Compassionate Psychiatric Care for Children, Adolescents & Adults
At Xtra-Mile Psychiatry, James A. Nowell III, PMHNP-BC, provides thoughtful, whole-person psychiatric care for children, adolescents, and adults. Patients can receive psychiatric evaluations, medication management, and ongoing care in person in Kalispell or through secure telepsychiatry across Montana.
• Board-Certified
PMHNP-BC
• Navy Veteran
• BBB Accredited
• Accepting New Patients
Offering Telehealth in:
Montana
Idaho
Utah
Wisconson
Insurance & Payment Options
Insurance and self-pay options are available. Because every insurance plan is different, patients are encouraged to confirm their individual coverage and benefits before beginning care.
Blue Cross Blue Shield
of Montana
Allegiance
Insurance Company
Mountain Health
Co-Op
First Choice
Health
Feeling overwhelmed, stuck, or unseen?
When anxiety, depression, difficulty focusing, changing moods, or poor sleep begin affecting daily life, it can be hard to know what to do next. Reaching out is a meaningful first step. At Xtra-Mile Psychiatry, James takes time to listen, help patients understand what they are experiencing, and work with them toward a treatment plan that fits their needs.
Meet James A. Nowell III, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
James A. Nowell III, PMHNP-BC, is a Board-Certified Psychiatric Mental Health Nurse Practitioner and U.S. Navy veteran with more than two decades of nursing and military medical experience. He provides psychiatric evaluations, medication management, and personalized care for children, adolescents, and adults.
James believes patients deserve the time and space to explain what they are experiencing without feeling rushed or reduced to a diagnosis. He takes time to understand each person’s symptoms, history, concerns, and goals before developing a thoughtful, evidence-based treatment plan together.
“I don’t just prescribe. I listen, explain the options clearly,
and work with each patient to create a treatment plan that
fits their needs.”
My Philosophy of Care
I believe good psychiatric care begins with listening. Every patient comes in with a different story, different concerns, and a different idea of what feeling better may look like.
My role is to understand the full picture, explain the available options clearly, and work with each patient to create a treatment plan that makes sense for them. Medication may be part of that plan, but it should always be prescribed thoughtfully, monitored carefully, and considered within the context of the person’s overall well-being.
I want patients to feel heard, respected, informed, and actively involved in their care
Psychiatric Services Designed Around You
Care at Xtra-Mile Psychiatry begins with understanding the person behind the symptoms. Each service is approached thoughtfully and tailored to the patient’s history, concerns, and goals.
Psychiatric Evaluations
A thoughtful, thorough conversation about your symptoms, history, current concerns, and what you hope to improve.
Medication Management
Thoughtful prescribing and ongoing follow-up to review how medication is working, discuss side effects, and make adjustments when needed.
In-Person Care & Telepsychiatry
Meet with James in person in Kalispell or from home through secure telepsychiatry anywhere in Montana.
Conditions We Commonly Treat
Mental health concerns can affect people in very different ways. James works with children, adolescents, and adults experiencing a range of symptoms and conditions, including:
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Anxiety
Support for ongoing worry, fear, tension, and anxiety that makes everyday life harder.
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Depression
Care for persistent sadness, low motivation, loss of interest, and other symptoms of depression.
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ADHD
Evaluation and treatment for challenges with attention, focus, organization, impulsivity, and executive functioning.
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Bipolar Disorder
Personalized care for significant changes in mood, energy, activity, and daily functioning.
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PTSD
Support for trauma-related symptoms such as distress, avoidance, hypervigilance, and changes in mood.
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OCD
Care for intrusive thoughts, repetitive behaviors, and the anxiety that may accompany them.
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Panic Disorder
Treatment for recurring panic attacks, fear of future attacks, and avoidance caused by that fear.
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Mood Disorders
Evaluation and care for mood changes that affect emotional well-being, relationships, school, work, or daily life.
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Sleep Concerns
Help understanding sleep difficulties that may be connected to mental health symptoms, medication, or other health factors.
What Can Treatment Help You Work Toward?
Everyone’s experience with treatment is different, but thoughtful psychiatric care may support progress in areas such as:
Better Focus
Feel more present, organized, and able to manage responsibilities at school, work, and home.
Greater Emotional Stability
Feel better equipped to manage difficult emotions, changing moods, and everyday stress.
More Restful Sleep
Better understand and address the symptoms or treatment factors that may be disrupting healthy sleep.
Healthier Relationships
Strengthen communication, patience, and connection with the people who matter most.
Here’s How to Get Started
1. Request an Appointment
Call (406) 732-8330 or select Become a Patient to begin the intake process through Valant.
2. Meet With James
Talk with James about what you have been experiencing, your health history, and what you hope to improve.
3. Create Your Treatment Plan
Review your options together and begin a personalized plan built around your needs and goals.
Prefer to call? (406) 732-8330
Take the Next Step Toward Better Mental Health
Taking the first step toward psychiatric care can feel difficult, but you do not have to have everything figured out before reaching out. James provides personalized care for children, adolescents, and adults in person in Kalispell and through secure telepsychiatry across Montana.
Prefer to call? (406) 732-8330
