Our team
The people who’ll know your name.
Ten clinicians — physicians, nurse practitioners, physician assistants, a pharmacist and a nurse coach — who work as one team and cover for one another.
Accepting new patients
Choose one of these four as your designated provider.
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Andrea Lyonnais
PA-C · Physician Assistant
A physician assistant since 2004, with a certificate in plant-based nutrition. With the practice since 2018.
Andrea Lyonnais is a physician assistant. She earned a bachelor’s degree in Exercise Physiology at the University of Wisconsin–Madison and her master’s through the PA program at Northeastern University in Boston. She holds a certificate in plant-based nutrition and is working on a certificate in herbal medicine.
Andrea began her PA career in 2004 at a community health center in Bakersfield, California, then moved to Cape Cod and worked at Emerald Physicians. She joined Primary Care of Cape Cod, now Veritas Direct Care, in 2018.
She believes a healthy life starts with a healthy lifestyle, and enjoys helping patients create and keep one. Outside work she spends time with her husband and three active boys, exploring the outdoors and traveling.
Telehealth room: doxy.me/andrealyonnaispa -
Sarah Edwards
FNP-BC · Family Nurse Practitioner
At Veritas since 2022, with a background in inpatient diabetes management at Yale New Haven Health.
Sarah Edwards has been a family nurse practitioner at Veritas Direct Care since 2022. Born and raised in southern Vermont, she spent summers on Cape Cod before returning to put down roots and raise her family. She and her husband welcomed their first child in 2022 and their second in 2025.
She earned her undergraduate degree at the University of Massachusetts Boston in 2015 and worked as a registered nurse at Emerald Physicians and later at Primary Care of Cape Cod. After earning her master’s at Simmons University in 2019, she began her nurse practitioner career with Yale New Haven Health, specializing in inpatient diabetes management, before returning to primary care.
She is passionate about preventive care, chronic disease management and compassionate, personalized care focused on long-term health and wellbeing.
Telehealth room: doxy.me/sedwardsnp -
Shelley Thomas
FNP-BC · Family Nurse Practitioner
Raised on Cape Cod, with ICU and cardiac care experience. Works Monday, Tuesday, Thursday and Friday, 8am–4pm.
Michelle “Shelley” Thomas is a family nurse practitioner who was raised on Cape Cod. She earned her BSN at Emory University in 2009, then worked in intensive care at the level one trauma center at Dartmouth Hitchcock Medical Center and in the Cardiovascular ICU at Cape Cod Hospital. She has also worked in outpatient cardiac rehab in Hyannis and taught CNAs at Cape Cod Community College. She earned her MSN at Simmons College in 2017.
She is passionate about keeping patients out of the hospital, maintaining health and wellness, and preventing disease progression, and works with each patient on a mutually agreed plan of care. She and her husband live on the Cape with their son.
Shelley works Monday, Tuesday, Thursday and Friday, 8am–4pm, and offers some prescheduled evening and Saturday telehealth appointments. Check with the office for availability.
Telehealth room: doxy.me/shelleythomasnp -
Giuliana Cucciniello
PA-C · Physician Assistant
Master’s in physician assistant studies from Seton Hall (2020). With the practice for six years.
Giuliana Cucciniello is a physician assistant. She earned her master’s in physician assistant studies at Seton Hall University in 2020. Born and raised in New Jersey, she began her health care career as an EMT and spent four years with a local volunteer first-aid squad, where she found her passion for medicine and serving her community.
She moved to the Cape six years ago to start her career in primary care and has been with Veritas (formerly Primary Care of Cape Cod) ever since. She believes in the power of education to prevent chronic disease and takes the time to understand each patient’s health concerns.
In her free time she enjoys crafting, running and her four cats.
Telehealth room: doxy.me/giulianapa
Also on the team
Panels closed to new patients, plus our orthopedic surgeon, pharmacist and nurse coach.
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Dr. Dan Arnold
MD · Founder
Panel closedFounder. On Cape Cod since 2009; former Chief Resident at Boston University/Boston Medical Center.
Dr. Dan Arnold has practiced medicine on Cape Cod since 2009. He earned a BS in Biology at Providence College and his MD at the Tulane University School of Medicine in New Orleans, then completed a residency in Internal Medicine at Boston University/Boston Medical Center, where he was Chief Resident in 2008–2009.
