Pediatric Nurse Practitioner · Example layout
Little Acorns Pediatrics
Bright, gentle care from infancy through teenage years.
The Practice
Little Acorns Pediatrics.
Bright, gentle care from infancy through teenage years.
§ I·Care that grows with them
The same clinician at every stage.
Pediatric care spans twenty-one years and six distinct developmental chapters. Each one has different milestones, different parental concerns, and different clinical priorities. What doesn't change is that continuity matters — a clinician who knows your child at two months still knows the pattern at twelve years.
This practice is organized around that continuity. The same provider sees the newborn first-visit, runs the nine-month developmental screen, clears the five-year-old for kindergarten, and has the confidential portion of the adolescent visit. Parents carry the same phone number through all of it.
§ II·By stage
Six stages of development, one practice.
Each stage below outlines the clinical priorities, what well visits cover, the questions parents actually bring, and what to have ready before the appointment.
Stage · 01
Newborn
Birth — 1 month
Establishing feeding, sleep cycles, and the first neurological baselines.
Well visits cover
- Weight gain and feeding assessment
- Hearing and metabolic screening results review
- Jaundice and bilirubin follow-up if indicated
- Parental support and postpartum check-in
Questions parents bring
- “How do I know my baby is eating enough?”
- “When should I worry about crying that won't stop?”
- “Is this level of jaundice normal at five days?”
Bring to the visit
- Hospital discharge paperwork
- Newborn screening results (if mailed)
- List of any medications given at the hospital
- Insurance card and photo ID
Stage · 02
Infant
2 — 12 months
Rapid motor and social development. Vaccine series begins. Sleep and feeding patterns establish.
Well visits cover
- Well-child visits at 2, 4, 6, 9, and 12 months
- Developmental milestone screens (ASQ-3 at each interval)
- Immunizations per AAP schedule
- Growth chart trending and nutrition counseling
Questions parents bring
- “When should I introduce solid foods?”
- “My baby isn't rolling yet — is that a concern?”
- “What's the safest sleep setup for an eight-month-old?”
Bring to the visit
- Vaccine record (yellow card or digital)
- Any questions written down in advance
- Formula or breastfeeding details
- A list of any supplements or vitamins given
Stage · 03
Toddler
12 months — 3 years
Language explosion, emerging independence, and the beginning of behavioral patterns that matter long-term.
Well visits cover
- Well-child visits at 15, 18, 24, and 30 months
- Autism spectrum screening at 18 and 24 months (M-CHAT-R)
- Lead and hemoglobin screening
- Language and social development tracking
Questions parents bring
- “He's 22 months and barely speaking — when should I be worried?”
- “Is it normal for tantrums to happen every single day?”
- “How do I know if the screen time is too much at this age?”
Bring to the visit
- Vaccine record up to date
- Any therapist or specialist notes since last visit
- A snack or comfort item — visits at this age take patience
- Specific behavioral questions written down
Stage · 04
Preschool
3 — 5 years
Pre-literacy, peer relationships, and the 4-year well-child that clears for kindergarten entry.
Well visits cover
- Well-child visits at 3, 4, and 5 years
- Vision and hearing screening
- Pre-kindergarten physical with school documentation
- Behavioral and emotional development assessment
Questions parents bring
- “Is she ready for kindergarten or should we wait a year?”
- “He still wets the bed at age four — should I be concerned?”
- “How do I talk to a four-year-old about anxiety?”
Bring to the visit
- School physical paperwork (if required)
- Current immunization record
- Insurance card
- Any vision or hearing concerns to discuss
Stage · 05
School-age
6 — 11 years
Academic performance, physical activity baselines, and the ADHD evaluation window.
Well visits cover
- Annual well-child visits (6, 7, 8, 9, 10, 11)
- ADHD screening with Vanderbilt forms
- BMI and metabolic screening
- Sports and camp physicals
Questions parents bring
- “The teacher says he can't focus — is this ADHD or something else?”
- “She's 10 and I'm seeing early puberty signs. Is that too soon?”
- “Should I be worried about how much gaming he's doing?”
Bring to the visit
- Vanderbilt forms (sent in advance — we'll email them)
- Sports physical form from school or league
- Report card or teacher notes if academic concerns exist
- List of current medications
Stage · 06
Adolescent
12 — 21 years
Sexual health, mental health, and the transition toward adult self-advocacy.
