About ARK Mental Health Wellness
At ARK Mental Health Wellness, we provide psychiatric medication management and mental health care for adults, adolescents, and children. Our goal is to support stability, daily functioning, and long-term wellness through individualized, evidence-based treatment.
We also assist veterans seeking VA disability benefits by providing clear, clinically supported documentation for conditions such as PTSD, depression, anxiety, and adjustment disorders.
Services
✔ Medication Management
✔ Psychiatric Evaluations
✔ Telepsychiatry for Adults & Teens
✔ Evening & Weekend Appointments
Mission
To enhance mental health awareness, empower individuals, and increase access to high-quality, compassionate psychiatric care.
Vision
To deliver culturally competent, holistic care that improves quality of life, supports emotional wellness, and promotes long-term recovery for individuals and families.
Values
Communication – Every voice matters.
Excellence – We use innovative, effective, evidence-based care.
Collaboration – We work with multidisciplinary teams for integrated treatment.
Empowerment – Patients are encouraged to take an active role in their wellness.
Commitment to Quality
We hold ourselves to the highest standards to ensure every patient receives exceptional, safe, and compassionate care.
Patient Education
We provide clear explanations, ongoing discussion, and educational resources to help you understand your condition and stay engaged in your treatment.
Telepsychiatry
HIPAA-compliant virtual appointments are available for new and returning patients.
In-Person Requirements for Controlled Substances
Medicare’s in-person visit requirement is waived through January 30, 2026, including for FQHCs and RHCs.
Contact Us
📞 (702) 899-2793
📧 anna@arklv.com
Our Services
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Comprehensive Psychiatric Evaluations
Your care begins with a thorough evaluation to understand your symptoms, history, and goals. Together, we determine whether medication, therapy, or a combination of treatments will best support your mental health.
Ongoing Medication Management
Our psychiatric providers monitor the safety and effectiveness of your medications through regular follow-ups. We adjust treatment plans as needed to ensure optimal symptom control with minimal side effects.
Collaborative Care
We work closely with therapists, primary care providers, and other specialists (with your permission) to ensure all aspects of your care are integrated and coordinated.
Conditions We Treat
We provide medication management for a wide range of mental health conditions, including:
Depression & Mood Disorders
Anxiety Disorders
ADHD
Bipolar Disorder
PTSD
OCD
Insomnia
Adjustment Disorders
Other psychiatric and behavioral health concerns
What to Expect at Your Appointment
Initial Visit
Comprehensive psychiatric assessment
Review of medical and mental health history
Discussion of treatment options
Creation of a personalized care plan
Follow-Up Visits
Medication monitoring and adjustments
Symptom check-ins
Assessment of progress and side effects
Supportive guidance and education
Our Approach
We believe in:
Patient-centered care
Evidence-based treatment
Transparent communication
Culturally sensitive and inclusive services
Respect, privacy, and dignity
Telepsychiatry Available
We offer secure, HIPAA-compliant virtual appointments for patients who prefer or require remote care.
Insurance & Self-Pay
We accept the following insurance plans and self-pay:
Medicare
Medicaid
Anthem Blue Cross Blue Shield
Health Plan of Nevada/Sierra Health and Life
United Health Care
Cigna
Aetna
UMR
Medicare
Medicaid FFS
Medicaid Molina
Medicaid HPN
Sierra Health Life and Options
Health Plan of Nevada
Behavioral Healthcare Options
UMR PEBP
Cigna/Evernorth (HMO, PPO, Medicare, Workers Compensation)
United Healthcare (HMO, PPO, Medicare)
Aetna (PPO, HMO, First Health Behavioral Health)
ComPsych (Medication Management only, under EAP No psychotherapy)
Humana (HMO, PPO, Medicare)
Self-Pay Options Available
We offer self-pay services for patients without insurance or those who prefer to pay out of pocket.Insurance coverage and benefits vary by plan. Please verify coverage with your insurance provider prior to your appointment.

