Private-pay, concierge-level clinical oversight by Deborah Nicolo, MSN, APRN. Unrushed, uncompromising care designed for complex cases.
By bypassing insurance, I work for you — not an insurance company. This model guarantees longer appointment times, direct access to your provider, and highly personalized medical protocols that standard healthcare simply cannot accommodate.
Insurance-driven care averages 7 minutes per visit. Your concierge appointments are 30–90 minutes — as long as your case requires.
Secure messaging directly to Deborah — not a call center, not a nurse triage line. Your provider, available to you.
Insurance companies dictate what is 'medically necessary.' In this model, clinical necessity is determined by your data, your history, and your goals.
No insurance claims. No third-party data sharing. Your health information stays between you and your provider.
Two distinct disciplines. One provider with 37 years of advanced clinical mastery.
Evidence-Based. Personalized. Uncompromising.
Chronic pain is complex — and it deserves a provider who treats it that way. Deborah brings 37 years of critical care expertise to develop individualized, multi-modal pain management protocols that go far beyond what a standard 15-minute appointment can offer. From neuropathic pain to post-surgical recovery, every protocol is built around your physiology, not a template.
Precision Oversight for Conditions That Don't Fit the Standard Mold.
Patients with multiple comorbidities, treatment-resistant conditions, or complex medication regimens are often underserved by the traditional healthcare system. As your concierge provider, Deborah delivers the depth of clinical attention your case demands — with direct access, unrushed appointments, and protocols designed for your specific disease burden.
Transparent, all-inclusive pricing. No hidden fees, no surprise bills, no insurance denials. Every tier includes direct access to your provider.
A 90-minute deep-dive clinical assessment, complete medical history review, and custom protocol development.
Ongoing clinical oversight, monthly 30-minute telehealth check-ins, and direct secure messaging access for active condition management.
A highly aggressive, 3-month turnaround program featuring weekly clinical touchpoints for severe chronic management.
“After years of being told my pain was ‘within normal range,’ Deborah reviewed my full history in our first session and identified a pattern no one had connected before. Within 90 days I had a protocol that actually worked. I finally feel like someone is managing my care — not just managing my appointments.”
R.M. — Concierge Patient, 90-Day Intensive Protocol
Chronic Pain Management · Name withheld for privacy
This is a private-pay, cash-based practice. We do not bill insurance. A brief intake application is required before scheduling. Acceptance is subject to clinical fit assessment.
If you have been dismissed, undertreated, or simply run out of options in the standard healthcare system — this practice was built for you. Apply today and receive a response within 48 hours.