Well visits cover
- Annual well visits at 12, 13, 14, 15, 16, 17, 18
- Confidential portion of visit (patient-only time from age 12)
- Depression and anxiety screening (PHQ-A, CRAFFT)
- HPV, MenACWY, and Tdap immunization completion
Questions parents bring
- “She asked that I not be in the room — is that normal?”
- “How do I talk to my teenager about birth control without making it weird?”
- “He seems more withdrawn lately. Is this depression or just being a teenager?”
Bring to the visit
- The teenager, ideally willing to talk
- Current medications list
- Insurance card
- Any recent mental health or specialty notes
Visit · I
§ III·Meet your pediatric clinician
Maya Torres
MSN, PNP-PC, NRP
Maya completed her pediatric NP fellowship at a children's hospital, holds NRP certification, and has spent twelve years building a practice where parents are treated as partners — not interruptions. She sees infants on the AAP newborn schedule and follows them through adolescence.
§ IV·How we handle parent questions
The question deserves a real answer.
“I sent a message at 9 p.m. about my son's rash. I expected an auto-reply. Instead I got an actual answer by 8 a.m. — not a phone tree, just an answer.”
Parent of a patient, age 3
We respond the same day.
Portal messages and email questions receive a clinically reviewed response before the end of business. Not a form letter. Not "call to schedule." An actual answer, with your child's chart open.
We don't rush the visit.
Well visits are booked with enough time to cover the developmental screen, the vaccines, and the three questions you wrote in your phone on the way here. Sick visits leave room for "and one more thing" without the clock pressure.
We explain in plain language.
If a result is normal, we say so directly. If it warrants follow-up, we explain why, what the options are, and what happens if we choose to watch and wait. We don't translate your child's health into jargon and then tell you not to Google it.
We hold the uncertainty with you.
Not every rash is diagnostic. Not every developmental variation is a disorder. We'll tell you what we know, what we don't, and what the evidence says about waiting versus investigating — then you decide.
§ V·Vaccine schedule
The AAP schedule, transparently.
We follow the current American Academy of Pediatrics and CDC immunization schedule. The schedule is shown here because parents deserve to see it in full — not summarized, not spun.
On flexible scheduling: If you have questions about spacing, delaying, or modifying the schedule, we will sit with you and go through the evidence. We won't shame or rush the conversation. What we will not do is recommend an alternative schedule without a clinical basis — because the data on the AAP schedule is strong, and the risks of delaying are real.
We ask that families planning extended delays or refusals discuss this with us in advance. A brief phone consult before the visit makes the appointment more productive for everyone.
| Age | Vaccines recommended |
|---|---|
| Birth | HepB (dose 1) |
| 1 month | HepB (dose 2)If HepB series started at birth |
| 2 months | DTaP, Hib, IPV, PCV15/20, RV, HepB |
| 4 months | DTaP, Hib, IPV, PCV15/20, RV |
| 6 months | DTaP, Hib, IPV, PCV15/20, RV, Flu (annual), HepB |
| 12–15 months | MMR, Varicella, HepA (dose 1), PCV15/20, Hib |
| 15–18 months | DTaP (dose 4) |
| 2–3 years | HepA (dose 2), Flu (annual) |
| 4–6 years | DTaP (dose 5), IPV (dose 4), MMR (dose 2), Varicella (dose 2) |
| 11–12 years | Tdap, HPV (series begins), MenACWY |
| 16 years | MenACWY booster, MenB (if elected) |
| Annual | Influenza (all ages 6 months+) |
Based on AAP / CDC 2024 recommended childhood immunization schedule. Subject to annual updates. Ask your clinician about catch-up dosing.
§ VI·What it removes from your day
Included in the build.
Hover any item to see the operational friction it eliminates.
- Age-banded service navParents find their kid's age path in one click.
- New baby welcome flowFirst-visit anxiety lower before they arrive.
- Vaccine schedule referenceVaccine FAQ answered before the front desk picks up.
- School/sports physical infoSeasonal volume managed without phone storms.
- Parent portal linkRecords and refills self-serve from home.
- Bilingual-readySpanish-speaking families see themselves welcomed.
New families welcome
Schedule a meet-and-greet before your baby arrives.
One flat fee. One care plan. One clinician who's still there when your child turns seventeen.