He founded Primary Care of Cape Cod in 2018 and started Veritas Direct Care in 2023 to move to the Direct Primary Care model. He believes in a strong, lasting relationship between patient and provider, along with prompt access, convenience and excellent services, and that everyone benefits when health care providers work directly for their patients, not for insurance companies, the government or corporations.
Dr. Arnold enjoys traveling and spending time with his family.
Telehealth room: doxy.me/danarnold -
Dr. Anne Marie Kelly
MD · Internal Medicine
Panel closedPracticing internal medicine since 2004; former chief of Hospitalist Medicine at Cape Cod Hospital.
Dr. Anne Marie Kelly graduated from the University of Maryland Medical School and completed her Internal Medicine training at the University of Pennsylvania. She has practiced Internal Medicine since 2004. She moved to Cape Cod in 2007 to work in the Department of Hospital Medicine at Cape Cod Hospital, where she was chief of Hospitalist Medicine for several years before joining Dr. Arnold in primary care in 2019.
Dr. Kelly is from Baltimore, Maryland. She attended Georgetown University, earned a nursing degree and was a critical care nurse for five years before medical school. A former Division 1 athlete, she stays active in sports and fitness while raising three children in Centerville, Massachusetts.
Telehealth room: doxy.me/drannemariekellymd -
William “Will” Lary IV
PA-C · Physician Assistant
Panel closedMGH Institute of Health Professions graduate with interests in preventive medicine, geriatrics and memory care.
William “Will” Lary IV is a physician assistant. Born and raised in southern New Hampshire, he studied Psychology and Biology at Fitchburg State University and spent several years providing direct patient care and managing memory care in assisted living before earning his Master of Physician Assistant Studies at the MGH Institute of Health Professions.
He has a passion for preventive medicine, geriatrics and memory care. He and his wife live on the Cape, and he enjoys running, biking, fishing and home renovation.
Will’s panel is currently full.
Telehealth room: doxy.me/willpac -
Dr. William Manning
MD · Orthopedic Surgeon
Ortho consults on WednesdaysOrthopedic surgeon on Cape Cod since 1982. Consults are included in membership.
Dr. William Manning has practiced on Cape Cod since 1982 and sees all orthopedic problems at Veritas. When conservative therapies are not successful, he has an extensive referral base of surgeons.
He attended Colgate University and earned his MD at the Royal College of Surgeons in Dublin, Ireland, then completed a General Surgery residency at Yale-New Haven and an Orthopedic residency at the University of Connecticut School of Medicine.
Dr. Manning sees patients in the office for orthopedic consults on Wednesdays. Consults are included in membership; injections are an additional fee.
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Dr. Mike Cefole
PharmD · Pharmacist
In-house pharmacistFocuses on diabetes and obesity management, complex medications and prescription costs.
Dr. Mike Cefole received his PharmD in 2017 from MCPHS University in Boston and joined Primary Care of Cape Cod in 2022 after more than a decade in the retail pharmacy industry. He specializes in cardiometabolic disorders, specifically diabetes and obesity management, and helps with complex medication management and prescription costs.
He lives in Yarmouth Port with his wife Jen and their children Samuel, Natalie and Lucas, and enjoys DIY projects and time outdoors with his family.
Telehealth room: doxy.me/mikecpharmd -
Bethany Emmel
RN, BSN, NC-BC · Nurse Coach
Board-certified nurse coachMore than 12 years in primary care. Coaches nutrition, exercise and stress management.
Bethany Emmel is a registered nurse and Board-Certified Nurse Coach, certified through the American Holistic Nurses Association. She trained as a nurse coach at the Integrative Nurse Coach Academy and has more than 12 years of experience in primary care. She earned her nursing degree at Cape Cod Community College and her BSN at UMass Dartmouth.
She has completed advanced training in trauma-sensitive care, and she is HeartMath certified. She is also a GGS-1 Women’s Coaching Specialist and a GGS Menopause Coaching Specialist, and has additional training in Functional Medicine Nutrition for Nurses through the Integrative Nurse Coach Academy and the Institute for Functional Medicine.
Bethany coaches nutrition, exercise and stress management, teaches in individual and group settings, and works alongside the practice’s physicians, nurse practitioners and physician assistants to help patients reach their metabolic health goals. She is married with three young children and a dog.
Get started
Come join the practice.
Four of our providers are accepting new patients. Sign up online, or call the office and we’ll be happy to help in any way we can.
Or call (508) 418-6600