Jaclyn Piasta
Nurse practitioner · Women's health
11–15 years of experience
Menopause Society Certified Practitioner
About Monarch Health
Jackie Piasta runs a small solo membership practice in East Cobb focused on hormones, perimenopause and menopause, and midlife metabolic health. New patients start with a nurse-led pre-visit to line up labs and then an hour-long consultation with her, and ongoing care after that requires joining the membership. Members message the team through a portal and a text line, and follow-ups run 30 to 40 minutes in person or by video. She prescribes estrogen, progesterone and testosterone but does not offer hormone pellets. She is also an obesity medicine specialist who prescribes GLP-1 weight medications and treats thyroid, bladder and bone problems. New patient appointments are booking two to three months out, and she teaches menopause care to nurse practitioner students at Vanderbilt.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
- Gyn procedures
- Supplements & lifestyle
- Lab testing
Particular focus
- Bone health
- Heart health
- Thyroid
- Bladder & UTIs
- Weight & metabolism
Cost and insurance
Care is by membership, and visits aren’t billed to insurance.
Insurance
Doesn’t accept insurance
Ask whether they provide receipts for out-of-network reimbursement.
Self-pay
- Initial consultation
- $600
- One-time follow-up (non-members)
- $450 per visit
- HSA and FSA accepted
Lab work is billed to your own insurance through Labcorp or Quest and is not part of the membership.
Verified September 2026.
Qualifications
NP, MSCP
