The First 90 Days of Starting Your Independent NP Practice

A practical guide to what happens after you decide to explore practice ownership, from initial planning to your first patients.

Most NPs don't struggle because they lack the clinical skill to own a practice. They struggle because the path feels unclear. This guide walks through the early stages of launching an independent, insurance-based practice so you can see what the process actually looks like.

BEFORE DAY 1

Getting clear on your practice vision

Before anything operational happens, it helps to get clear on a few foundational questions. You don't need precise answers yet, just a sense of direction:

• Who you want to serve
• What services you want to offer
• Virtual, in-person, or hybrid care
• The state you plan to practice in