HIV Care

Establishing HIV Care at HOPES

If you are newly diagnosed or relocated to this area and want to establish HIV care, please call our Intake Case Managers Jenn D. (775-997-7500) or Jeanni A (775-236-0689). An HIV Case Manager will assess your needs in their office, a hospital, or by phone within 24-48 hours.

If you are calling the main line, please indicate you would like to establish specialty care at HOPES.

What to Expect

At your first appointment with our Case Managers, it is important that you bring specific documents to see if you are eligible for our Ryan White program. These include:

  • Proof of HIV Status
  • Picture Identification with Current Address
  • Proof of Nevada Residency – This may include rental agreements, utility bills, birth certificates, green card with social security number or other official correspondence that has the same address as the picture identification.
  • Proof of Income – This may include paycheck stubs, disability award letter, or other official document stating monthly income.
  • Proof of Insurance

At your first medical appointment, you will meet your HIV Specialists who will work with you and our medical team to ensure you get the care you need. Our HIV Specialists like to see HOPES’ patients every 4-6 months so that we can monitor your health effectively.

Who We Are

Northern Nevada HOPES has been providing HIV care to Northern Nevada since 1997. Integrated care is provided focusing on the medical, behavioral health, social and emotional needs of each patient. We are a team dedicated and skilled professionals committed to working with individuals, couples and families to improve the health and quality of life for those living with HIV/AIDS.

If you’re living with HIV, or think you might be, we’ve got everything you need to take the best possible care of your health. Our broad range of HIV services including:

  • Drop-in, anonymous and confidential testing for HIV/Hep C at Change Point.
  • HIV primary care.
  • Mental health and substance abuse counseling.
  • Psychiatric assessment and treatment.
  • Nutritional therapy and education.
  • Medical and non-medical case management.
  • Treatment adherence counseling.
  • Medication delivery.
  • Support groups.
  • Housing Assistance.
  • An on-site laboratory and pharmacy.
  • Referrals to specialty care.

We accept most major health plans and also have a sliding fee scale for all offered services. In addition, we are funded (in part) by grants from the US Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau, and the Ryan White HIV/AIDS program.

Meet our HIV Specialty Providers

<h5>Charles Krasner, MD</h5>

Charles Krasner, MD

Infectious Disease Specialist

<h5>Maria Gorgona, MD</h5>

Maria Gorgona, MD

Internal Medicine

<h5>Ivy Spadone, PA-C</h5>

Ivy Spadone, PA-C

Chief Operations Officer/Physician Assistant

<h5>Christine Silsby, PA-C</h5>

Christine Silsby, PA-C

Medical Director/Physician Assistant

HOPES Case Management Team

Director of Case Management

Erin E.
(775) 786-4673 ext. 2003

Non-Medical/Medical Case Managers

Connie E.
(775) 786-4673 ext. 2005

Marcela F.
(775) 786-4673 ext. 2006

Housing Case Managers

Rosa G.
(775) 786-4673 ext. 1133

Norma T.
(775) 786-4673 ext. 7005

Eligibility & Enrollment Specialists

Jenn D.
(775) 997-7500

Jeanni A.
(775) 236-0689

Retention-In-Care Case Manager

Gus M.
(775) 786-4673 ext. 7006

Women, Infant & Youth Case Manager

Lina R.
(775) 997-7589

If you are unable to contact the above individuals with the extensions listed, please call the main Case Management line at (775) 348-2893 and leave a message with any of our Case Managers.



* To make an appointment for PrEP, please call the medical appointment line at (775) 786-4673 and request a “PrEP appointment” with one of the providers listed above.

What is PrEP?

Pre-exposure prophylaxis (or PrEP) is when people at very high risk for HIV take HIV medicines daily to lower their chances of getting infected. PrEP can stop HIV from taking hold and spreading throughout your body. It is highly effective for preventing HIV if used as prescribed, but it is much less effective when not taken consistently.

Daily PrEP reduces the risk of getting HIV from sex by more than 90%. Among people who inject drugs, it reduces the risk by more than 70%. Your risk of getting HIV from sex can be even lower if you combine PrEP with condoms and other prevention methods.

More information on PrEP.


* If you think you have been exposed or have a potential exposure to HIV, please call (775) 786-4673 and request and tell our staff you think you have been exposed. Please inform our staff you would like a “PEP appointment.”

What is PEP?

EP (post-exposure prophylaxis) means taking antiretroviral medicines (ART) after being potentially exposed to HIV to prevent becoming infected.

PEP should be used only in emergency situations and must be started within 72 hours after a recent possible exposure to HIV. If you think you’ve recently been exposed to HIV during sex or through sharing needles and works to prepare drugs or if you’ve been sexually assaulted, talk to your health care provider or an emergency room doctor about PEP right away.

More information on PEP.