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Nexus Letters for Veterans’ Mental Health Conditions
What Is a Nexus Letter?
A nexus letter is a detailed medical statement written by a qualified healthcare professional. Its purpose is to clearly explain how a veteran’s current mental health condition is “at least as likely as not” connected to their military service. This document can play a crucial role in strengthening a VA disability claim or appeal.
How We Help
Our team works with licensed medical providers experienced in evaluating mental health conditions in veterans. We assist by:
Reviewing your service history, medical records, and relevant documentation
Coordinating an assessment with a qualified clinician
Providing a clear, professionally written nexus letter tailored to your case
Ensuring your documentation aligns with VA standards and language
Who Can Benefit
A nexus letter may help if:
Your initial VA claim was denied
Your condition developed or worsened after service
You have limited in-service documentation
You’re filing for secondary service connection (e.g., depression secondary to chronic pain)
Our Promise
We understand the importance of accurate, compassionate support. Every nexus letter is written by a licensed provider who reviews your case in full and offers an independent, evidence-based medical opinion.
If you're preparing a new claim or challenging a previous decision, a well-prepared nexus letter can be a critical piece of evidence in helping the VA understand your story.
Get Started
Contact us today to learn more about the process or schedule your evaluation. Our team is here to guide you every step of the way.

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Anna Marie Grace M. Ramos-Kastner, PMHNP-BC
FOUNDER
ARK Mental Health Wellness was founded by Anna Marie Grace Kastner, a Psychiatric Mental Health Nurse Practitioner, with the goal of creating a compassionate and accessible space for individuals and families seeking mental-health support. Drawing on years of clinical experience, she established ARK as a practice grounded in holistic, patient-centered care that emphasizes education, cultural sensitivity, and collaborative decision-making. The founding vision behind ARK was to close gaps in mental-health access—particularly for children, adolescents, and adults who need timely psychiatric evaluation and medication management—while offering a supportive environment where patients feel heard, respected, and empowered in their treatment journey.

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Biography
Professional Background
Anna Marie Grace Ramos-Kastner is a highly experienced Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based mental health care in Las Vegas, Nevada. With over 20 years of clinical experience, she offers comprehensive evaluations, medication management, and customized treatment plans for children (ages 5+), teens, adults, and seniors.
In recent years, there has been a shift toward raising awareness of mental health overall, including eliminating the stigma that stubbornly adheres to the notion of seeking mental help. Raising awareness and motivating people to seek professional help encouraged Anna to pursue a psychiatric-mental health nurse practitioner certificate at National University at La Jolla, California, so she can advocate for patients who struggle to be heard or respected and to educate others who do not understand mental illness and to stop the mental health stigma.
Anna's goal is to build a relationship and understand patients' main concerns to determine if medication is necessary and to create a treatment plan that includes the right type and dosage of medication that can help promote recovery and normal living. It is important for the provider to review prescribed drugs and their possible side effects to create treatment plans and monitor their safety and efficacy. Treatment plans outline the goals, interventions, and expected outcomes of treatment. Treatment plans are individualized to meet the specific needs of the person, considering unique circumstances and preferences.
Approach to Care
Anna’s philosophy of care is rooted in understanding the whole patient. She takes time to explore each person’s concerns, experiences, and goals, developing treatment plans that reflect their needs and preferences. Her approach is:
Warm and patient
Collaborative
Culturally responsive
Focused on safety, education, and empowerment
She strives to create a supportive, stigma-free environment where individuals feel heard, respected, and confident in their care.
Specializations
Anna provides diagnostic evaluations and treatment for a wide range of mental health conditions, including:
· Depression
· Anxiety Disorders
· Bipolar Disorder
· Schizophrenia
· Post-Traumatic Stress Disorder (PTSD)
· ADHD (Attention Deficit Hyperactivity Disorder)
· DMDD (Disruptive Mood Dysregulation Disorder)
· ODD (Oppositional Defiant Disorder)
She also supports Veterans seeking service-connected disability benefits by preparing Nexus Letters for submission to Veterans Affairs (VA).
Education & Credentials
Post-Graduate Certificate, Psychiatric-Mental Health Nurse Practitioner
National University, La Jolla, CaliforniaMaster of Science in Nursing, Leadership and Management
Walden UniversityBachelor of Science in Nursing
University of Nevada, Las Vegas (UNLV)Licensure & Certification:
Licensed APRN in Nevada
Board Certified PMHNP-BC, American Nurses Credentialing Center (ANCC)
Personal Background
A resident of Las Vegas for more than 31 years, Anna enjoys spending her free time traveling, supporting her children’s activities, and caring for their pets. She is a proud mother of three who loves shopping with her daughters and cheering at her son’s hockey games.
Schedule a time with us
Your health is our highest priority. Schedule an appointment today, and allow our dedicated team to support you on your path to optimal wellness.
For appointments or inquiries, please call 702-899-2793 or email us at anna@arklv.com.
For referrals, please fax the information to 702-935-8950.