Starting own NP practice

Specialties NP

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I've recently been afforded an opportunity to start my own NP practice/business. I'm in Maryland and would love some info about starting one up and the legal stuff too. I'm obviously contacting the board of nursing and will be consulting with a lawyer, but just want some personal accounts and such. Thanks in advance.

On 5/5/2019 at 1:46 AM, Neuro Guy NP said:

I do not know anything about CT, but if it is truly a full practice authority state, then no, you should not need a collaborator for any aspect of your practice. It would be good to identify someone as a resource. Also understand, that without a hospital practice or being able to take call at a hospital, it may be hard to get referrals to generate a roster of patients. Often times, for specialties at least, you will need to rely on referrals to generate business until you become established, part of which will require hospital privileges so you can get patients you see and will have to follow up with you in the office.

I suppose it isn't strictly necessary, but would certainly be helpful. And even in FPA states, just about every hospital will require a physician to sponsor you for privileges. So there are still some barriers, but they are not insurmountable. There may be some insurance companies who do not empanel NPs as providers who can bill. It's not common, but they might exist. Or they might empanel NPs, but only if they have a relationship with a physician. Again, not always the case, but I would look into all these matters before hanging your shingle, because you do not want to be excluded from one of your state's major insurers and already be open for business. None of these things were barriers for me. You can find this information out by looking at the various insurers' credentialing requirements. All the websites have this information in the "For Providers" section (or some other similarly worded section of the webpage). PM me if needed.

Thank you so much!

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The last I knew, in NY, BCBS will not reimburse NP's without a collaborator. Something like 50% of the population has BCBS.

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Specializes in Vascular Neurology and Neurocritical Care.
On 5/6/2019 at 3:50 PM, Oldmahubbard said:

The last I knew, in NY, BCBS will not reimburse NP's without a collaborator. Something like 50% of the population has BCBS.

Well, all I know is that I'm collecting my money just fine ?

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2 hours ago, Neuro Guy NP said:

Well, all I know is that I'm collecting my money just fine ?

Great.

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Specializes in Vascular Neurology and Neurocritical Care.
10 hours ago, Oldmahubbard said:

Great.

I agree!

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