Brain, spine and complex neurologic care
Experience supporting deep brain stimulation, spinal surgery, cranial nerve disorders and patients navigating complex neurosurgical conditions.
Private care · Direct access · Human connection
Experienced clinical judgment, personal guidance and direct access to someone who knows your name—and remains available when questions arise.
Concierge-level access, designed for real life.
What Pulse is about
Pulse Cardiometabolic Wellness was created to make healthcare feel personal again. Jerod combines years of cardiovascular, vascular, neurosurgical and procedural experience with direct, practical guidance built around the individual—not a one-size-fits-all program.
Whether your goal is weight management, metabolic health, hormone support, cardiovascular risk awareness or simply having a trusted provider within reach, the first step is a real conversation.
View services →Services offered
Clear services, thoughtful medical oversight and direct guidance from a provider who knows your story.
Private pricing
GLP-1 THERAPY
HORMONE THERAPY
VITAMIN SUPPORT
PEPTIDE THERAPY
CONSULTATIONS
CONTINUOUS ACCESS
Consultation and informed consent are required before treatment. Hormone therapy requires appropriate laboratory evaluation and ongoing monitoring. Sexual-wellness treatment requires cardiovascular and medication review. Compounded therapies are not FDA approved. Potential uses are investigational, outcomes are not guaranteed and treatment is prescribed only when clinically appropriate. Dosing, treatment length and follow-up are individualized and discussed privately during consultation.
Prescription standards
All Pulse compounded medication prescriptions are fulfilled by Pure Pharmacy Fishers LLC, a state-licensed compounding pharmacy in Indiana operating under Section 503A of the Federal Food, Drug, and Cosmetic Act.
Prescription packages include the appropriate syringes. Alcohol swabs and a sharps container are available upon request.
METABOLIC + HORMONE HEALTH
GLP-1 treatment is not simply a prescription. Jerod provides a thorough, safety-first approach built around careful patient selection, individualized dosing, nutrition, glucose awareness, muscle preservation, side-effect management and meaningful follow-up.
Living with type 1 diabetes since childhood gives Jerod a firsthand understanding of metabolic disease. That lived experience—combined with focused clinical study and patient care—shapes a level of guidance often missing from high-volume, one-size-fits-all programs. Every plan is evaluated personally and adjusted according to the individual, not an automated schedule.
IN-HOME CARDIOVASCULAR RISK ASSESSMENT
A family history of heart or vascular disease should not leave you waiting for symptoms. Jerod provides an in-home cardiovascular history and physical examination to identify risk, establish a meaningful baseline and guide the appropriate next step.
THE PULSE CONNECTION · FOUNDING MEMBERSHIP
The Pulse Connection is built on a simple promise: you matter beyond the appointment. Jerod offers his time, attention and experienced clinical judgment throughout the year—so when a question, symptom or decision arises, you have a steady and reassuring connection to someone who knows your story.
Cancel before your next billing date.
Preferred value—save $173 per year.
Membership fees cover provider access and care coordination. Visits, in-home assessments, physical examinations, procedures, laboratory testing, imaging, prescriptions, medications, pharmacy charges and shipping are not included unless specifically stated.
Membership is not health insurance and does not replace primary, specialty or emergency care. Membership does not guarantee that a medication or treatment will be prescribed. Every treatment requires an appropriate clinical evaluation, informed consent and determination of medical appropriateness.
Monthly memberships automatically renew each month until canceled before the next billing date. Annual memberships automatically renew yearly unless canceled before renewal. Charges already processed are not prorated or refunded except where required by law. Member savings cannot be combined with other promotions and may not apply to controlled substances, pharmacy charges or third-party services.
Members may contact Pulse at any time; an immediate response cannot be guaranteed. Call 911 or seek emergency medical care for an emergency.
AESTHETIC WELLNESS COLLABORATION
Pulse can refer patients to trusted local aesthetic and wellness centers. When appropriate, Jerod can also work alongside those professionals to provide medical therapies that complement their treatment plan and support the patient’s broader metabolic, hormonal and wellness goals.
