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about Headwaters Direct Primary Care
Primary Care That Cares

Our Mission

Empowering Health through Personalized Care

At Headwaters Direct Primary Care, our mission is to transform the healthcare experience. We are dedicated to providing accessible, comprehensive primary care that focuses on the unique needs of our patients. By removing insurance complexities, we prioritize affordability and transparency, ensuring that healthcare remains a partnership between providers and individuals. With a commitment to compassion and excellence, we empower individuals and families to achieve their optimal health and well-being. Together, we are redefining healthcare, one patient at a time.

  • Headwaters Direct Primary Care - where your health and well-being are our top priorities.
Our Team

Primary Care That Cares

Jacob Cail, PA-C

Jacob Cail, PA-C

Owner and Certified PA

With a strong background as an Army Special Forces Medical Sergeant, Jacob brings exceptional expertise to his primary care practice. Graduating from the renowned MEDEX program at the University of Washington in 2016, he has been passionately serving the Helena community ever since. Jacob is committed to delivering personalized healthcare through the direct primary care model.

Mishaila Blair

Mishaila Blair

Clinic Supervisor

Mishaila brings 8 years of healthcare experience and a deep passion for exceptional patient care. She successfully managed a "Patient Assistance Program" while working at a family practice clinic based in Hamilton, MT. While here, she helped guide those in need through the healthcare system in order to find affordable healthcare resources. Mishaila is committed to Helena Direct Primary Care's mission of providing accessible and affordable healthcare to the community. Her expertise and compassion make her an invaluable asset in delivering exceptional care to our patients.

Kristen Orelup

Kristen Orelup

PA-C

Kristen grew up in Billings and received her bachelor's degree from Montana State. After working as a medical assistant in urgent care and orthopedics for seven years, she returned to academia to obtain her master’s as a Physician Assistant. She graduated in 2021 from Rocky Mountain College. Kristen is dedicated to providing excellent patient care by ensuring healthcare is accessible and personalized. She will be serving patients in the Gallatin Valley at our new clinic in Manhattan. In her free time, Kristen enjoys spending time with family and friends, gardening, fishing, hiking, and chasing after her chickens. :)