Hi @paktoledo, I'm sorry to hear you are losing your rheumatology nurse practitioner. Rochester Mayo Clinic would certainly be a good choice if it's an option to see a rheumatologist. I had Dr. Thomas G. Osborn who first diagnosed me with PMR and I see he specializes in Lupus, Scleroderma and Sjogren's syndrome - https://www.mayoclinic.org/biographies/osborn-thomas-g-m-d/bio-20054469

Are you able to contact your nurse practitioner to see if she might have a recommendation for someone local?