If your passion is to provide care, we can help you build the practice for it.
Practice Launch 90 works with healthcare professionals across all 50 states, from solo clinicians to growing group and dental practices, in any specialty.
Therapists, nurse practitioners, psychologists, counselors, psychiatrists, dietitians, dental teams, and healthcare groups all play different roles and follow different rules. But they’re after the same thing: a practice they can enjoy, without the weight of paperwork, operations, and business headaches.
Track 1
Launch: for the dreamers
You have the spirit, the license, the education, and the ambition. What you lack is a step-by-step path, and the unknowns are loud: How do you set up the business? What will it actually cost? Which EHR is reasonable? How long will insurance enrollment take? Where do you even start?
- Select and form the right legal and clinical structure
- Build a startup budget and a twelve-month pro forma you can trust
- Choose the right EHR, billing, and scheduling software, with our guidance
- Develop your compliance plan and patient intake process
- Map payer enrollment and open with a plan for filling your panel
Your purpose leads the way. Our expertise prepares the path.
Track 2
Stabilize: for Clinicians in the Weeds
Your practice is open, but you're holding it together with sticky notes, memory, and pure determination. Claims get denied, cash flow never settles, and every small problem lands on your desk. You're doing the work of three people. You became a clinician to care for patients, not to spend your days buried in paperwork.
- Diagnose and fix the revenue cycle so claims get paid
- Reset scheduling and visit cadence to protect access and your time
- Tighten coding, collections, and denial prevention
- Design a staffing model and clarify roles
- Build a dashboard so you can see your own numbers
Track 3
Scale: for Practices Ready to Grow
The hard part was getting your practice off the ground. Now comes a different challenge: growing without losing the quality, culture, and patient experience that made it work in the first place. This next chapter should feel exciting, not like rebuilding from scratch.
- Plan capacity and panel growth without crushing your team
- Build multi-provider operations, onboarding, and coverage
- Strengthen your referral and marketing engines
- Model the finances of adding staff, space, or services
- Protect margin and culture as you grow
Specialties And Settings We Serve
Private practice doesn't come in one shape or size, and neither do the clinicians we work with. Solo providers, independent practices, dental practices, behavioral and mental health, women's health, nutrition and dietetics, and psychiatry, from every corner of the country, trust Practice Launch 90 to build the practice they set out to create.
If your passion is to provide care, we can help you build the practice for it. Practice Launch 90 works with clinicians in every state, at every stage, and across nearly every license type that can own a practice.
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Who we work with
The business rules of practice ownership are not the same for every license. A nurse practitioner in a full practice authority state faces a different setup than one in a state that still requires a collaborative agreement, and a dietitian billing Medicare has enrollment steps a therapist never sees. That is why we do not run one generic checklist.
Nurse practitioner private practice setup
Nurse practitioners are among the fastest growing professions in the country, and full practice authority is now in effect in more than two dozen states. Setting up still depends heavily on where you are: collaborative or supervisory agreement requirements, prescriptive authority and DEA registration, state controlled substance rules, and whether your state treats an NP owned entity as a professional corporation. We map those requirements in the first 30 days so nothing surfaces as a surprise at credentialing.
If you have been searching for how to open a nurse practitioner practice, the honest answer is that the clinical part is the part you already know. The rest is entity formation, NPI and CAQH, payer enrollment, a twelve month financial model, an EHR that fits your care model, and a policy set that matches your state. That is the work our nurse practitioner private practice setup engagements cover, and it is the same work whether you plan to take insurance, run direct pay, or do both.
NP leaving hospital to open own practice
An NP leaving hospital to open own practice has a particular set of timing questions. When do you give notice? What does your employment agreement actually restrict? How do you handle patient panel transition within the rules? We work through those questions with you and your attorney, and we sequence the build so that your systems are live before your last day rather than after it.
PMHNP private practice consulting
PMHNP private practice consulting has its own considerations: telehealth as the primary or only care setting, multistate licensure and compact rules, controlled substance prescribing under current telehealth regulations, and the compliance infrastructure that a prescribing telehealth practice needs from day one. Our first flagship engagement was a PMHNP owned practice. When Dr. Joan Bourne, DNP, MSW, PMHNP-BC, brought us into Wonderland Behavioral and Mental Health in Atlanta, revenue grew 825 percent and patient volume doubled in 90 days on a financial and operational platform built to sustain it. That engagement is where our framework was first proven, and it remains a core focus.
Therapist private practice startup
A therapist private practice startup looks simple from the outside and rarely is. Licensed clinical social workers, professional counselors, marriage and family therapists, and psychologists all face the same first decisions: insurance based, private pay, or hybrid; solo or group; in person, telehealth, or both. Each choice changes the entity structure, the fee schedule, the credentialing plan, and the EHR. We help you make those decisions in the right order, then build the practice around them. For established therapy groups, the same framework supports adding associates, tightening the revenue cycle, and scaling without the founder holding everything together.
These engagements often move quickly on our side because the compliance footprint is smaller than a prescribing practice. Where they slow down is payer credentialing, which we start in week one.
Physician associate private practice
Physician associate private practice is one of the newest ownership paths in healthcare, and the rules are changing fast. Several states have moved to collaborative rather than supervisory models, and ownership and entity requirements vary state by state. For PAs leaving employment, the questions mirror those of any employed clinician: restrictive covenants, panel transition, and financing the gap between last paycheck and first collections. An engagement with us covers all of that, plus the collaborating physician arrangements where your state still requires them.
Dietitian private practice startup
A dietitian private practice startup has enrollment and billing steps other clinicians do not face: Medicare enrollment for medical nutrition therapy, commercial payer policies that vary widely on nutrition counseling, and a telehealth model that is often the most practical way to build a panel. The plan is built for how nutrition care is actually reimbursed.
Physical therapist independent practice
A physical therapist independent practice raises questions about direct access rules, which exist in some form in every state but with very different limits, and about whether a cash based, insurance based, or hybrid model fits your market. Facility, equipment, and scheduling capacity also differ for a hands on practice. That track is built with those differences in mind.
Employed physician to independent practice
The move from employed physician to independent practice is the one most clinicians tell us they have wanted for years. AMA benchmark data shows the share of physicians in practices they own has fallen to about 42 percent, and burnout still affects roughly half of physicians in national surveys. Going independent is a real answer to both, but only if the practice is built to stand. The engagement covers entity formation, financing and the pro forma, payer strategy, restrictive covenant review with your counsel, panel transition, and a go live plan timed to your notice period.
Where you are in the journey
Launch, for the dreamers: you have the license and the experience, and turning that into a legal, compliant, funded business is the part no one trained you for. Stabilize, for clinicians in the weeds: the doors are open, but denials, scheduling, and cash flow are eating the week. Scale, for practices ready to grow: clinician practice ownership consulting at this stage is about adding providers, services, or locations without losing control of what already works.
Frequently asked questions
How to open a nurse practitioner practice: where do I start?
Confirm your state's practice authority and any collaborative agreement requirement, form the entity, obtain your NPI Type 2 and CAQH profile, build a twelve month financial model, enroll with payers, select and configure an EHR, and put a state specific policy set in place. Practice Launch 90 runs all of that in about 90 days, with credentialing continuing on payer timelines.
Do you work with group practices and larger organizations?
Yes. Our parent firm has served hospitals, federally qualified health centers, and multisite networks, and Practice Launch 90 applies the same framework to group practices at the Stabilize and Scale stages.
I am still employed. Is it too early to talk?
No. The best time to plan an NP leaving hospital to open own practice, or a physician making the same move, is before notice is given. The strategy call is free and confidential.
