orders.
Ongoing care for hypertension, type 2 diabetes, hyperlipidemia, and thyroid disease. Forty-minute visits, medication titration, lab review, and coordinated referrals when a specialist is needed.
Annual well-woman visits, clinical breast examination, contraception counseling, menopause management, and bone-density screening referrals — delivered with the privacy and time every patient deserves.
Physician-supervised intravenous therapy for hydration, post-viral fatigue, and micronutrient repletion. Customized blends include Myers' cocktail, B-complex, magnesium, and vitamin C — administered in a calm, monitored setting.
A structured, evidence-based program combining body-composition analysis, metabolic lab work, nutrition planning, and — when clinically appropriate — FDA-approved medication. Follow-ups every four weeks.
Comprehensive bloodwork beyond the standard panel — lipid subfraction, HbA1c, inflammatory markers, hormone panel, and micronutrient levels. Drawn in-office with same-week results and a dedicated review appointment.
Every patient moves through the same deliberate sequence — designed to surface the things a ten-minute visit would miss. It is slower by intention, and that is exactly why it works.
The first visit opens with sixty uninterrupted minutes. The goal is not to fill a checklist — it is to understand the timeline of your health, the things that worry you, and the patterns you have noticed that no lab has caught yet.
Vital signs, ECG, body composition, and targeted labs ordered the same day. We do not order panels to pad a bill — every test maps to a decision we are about to make together.
Results are reviewed in person, in plain English, with the chart on the screen in front of you. You leave knowing what each number means and what we are going to do about it — or why we are going to do nothing at all.
A plan is only as good as its follow-through. We schedule the next check before you leave the room, and the same ARNP reviews every result, every time.
“She spent an hour with me and finally figured out what three other doctors missed.”M.R. · West Palm Beach, FL
Send a request below and the practice will respond within one business day to confirm a time. For urgent matters, please call the West Palm Beach office directly during business hours, Monday through Friday.
West Palm Beach, Florida
Serving Palm Beach County
Mon–Thu · 8:00a – 5:00p
Fri · 8:00a – 2:00p