Medication programs require consultation, informed consent and clinical approval. Dosing, treatment length and follow-up are individualized and discussed directly with each patient. Medication availability and pricing may change. Cardiovascular screening and three-lead ECG recording do not replace definitive diagnostic testing. Aesthetic procedures are provided by independent practices subject to their own consultation, candidacy and pricing; Pulse may provide referral, medical evaluation and complementary medical therapy when clinically appropriate. Pulse Connection messages are answered as promptly as circumstances allow but are not emergency coverage and do not replace primary, specialty or emergency care. Call 911 for a medical emergency.
FOUNDER & PROVIDER
Jerod C. Smith, CRNP
Advanced Practice Provider · Pennsylvania Licensed · Adult-Gerontology Acute Care Certified
Jerod brings a rare breadth of high-acuity clinical and procedural experience to every Pulse patient.
His career has crossed the operating room, neurosurgery, vascular surgery, advanced wound care and cardiovascular medicine—environments where details matter, decisions carry weight and trust is earned.
Former Chairman, Advanced Practice Provider Council
Excela Health Medical Group
Experience supporting deep brain stimulation, spinal surgery, cranial nerve disorders and patients navigating complex neurosurgical conditions.
Hands-on procedural experience including vein harvesting, vascular surgery and the longitudinal care of patients with arterial and venous disease.
Extensive wound-management experience, including complex vascular wounds and advanced treatment with cellular and tissue-based skin substitutes.
Current expertise in cardiology and vascular medicine informs a prevention-first approach to weight, metabolic health and long-term wellness.
“I have spent my career caring for people when the stakes were high. Pulse brings that same attention, judgment and commitment to helping people take control before a crisis.”
Clinical governance
National Provider Identifier
NPI 1669880993
Dr. Geskin is an interventional cardiologist whose work includes the evaluation and treatment of cardiovascular and vascular disease. He serves as Pulse’s medical director and maintains a collaborative agreement with Jerod C. Smith, CRNP.
Patient perspectives
What patients have shared about their experience with Jerod.
“Jerod Smith is a keeper.”
“Personable, explains things well and thoroughly performs the procedure. The entire experience and outcome was excellent.”
WEBMD“He explains everything and answers all questions.”
“Followed up multiple times regarding my father’s cardiac testing and Varithena procedures. Knowledgeable, thorough and a great listener.”
HEALTHGRADES“The appointment wasn’t rushed.”
“Listened and answered all questions. Explains conditions well.”
PATIENT REVIEW“Jerod is all about patient care.”
Care centered on the person—not simply the appointment.
Patient names and review dates are omitted for privacy and clarity. Individual experiences vary.
Publications & perspectives
Jerod’s work extends beyond individual patient care to the larger conversation about access, quality and the appropriate use of advanced practice providers.
PULSE CLINICAL PERSPECTIVE
A seasonal look at the chemistry behind chocolate, scares, movement and connection—educational enough to learn from and light enough to enjoy.
Read the full article →PULSE CLINICAL PERSPECTIVE
A clinically grounded, understandable guide to testosterone, estrogen, progesterone, thyroid testing and why symptoms, timing and the whole person matter.
Read the full article →PULSE CLINICAL PERSPECTIVE
A whole-person framework for evaluating cardiac structure and function, electrical activity, perfusion and the modifiable risks that drive cardiovascular disease.
Read the full article →PULSE CLINICAL PERSPECTIVE
A balanced look at the new cultural interest in peptides, the role of legitimate compounding pharmacies and why informed medical guidance matters.
Read the full article →PULSE CLINICAL PERSPECTIVE
Why Jerod’s approach combines careful evaluation, individualized dosing, nutrition, exercise, muscle preservation, cardiovascular risk reduction and direct access to a provider who remains involved.
Read the full article →AUTHORED COMMENTARY
A case for recognizing advanced practice providers as an essential part of a healthcare system built around access, quality and affordability.
Read Jerod’s commentary →CASE STUDY PARTICIPANT
An HFMA case study examining how thoughtful utilization of advanced practice providers can improve access, operations and financial sustainability.
Read on HFMA ↗Start here
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