I had my transplant 5 years ago. When I asked my nephrologist at my last visit with her before transplant, “Will I be coming back here?”, she said “I think Mayo will be keeping a close watch on you.” I have not been back to see her since. I have my labs done locally every 3 months and the results are sent to Mayo. Mayo was the one that made adjustments to my meds when I had Covid. My local pcp also gets the lab results.