How to Add APRNs to your Practice & Bill for GLPs

Insurance-based RD practices are uniquely positioned to expand into integrated clinical care — yet many never move beyond traditional nutrition billing.

This Master Class is designed for established dietitian practice owners who want to strategically add an NP or PA, integrate medical services such as weight management, peptide therapies, GLP-1 programs, advanced lab testing, hormone optimization, and other clinically aligned services, and build a compliant hybrid model that leverages both insurance and cash revenue.

Whether your specialty is metabolic health, GI, women’s health, sports performance, pediatrics, or chronic disease management, the opportunity is the same: use insurance as a predictable foundation while thoughtfully layering structured, high-retention clinical programs that increase revenue without compromising compliance.

This is not theory. It is a practical framework drawn from direct private practice ownership, insurance contracting, clinical program development, and real-world implementation of hybrid care models.

After Attending, You Will Be Able To:

• Evaluate whether your practice is financially and operationally ready to add an NP or PA and how this could be a value add.
• Identify first steps in adding an NP or PA and compliance considerations
• Understand common E/M billing used in RD practice, how it creates predictable revenue and how hybrid services expand margin.
• Design a simple hybrid patient flow that moves from insurance-covered visits to structured programs and retention models.

Sabrina Goshen, MS, RD, LD

Sabrina Goshen is the Founder and CEO of Aligned Health Practice, a multidisciplinary preventive and metabolic health clinic delivering medically integrated care that combines nutrition therapy with medical office visits, advanced lab testing, medication management, comprehensive clinical programs, and compounded medications.

With experience spanning hospital-based wellness, medical fitness, private practice, and multi-site operations, she has developed and scaled insurance-billable preventive care programs contracting with major commercial payers and Medicare — expanding access to care while building sustainable clinical revenue models.

In addition to leading her practice, Sabrina serves as an Executive Director within a Medical Fitness Facility, where she is actively developing a fully integrated “under one roof” ecosystem that aligns clinical care, fitness, and preventive services within a unified operational structure.

Her areas of focus include:

• Preventive and clinical service integration
• Insurance billing, coding, and reimbursement strategy
• Budgeting, P&L oversight, and revenue modeling
• Medical fitness partnerships and operational design

Sabrina advises dietitian practice owners, gyms, and medical fitness organizations on building compliant, insurance-based and hybrid revenue models designed for operational clarity, financial sustainability, and long-term growth.