Heather Pisano, MS, APRN, FNP-C, PMHNP-BC is a dual board-certified nurse practitioner holding certifications in both Family Health (FNP-C) and Psychiatric Mental Health (PMHNP-BC). She has over ten years of clinical experience spanning internal medicine, hematology-oncology, and hospice and palliative care — experiences that shaped her ability to manage medically complex patients with both precision and compassion. This foundation allows her to approach mental health and hormone care with a deep understanding of the interconnected nature of physical and psychological well-being.

Heather has completed advanced training through the Heather Hirsch Hormone Academy and the Online Fellowship in Reproductive & Integrative Psychiatry, strengthening her expertise in the hormonal and reproductive influences on women's mental health. She guides women through perimenopause and menopause using evidence-based, individualized hormone optimization protocols while thoughtfully integrating psychiatric care when indicated. She understands how profoundly hormonal shifts can affect mood, cognition, energy, and overall quality of life — and incorporates this knowledge into comprehensive, individualized treatment planning.

Her psychiatric practice focuses on anxiety disorders, OCD and intrusive thoughts, mood disorders including depression and bipolar spectrum conditions, ADHD in women, and the intersection of hormonal transitions and mental health — including PMDD and perimenopausal mood changes. She combines careful medication management with an integrative lens to ensure care is clinically sound and personalized.

Heather founded hp | np Health to create a practice model that prioritizes time, access, and continuity. After years in high-volume clinical environments, she wanted to build a setting where appointments allow for meaningful discussion, thorough evaluation, and individualized plans of care. Her model emphasizes longer visits, direct access, and care decisions guided by clinical judgment rather than insurance constraints.

In-person care is available in Buffalo, NY. Secure telehealth services are available to patients located in New York. She is committed to providing thoughtful, integrative care to women throughout Western New York and beyond.