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Let me help integrate your plan for optimal health

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Your Initial Consultation

What To Expect

Your initial consultation is our time to get to know each other.  It will include a review of your intake form, medical history, eating habits and any other relevant information.


We will work together to come up with actionable steps you can take to meet your goals and a nutrition plan to support you along the way.

How To Prepare 

After scheduling an initial appointment, you will receive a secure link with forms through the patient portal. ​​

If you are planning on using insurance, check with your insurance company to verify coverage for medical nutrition therapy. Please read more below regarding the use of insurance for appointments.

Telehealth / In-Person Appointments

If you are meeting by telehealth, you will receive an email confirmation with the video link from a secure platform through the patient portal. Limited in-person visits are also available.

Billing Information

Because I believe that nutrition is foundational for health, we offer several payment options for your convenience. Out of network insurance clients may pay cash/credit at the time of service and we will provide a receipt and invoice which you can submit for reimbursement. We offer discounted rates for cash/credit payments at the time of service with additional discounts and savings offered on our packages and bundles.

Financial Agreement


A valid credit/debit card is required on file and will be charged in case of late cancellation or no shows. Any refunds will be less the card  processing fee we incurred.


Payment for visits and copays are due at the time of service.


No charge for any cancellations made greater than two business days. A fee of $175 will be charged for no-shows or cancellations within two business days.


Patients are responsible for non-payment by their insurance company. Accounts unpaid by the insurance company greater than 90 days will be billed to the patient.

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If you are ready to feel better and confident about your nutrition choices, contact me today for more information about packages.

Client Portal

Clients can access our portal to complete and upload documents, access appointment notes and handouts, and make payments.


I offer current clients access to professional grade supplements at a discount through the online dispensary, Fullscript. Orders of $50 or more will also ship for free.

Cancer Nutrition

In-Network Insurance Clients

Integrating Nutrition is credentialed with the following insurance companies:

BlueCross BlueShield

Coverage varies between plans and you are responsible for checking with your insurance company to determine coverage for nutrition counseling. If your insurance is in-network with us, we will bill your insurance company for services. You will be responsible for any co-pays and billed for any remaining balances for deductibles or coinsurance. If your insurance does not cover the full cost for any reason, you are responsible for the full amount billed.

 Understanding Your Insurance Coverage

Understanding Your Insurance Coverage

It is recommended that you check with your insurance provider prior to your first appointment.

When calling your insurance company to discuss your benefits, please be prepared to provide them with the following information:

Provider name: Gretchen Gruender MS, RDN, CSO, CD

NPI: #1285927020


Questions to ask:

  1. Is nutrition counseling provided? Common CPT codes are 97802, 97803.

  2. Are there restrictions on which diagnosis are covered?

  3. Is z71.3 covered (dietary counseling and surveillance) or is a medical diagnosis required?

  4. Do I need a referral or prior authorization?

  5. Are telehealth nutrition counseling services covered?

  6. How many visits are allowed?

  7. Do I have a deductible to meet before insurance pays? If so, is the deductible waived for preventive nutrition therapy?

  8. Will I have a copay or coinsurance, if so what is my individual responsibility?

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