The Elite Nurse Practitioner Show

Today we'll be talking to Taylor APRN and Shane FNP co-owners of a DPC practice with two locations where they offer primary care services and additional HRT, peptides, weight loss, and red light therapy. Their practice is doing well business-wise but they need assistance with growing it further by providing services to a variety of different patients as well as marketing tips for their business. In our conversation we talked about how DPC can be very profitable if there's a need for it in your area, Shane and Taylor developed a system that works for them and they invested their earnings back into the business, marketing it and bringing in extra help to grow it. At first, you might not get a lot of profit in your business with this strategy, but you'll be sowing the seeds for a self-sustained always growing practice that can become extremely successful.

Today we'll be talking to Kris, an FNP about to start her own practice where she'll focus on weight loss, IV therapy, and HRT, she would also like to implement functional medicine services at some point. Kris comes to the show looking for help on how to start, how to work smarter rather than harder, general start-up advice, and how to navigate new opportunities that are presented to her. A very important lesson we take from this episode is that you have to navigate opportunities very carefully, a lot of times people who come to you offering business opportunities and collaborations are just after their own benefit by taking advantage of you, you have to analyze these people's motives and determine if it'll be a positive addition to your business or life in general, most times it's not gonna be and you have to learn to identify and avoid these people.

Today we'll be talking to Peggy, a WHNP who owns and operates a Women's Health clinic where she focuses on general OB/GYN services, fertility treatment, IV infusion, therapy, and medical weight loss. The business is going fairly well and it has allowed Peggy to go full-time into her practice. She comes to the show looking for help on the process of hiring another provider and how to streamline her business so she's not working so much. In our conversation we talk about the importance of diversifying yourself, Peggy's clinic is set on the best way possible for this kind of practice, she's working on a hybrid model where she accepts insurance but also provides cashed-based services that increase her revenue and pulls in more patients to her practice. Of course, a bigger client volume means you'll have less free time for yourself, that's the point where bringing someone in to help take care of the patient load is necessary, relegating work and automating some tasks in your business will lead towards true financial independence by building a fully functional clinic that's basically all just passive income for you.

Today we'll be talking to Nicole (ACNP) and Robert (LPN), a married couple currently working full-time at a ketamine clinic and as an executive director at a senior living facility respectively. They're about to open their own business, a med spa where they'll offer IV infusion, HRT, aesthetics, and a few other services. Nicole and Robert need help with the start-up process, regulatory considerations, and a general plan for their practice's success. In this episode, we talk about the importance of knowing the services other providers offer in your area, that way you'll know what to offer to cover the needs of your potential clients. IV infusion it's a good product to provide but we don't recommend basing your whole practice on it, instead use it as a complement to services where you'll have a bigger income investing less of your time, especially if you have little to no competition from other practice's with those services in your area.

Today we'll be talking to Jasmine a PMHN currently working part-time at an intensive outpatient center who recently started a binge-eating telemedicine practice, she has very few clients and comes to the show looking for help with telemed marketing success, scope of practice considerations, and how to navigate the process of leaving her current job and diving into her practice full time. This episode it's full of pearls for those looking to start or grow their telemedicine practice, for starters your website is a vital part of a telemed business, it has to be straight to the point and interesting to catch your potential patient's attention, and you also have to try out and experiment with diverse marketing channels as well as good old-fashioned phone calls to potential referral sources. A telemedicine practice can be a fantastic business if you find your niche and promote it successfully.

Today we'll be talking to Jason an FNP working full-time at a reproductive health clinic who wants to venture out on his own and stop working for others, he recently started an IV hydration business that's moving slowly and Jason comes to the show looking for help on how to grow his patient volume and make his practice successful. In this episode, we remember that some areas are not really interested in some services and that's why you shouldn't be afraid to pivot on what you provide, either by changing the services you offer or including new ones. You have to listen to the people and provide what they need, in some instances, it might be difficult to change your practice's focus if you've built it around a specific service line but changing your services to cover the needs of the area you're in will be more profitable and will allow you to grow your business, don't be afraid to pivot!.

Today we'll be talking to Nichole, a dual-certified FNP/ACNP working full time on her own practice that she started a year ago. Nichole's practice offers primary care, HRT, weight loss, and aesthetics in a medical spa-type setting within the practice. Nichole has been feeling overwhelmed in her business, with less personal time and freedom than she had even when she was an employee, and she comes to the show looking for help on how to hire another provider to offload some of the work and how to keep growing her practice successfully. In this episode, we discuss how it's completely normal to feel bound to your business at the start of its success. When you're the single provider in your practice, taking care of a large patient volume will reduce your free time significantly. The next logical step in this situation is to bring in a second provider that will help you offload some of the work and get some of your time back. A successful business will take a lot of your time at first, but smart hiring and delegating responsibilities will lead you to true financial independence in the long run. Reminder: The Elite Nurse Practitioner Show will be released every Thursday! You can listen to the podcast directly through the main Elite Nurse Practitioner website or your favorite streaming service. The podcast is on YouTube, Spotify, Apple Podcasts, Google Podcasts, and Amazon Music! So, PLEASE SUBSCRIBE AND GIVE US A LIKE AND POSITIVE REVIEWS! It would mean the world to me. Also, be sure to share this with all your other nurse practitioner sisters and brothers. The more people who know how to break free, the better our profession will be! PS If you have a problem in your professional life and need a one-on-one consultation with me and want to be on the show, then PLEASE email me at theelitenp@elitenp.com. This only works if I can interview and consult with YOU!

