Invest in the decades ahead.
Feel the difference now.
Proactive personalized care built on deep data and deliberate follow-through.
Who This is For
You feel different than you did five or ten years ago.
Your labs are “normal,” but you don’t feel normal.
You want more than brief appointments and surface-level answers.
You value clear explanations and the time to ask questions.
You want to feel better now while protecting your future health.
This practice is designed for you.
Comprehensive care with advanced proactive testing.
True North membership provides:
Concierge primary care with direct provider access and unlimited visits
Comprehensive lab analysis
Medication and chronic disease management
Hormone and weight loss management when appropriate
DEXA body composition analysis
VO2 max testing
Metabolic and resting energy assessment
Care coordination and referral management
Multiple long form preventive strategy reviews per year
Ongoing health planning and follow up
A structured path forward.
Care designed for depth, not volume.
Assess
We evaluate body composition, metabolic function, cardiovascular capacity, and key biomarkers.
Interpret
We dedicate time to explain results, answer questions, and understand your goals, concerns, and risk factors.
Design
Translate findings into a deliberate plan.
Clinical care, hormone optimization when appropriate, metabolic support, and lifestyle strategy — aligned with your priorities and tolerance for change.
This is collaborative, not prescriptive.
Track
We review trends with intention on a set cadence and adjust the plan based on objective findings and your lived experience.
Progress you can see — and feel.
Measured, monitored, adjusted.
Patients often seek and experience improvements in:
Lean muscle and body composition
Blood sugar and lipid markers
Hormonal balance
Energy consistency
Mood stability
Sleep quality
We review objective changes alongside how you feel and refine the plan over time.
What our patients say
“When Annemarie ordered a Lipoprotein(a) test — something not included in routine labs — it led to further evaluation and the discovery of a 50% blockage in my Left Anterior Descending artery. I had no major warning signs. Without that additional testing, this could have gone undetected.
Annemarie listened, looked deeper, and advocated for further evaluation. She personally checks in to make sure I’ve received the outside care I need and that nothing falls through the cracks. Because of her thoroughness and advocacy, my condition was caught early — and that may have saved my life.”
— D.E.“Annemarie is absolutely wonderful. She is patient and kind; she listens to all your concerns and offers thoughtful and supportive plans and advice. You can tell this is her passion and her goal is the healthiest you. I always feel more informed and more empowered about my health after meeting with her.”
— E.B.“I have met too many medical professionals as a 52 year old female. And the ones that have truly made a positive difference with my health, I can count on one hand. Annemarie is the leader of that elite and treasured group.”
— J.S.“Annemarie is not the kind of provider who simply matches diagnosis with medication. She provided a more holistic approach looking at many different angles and frequently discussing root causes.
She always responded quickly to my inquiries and concerns. But the most important thing of all is that I trusted her advice and the care plan she provided knowing that Annemarie wanted the best for me.”
— J.E.Care designed for continuity
True North operates on a membership model to allow longer visits, access to direct provider communication, and consistent follow-up. This structure supports proactive planning instead of reactive appointments once something has gone wrong.
We want our patients to fully utilize their access to care without the disincentive of a hidden copay bill.
Membership will be intentionally limited to maintain premium accessibility and quality of care. Once the panel is full, a waiting list will be established.
Meet the Founder
Annemarie Hill, ARNP, FNP-BC
I founded True North Precision Health to create space for a different kind of healthcare; one rooted in prevention, partnership, and a deeper understanding of where your health is headed.
After 18 years as a Registered Nurse and now practicing as a Nurse Practitioner here in Cle Elum, I began to see that many individuals wanted to go beyond reactive care. They weren’t waiting for illness, they wanted insight. They wanted to understand their personal and family risk factors, strengthen their foundation, and make thoughtful decisions before problems developed.
I built this practice for those individuals.
At True North, I combine comprehensive primary care with advanced diagnostics, hormone-focused training, and a longevity-minded approach. I believe in measuring what matters: metabolic health, cardiovascular risk, bone density, muscle mass and using that information to guide clear, personalized prevention strategies.
The membership model allows me to practice medicine with the time and depth it deserves including longer visits, direct access, shared decision-making, and care that evolves with you.
Because prevention isn’t about replacing traditional medicine.
It’s about building on it — earlier, thoughtfully, and together.
If this resonates, take the first step.
We begin with a baseline consultation.
No pressure. No commitments.
Just clarity.