Nextera Healthcare – Madison
Nextera Healthcare’s direct primary care membership for individuals, families and businesses provides a convenient, cost-effective solution for those looking to get more out of their primary care coverage.
Nextera Healthcare providers offer year-round, comprehensive adult and family primary care services, including but not limited to:
- Acute care and chronic disease management
- Allergy evaluation and management
- Dermatology
- Mental health, including treatment for depression, anxiety and other mood disorders
- School, sports and workplace physicals
- Sleep hygiene assessments and support
- Stress management
- Treatment of sprains, lacerations and broken bones
- Weight management and health risk assessment
- Women’s health
- Well checks for infants and children
- Preventive health care
Please call 911 in the event of a medical emergency.
Nextera Healthcare membership provides primary care, at your convenience. We offer patients:
- Same or next business day appointments
- After-hours care for more urgent medical needs (non-life threatening emergencies)
- 24/7 access to your physician via phone, email or mobile app if you are busy or traveling
- No deductibles or copays
- Deeply discounted imaging and laboratory services
Office visits and annual exams are included in your membership, which means no co-pays or out-of-pocket visit costs.
* The list of medical services offered may be subject to change
Our Providers

Adam Balin, MD
Madison
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Adam Balin, MD
Born in Chicago, IL. Dr Balin grew up in the suburbs of Chicago until moving to Grand Isle, Nebraska where he graduated from High school. He then went on to attend the prestigious Harvard University for Undergrad. Dr Balin then moved onto the University of Missouri-Columbia to attend Medical School and stayed there to complete his Family Medicine Residency (where he served as Chief Resident). Dr Balin and his wife then made the move to Wisconsin, where he started with Dean clinic working in Oregon, WI. Dr Balin practiced Full Spectrum Family Medicine care including OB, inpatient, nursing home and home visits for most of his career. The doctor held a number of leadership positions while at Oregon clinic, including chairing the Family Medicine Department.
Dr Balin looks forward to practicing in a model where he can spend longer with patients and leave the decision-making to patients and doctors instead of administrators. One area of special interest is in procedures and Dr Balin has extensive training and experience to be able to offer procedures such as prolotherapy, vasectomy and more complex skin procedures to patients.
Dr Balin lives in Fitchburg, WI with his wife Karin. They have two adult children Connor and Sarah. In his space time, the doctor enjoys fly fishing, traveling, camping, working outside and around his house on various projects.

Christina Quale, MD
Madison
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Christina Quale, MD
Dr Christina Quale was born and raised in Stoughton WI. She attended Stoughton High School. She then went on to attend University of Wisconsin- Madison for Undergrad. Then Dr Quale attended Medical School at Medical College of Wisconsin and continued on to do her Family Medicine residency at Aurora St Luke’s Hospital in Milwaukee.
She choose Family Medicine because she enjoys getting to know her patients over time, and loves to hear their stories. Dr Quale appreciates being able to care for patients throughout different ages and stages of life. For her, it is an honor for them to trust in her, especially during some of their most difficult moments.
Dr Quale enjoys working with rescue animals and helped train dogs at the Dane County Humane Society. Her other interests include hiking, cycling, Scuba diving, watching Badger sports and traveling with family. Dr Quale lives with her husband Dave and two rescue cats in Edgerton, Wisconsin.

Nicole Hemkes, MD
Madison
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Nicole Hemkes, MD
Born and raised in Orlando, FL. Dr. Hemkes left Florida to attend the University of North Carolina at Chapel Hill and graduated with Distinction with a BS Biology minor in Chemistry in 2002. She went on to attend medical school at the the University of South Florida in Tampa graduating in 2006. Then Dr. Hemkes returned to North Carolina to attend one of the top Family Medicine residency programs at Wake Forest University in Winston Salem, NC, completing residency in 2009.
For the first ten years of her practice, Dr Hemkes gained experience in a diversity of roles and settings. She has worked in Emergency departments, in the inpatient setting as a hospitalist , and outpatient clinics as a traditional Family medicine doctor. Dr. Hemkes has worked in urban settings such as inner city Chicago and also in settings as remote as rural Alaska. She believes that this diversity of experiences has improved her skills and knowledge but also allowed her to become a more empathetic healer.
After being an employed doctor for 10 years, she was excited to find a different model of care called “Direct Primary care”. Dr. Hemkes believes that DPC empowers the physician and the patient . She will advocate for your health as if you were a member of her family. Everyone deserves a healthcare advocate.
Pricing
$115.00 per month |
Primary Adult 18+ |
$89.00 per month |
Spouse/Partner 18+ |
$150.00 per month |
Child 0-2 years |
$125.00 per month |
Child 3-5 years |
$100.00 per month |
Child 6-17 years |
$89.00 per month |
Adult Child 18 - 25 |
*Above rates apply to families with 1-3 children. Nextera charges $50 each for the 4th + child
*There is a one-time registration fee of $100 for individuals, with a maximum enrollment fee of $300 for families
Locations
157 S. Fair Oaks Ave
Madison, WI 53704
(303) 501-2600