For NPs
Building a cash-pay NP practice? Pick my brain.
I'm Marie Perkowski — Nurse Practitioner, 14 years in practice, currently building AlphaCore Health as a concierge functional medicine practice in Nazareth, PA. I've been through every decision you're about to face. If an hour of my experience will save you weeks, let's talk.
What we can cover
- —Collaborating physician setup (PA 2-physician requirement, Guardian MD alternatives, cost structures)
- —Cash-pay pricing structure and package design
- —Pharmacy vetting (503A, CoAs, endotoxin testing — what to ask for)
- —Peptide, HRT, GLP-1, and functional medicine service build-out
- —Website, booking flows, and marketing stack
- —Business structure and operational workflow
- —Patient attraction without insurance referrals
- —Anything else you're stuck on
Pricing
Strategy Call
- —60 minutes · 1:1 video call
- —Bring your questions, leave with answers
- —Payment at booking
$500
This is for you if:
- —You're seriously planning a cash-pay NP practice
- —You want unvarnished, lived-it advice
- —You've already done the YouTube/podcast rounds and need specifics
- —You respect peer-level honesty over coaching platitudes
This isn't for you if:
- —You're looking for legal, tax, or accounting advice (consult specialists)
- —You want state-by-state regulatory compliance (I can share PA-specific experience, not legal counsel)
- —You want someone to build your practice for you
About Me
Marie Perkowski, CRNP, FNP-BC · RN 21 years · NP 14 years · Functional Medicine Certified · Founder, AlphaCore Health
Ready to talk?
Book a Strategy Call →Payment collected at booking.
Consulting calls share personal, peer-to-peer business experience only. They are not legal, tax, accounting, or regulatory advice, and do not establish a patient relationship. Consult qualified specialists for your state and situation.