Today we'll be talking to Sarah who is both acute care and F.N.P, she's currently working part-time at a hospital in trauma and spends the other part of her time working at a regenerative medicine clinic, Sarah wants to start her own practice where she'll be providing integrative medicine services and HRT, she needs help narrowing down her focus and where to put her energy during the practice start-up process. As the episode's name says, we practically have a telemed practice crash course, during our conversation, we touch on all of the key aspects of starting and growing a telemedicine practice like having a target demographic and a focused niche service that you want to provide as well as many other truly relevant points you have to cover to ensure success with a business in the telemed sector. The only true way to economic freedom is to have your own business and a remote medicine one it's a fantastic option.

Our guest on today's episode is Ella, an FNP currently working at a telemedicine urgent care practice full-time. Ella's in the process of starting her own practice but she's still trying to decide which services she will be providing to her patients, today we'll assist her with nailing down her service line, determining market saturation, telemedicine considerations, and general business start-up advice. This is a great episode for those looking to start their own clinic and for those who are in the beginning stages and need reinforcement on the steps they need to follow to succeed, usually, these steps don't change and are in general the same for every business regardless of your starting point. The Elite N.P model is designed around this easy-step philosophy and as long as you follow it closely and work hard on every stage of your business's life cycle you will succeed, it's pretty hard not to. Stop doubting yourself when it comes to starting your practice, work hard, work smart, and follow the Elite N.P model to success.

Today we'll be talking to Heather a Family N.P. who's currently working PRN at the VA but she owns and operates her own functional medicine practice predominantly. She started the practice a couple of years ago and Heather thinks it's doing well business-wise, she's needing assistance developing protocols, creating packages, and narrowing down the services she should be providing. The most important thing we got from our conversation with Heather is that you need to focus on what you're doing when you first get started, it's ok to cast a wide net when it comes to the services you'll be providing, you need the revenue and you'll be taking advantage of all of your skills, however, as the practice grows you'll reach a point where you need to narrow your focus and stop offering a big variety of services, you have to find the service that's driving revenue at your business and that gives you satisfaction working on. It makes no sense to provide a service that brings in good money but that you hate doing, you have to find that balance of satisfaction and revenue potential when thinking of narrowing down on what you provide to your patients, that way you'll be more focused and bring in bigger revenue while doing something that you enjoy.

Today we'll be talking to Diane who is a Family N.P. Diane owns and operates a primary care clinic full time where she also provides wellness and additional services, she needs help with integrating additional services, including HRT, to increase her practice's revenue as well as finding ways to grow her business. In this episode, we talk about how it is not recommended to make a quick change from accepting insurance into a cash practice, if you're looking to go that route you need to make a tapered transition that slowly takes insurance out of the picture, this movement will take you a lot of time. The best way to start taking cash in your business is to add complementary services that are paid in cash, with this hybrid model you're still being paid by insurance for services but you also have extra revenue with the cash-based products, and complementary services you'll be offering.

Today we'll be talking to Seth who is a family N.P, currently, he's working full time at a primary care practice but only for four days a week, he wants to start his own weight loss practice, since he's already doing weight control at his current job he would like to venture out on his own. Seth comes to the show looking for help on how to organize his thoughts on the business starting process, how to manage the expenses and finances of the business and what are the most important milestones for the process. During this episode we talked about a very important topic that every N.P out there has to have very present in their minds, you have a very significant skillset as a Nurse Practitioner and you don't need an employer to do what you do, the sooner you realize this the sooner you'll be motivated to start your own practice where you answer to anyone but yourself, it's time to stop making somebody else money with your work and talent and start making that money for yourself, a low overhead practice where you work part-time while maintaining your main job at first it's the safest and most efficient route to start your journey toward financial independence.

Today we'll be talking to Mike, a family N.P. currently working part-time at an urgent care but mostly operating his own wellness practice where they provide weight loss and hormone replacement therapy services, the business it's around 2 years old and Mike states that it's going great but he is needing assistance with hiring additional Nurse Practitioners and automatizing processes so the business can start working for Mike and not the other way around. Mike is a great example that even being a new grad N.P you're capable of opening your own practice and making it very successful, if you're a new grad wanting to open a practice, just go for it!!, a low liability and low-risk business it's a great bet to take safely, as long as you work hard, work smart, and follow the Elite N.P model you'll succeed.

