• Niche

    Medical and Consulting

    An adult medicine micropractice in Carmel, Indiana

About Niche Medical

About Niche

Niche Medical is a limited-scope adult medicine primary care micropractice in Carmel, Indiana with a focus on prevention of illness and disease and partnering with patients to help them achieve optimal metabolic health and promote longevity. Niche Medical will best serve patients who are generally healthy and hope to stay that way! Our lovely 200 square foot space is conveniently located in West Carmel, Indiana.

Services Provided

Niche Medical and Consulting

All new patient visits will be scheduled for one hour.
Services offered, but not limited to:

Annual preventive care exams

Annual preventive care exam (does not currently include gyn services) with labs, if needed.

Pre-op evals

Pre-operative medical evaluation prior to elective surgery (such as cosmetic or orthopedic procedures)

Gender affirming care

LGBTQ+ health including gender affirming hormone management, PEP / PrEP

Lifestyle evaluations

Metabolic Health / Lifestyle Medicine Evaluation
InBody Body Composition Analysis

Chronic condition care

Chronic conditions needing evaluation twice annually or less (e.g. high blood pressure, high cholesterol, hypothyroidism, anxiety / depression, ADHD).

Focused chronic conditions needing evaluation every few months or more (adult ADHD, obesity, Opioid Use Disorder, Alcohol Use Disorder)

One time visits

One time visits for patients visiting from out of state / country Physicals (college / evaluation for Commercial Drivers License / employment)

Men's Health

Men’s Health / Erectile Dysfunction

Dr. Laurel Fick

After 19 years in practice as a board-certified Internal Medicine physician and medical educator in traditional US healthcare systems, Dr. Fick ventured into the direct care model to provide high quality, affordable, and patient-centered primary and limited-scope care to her patients. Her approach to medicine is centered around preventive and lifestyle medicine philosophies and a sturdy belief that the body is capable of self-care and healing with proper nutrition, exercise, sleep and stress management, social connection, and avoidance of risky substances. As such, she is pursuing board certification from the American College of Lifestyle Medicine and eventually hopes to have a lifestyle-medicine predominant practice.

Dr. Laurel Fick is an accomplished medical educator having served in medical residency leadership for 16 years. Her academic areas of interest are in physician wellbeing, particularly physicians-in-training and mentorship / advocacy. Dr. Fick serves as an elected Councilor for the Association of Program Directors in Internal Medicine, was elected to serve as a member of the Transitional Year Review Committee of the Accreditation Council for Graduate Medical Education (ACGME), and on the advisory committee for the Women Physicians Wellness Conference. Dr. Fick has presented and published widely on topics related to physician wellbeing and educational innovation.

Dr. Fick and her husband of 15+ years have two school-aged children, a houseful of pets, and a growing garden. In her spare time Dr. Fick likes to read, travel, coach her kids' basketball and volleyball teams, and explore her culinary potential.

Get in touch

Contact Us

Enter your email and any questions you may have for more information about appointment availability and services.

Niche Medical and Consulting

Our office

10255 Commerce Dr.
Suite 212
Carmel, IN 46032

Call or text: 463-263-9184

Fax: 317-659-9390


Schedule an appointment

Mon-Fri: 9am-4pm

Other appointment requests will be considered to accommodate those with non-traditional schedules

Internet Provider


Niche Medical is a direct care practice that intentionally keeps overhead costs low so Dr. Fick can focus on providing high value health and preventive care to her patients without the extra costs and hassles that corporate healthcare and insurance companies pass on to patients. Niche Medical will not accept any insurance including Medicaid and Medicare, and hopes to improve access for patients who are self-pay, utilize Health Shares, or who are insured (non-Medicare), but prefer the personalized direct care model. Superbills can be provided to patients with Health Savings Accounts who wish to be reimbursed for covered services including physician care. Physician services will be billed at a rate of $300 per hour. New patients will be scheduled for an hour with follow-up appointments (in person or telehealth) available in 15-minute increments, prorated at the rate above.