Today we'll be talking to Carolyn who is a women's health N.P. currently she operates her practice where she provides women's health, HRT, functional medicine, and basic mental health services. Carolyn is looking to rebrand her practice and she needs help narrowing in the services she provides since she's providing more mental health services than she was expecting and wants to step away from that while at the same time she begins pulling away from insurance and transitioning to a cash-based practice. During our conversation we talk about the different options an insurance-accepting practice has to transition into a cash-based one, the most important one is to take things slow, making a gradual transition will ensure you're not losing revenue suddenly, diminishing the number of insurance clients while you build up the cash accepting side of your business will keep you in balance, just taper out what you want to eliminate whether it's insurance payments or a service you provide that you don't want to do anymore so your revenue it's not impacted.

Today we'll be talking to Nancy who is a psychiatric N.P. She's currently involved in several endeavors including writing nursing educational material, working at an outpatient ketamine clinic, and operating her own tele-psych business. Nancy is currently building her business and she needs assistance with the financial aspect of it and how to optimize her taxes. Our enlightening conversation with Nancy is full of pearls and important knowledge for those trying to navigate the finance side of your business and your personal life by maximizing tax deductions and being generally savvy with that side of your business. You have to be smart so your business grows and starts working for you, that way you can step back from it, if you wish to, and enjoy the benefits of being financially independent thanks to your successful business.

Today we'll be talking to Chaka, who is an adult N.P, she currently works in palliative care in a hospital setting, she's started a weight loss clinic about a year ago that provides weight loss treatments and integrative medicine. Chaka comes to the show looking for help on how to structure her business and how to set it up so it can grow easily as well as general help to go in the right direction when managing her business. In our dive into Chaka's business, we realize that offering just one service can be very limiting, weight loss is very profitable but it's not something that will be long-term for most people, when establishing your business with the idea of growing it, you have to plan and think of offering services that will bring in recurring patients, that way you'll have a constant income stream from long term services from recurrent patients.

Today we'll be talking to Jennifer, who is a psychiatric N.P, currently she is working at an out-patient site clinic full time, but she's looking to start her own cash based practice, she wants to start an integrative psychiatric practice where she will provide mental health services in addition to some other niche services such as weight loss, and HRT to treat underlying mental health disorders. She's needing assistance with how to set up a subscription membership plan, how to get the business up the ground and what is important to focus on during the initial stages. An important lesson we learn in this episode is that you have to be at the right place and the right time to start a business, starting a business during a hectic period of your life when you don't have economic balance or your life organized will make things way harder for you. Being prepared economically, investing your money and having a solid job while you apply the Elite N.P model will boost your chances of a highly successful practice. When starting a business you have to sit back and think if this moment it's the ideal one to take on a challenge of this kind or if it's a better idea to put your life in order first to make things easier for yourself down the line.

Today we'll be talking to Darin who is a practice owner, although he's not a clinical person he employs Nurse Practitioners at his hormone replacement therapy clinic, he started the clinic a few months ago but he also owns a lab work company that is tailored towards the fitness community. Darin needs help on how to market the practice to increase business volume, how to focus on his target market, logistics of refills and operating the practice, and how to scale this business as a non-clinical owner. On our first non-clinical practice owner episode, we touch on a few important points on how you need to be able to wear the business owner hat as well as the clinical owner, you can have a lot of expertise in the medicine niche you're practice covers but you have to be able to combine that expertise with a solid business foundation and a smart managing of all the needs on your business, you have to be able to adapt and learn on the fly.

Today we'll be talking to Nichole who is a family N.P. She's currently working full-time as an orthopedics hospitalist, Nicole started an online coaching business about a year ago and she wants to turn that into a brick-and-mortar practice where she will offer HRT and weight loss. She needs help with the logistics to transition her online practice to an actual location. A lot of times, as was the case in this episode, sometimes all you need is a bit of confirmation, you have everything ready and have prepared to make that change or addition to your practice but you have this voice in the back of your head holding you back from going for it. Making good planning and researching beforehand will ensure you're actually prepared, if you're really prepared and if you researched the best way to make these changes work you don't need anyone's validation, you just have to trust your gut.

Today we'll be talking to Heather who is both a psych and family N.P. She's currently working full-time at an outpatient psych practice, on top of that she opened up her own part-time practice a few months ago where she offers general psych care and TMS, Heather comes to the show looking for help on hiring her first employee and the inner workings of having people working for you as well as how to add new services into her practice. From our talk we get to the point of how important it is to treat your employees well, you can't cheap out when hiring, if you offer low pay you'll receive just the bare minimum from your employee, on the other hand, if you offer a good salary and compensate your employees fairly you'll get much better work from them, pay people what they're worth and they'll help you grow your business a lot.