The Elite Nurse Practitioner Show

Justin Allan, FNP

No-Nonsense Business Advice for Entrepreneurial NPs

The Elite NP Show is a podcast for go-getter NPs who are ready to break free from traditional roles and create thriving businesses. Listen to 1:1 interviews with entrepreneurial NPs who are establishing and growing their practices, and apply these valuable insights to your own professional journey.

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Our Editor's Take

The Elite Nurse Practitioner Show is a podcast that teaches nurse practitioners (NPs) how to earn what they're worth and lead a balanced life. Host Justin Allan is a family nurse practitioner (FNP). Justin knows what it's like to work 60-hour weeks for hourly rates while doctors earn more doing less. He became tired of the limitations imposed by healthcare administrators. So, Justin took control of his professional life. He now makes over $450,000 per year. Justin started and exited successful opioid addiction and medical cannabis businesses. He runs two prosperous men's health clinics. Justin also offers courses for NPs who want to be self-sufficient. In each episode, he advises a practitioner seeking financial freedom. Listeners learn from their conversations.

Justin says it's a misconception that NPs have abundant job options. He calls the market saturated and says NPs feel undervalued and underpaid. The Elite Nurse Practitioner Show explains how to exit that role with a startup or side business. Justin discusses how to choose a specialty and pivot as needed. He talks about cash versus insurance and how to price procedures. Justin recommends earning at least $100 per patient. Podcast listeners learn the best locations to start clinics. Almost half of US states give full practice authority. That allows NPs to open independent practices. Other states require a physician as a collaborator.

In the first episode of The Elite Nurse Practitioner Show, a guest asks Justin for marketing tips. She was an ER and prison nurse before starting her own aesthetics and wellness practice. She needs Justin's help increasing patient volume and retention. She thought cosmetic and stem cell injections might be the most lucrative. Justin asks what earns the most. She says it's her IV treatments and testosterone therapy. Justin replies, "Let the world tell you what they want." He offers a strategy she can implement that week to boost her revenue. Podcast listeners hear her excitement as she considers the new plan. Justin helps people find niche service lines that may produce wealth and joy.

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Episode 148: Partners in Derm

Episode 148: Partners in Derm

Jessica is an FNP working full time in a bustling mobile urgent care. Grappling with bouts of burnout since the onset of the COVID-19 pandemic, Jessica is desperate for a change. She now sees the true worth of her license and recognizes her talents as a provider, and is embarking on a new endeavor in the dermatology and aesthetics space. As Jessica begins this startup journey alongside a skilled esthetician, she taps into Justin’s keen business expertise. In this episode, we delve into how an NP’s talents and practice authority can be properly utilized to develop a comprehensive service menu. We talk risk management best practices, the benefits of a PLLC, and the specific actions required to break free from the medical industrial complex.

Episodes

Episode 148: Partners in Derm

Episode 148: Partners in Derm

Jessica is an FNP working full time in a bustling mobile urgent care. Grappling with bouts of burnout since the onset of the COVID-19 pandemic, Jessica is desperate for a change. She now sees the true worth of her license and recognizes her talents as a provider, and is embarking on a new endeavor in the dermatology and aesthetics space. As Jessica begins this startup journey alongside a skilled esthetician, she taps into Justin’s keen business expertise. In this episode, we delve into how an NP’s talents and practice authority can be properly utilized to develop a comprehensive service menu. We talk risk management best practices, the benefits of a PLLC, and the specific actions required to break free from the medical industrial complex.

Episode 147: From Big Pharma to Functional Medicine

Episode 147: From Big Pharma to Functional Medicine

Becky is an RN working as a nurse educator for a pharmaceutical company. While she enjoys the perks this job offers, she’s drawn to her true passion: functional medicine. After finding healing from a chronic illness through functional medicine, she has now decided to become certified as an FNP and provide care to those in need. She chats with Justin to learn how to hit the ground running after graduation and become a practice owner fast. It’s rare that one of our guests has yet to earn their license, but this is a great opportunity for Becky to learn from the best. She can start off on the right foot, using the Elite NP model to get ahead. Becky learns that NP school is what you make of it, so it’s important to forge relationships with like-minded professionals and choose clinical rotations wisely. She walks away with everything she needs to be an NP entrepreneur, so now it’s time to get certified!

Episode 146: Second Chance at Success

Episode 146: Second Chance at Success

After the loss of an important partnership that took away half of her practice’s patients, FNP Jamie is on the upswing with a revamped business model. While there are factors stacked against her—including a small rural patient population and the loss of multiple employees within recent years—Jamie is learning from past mistakes and setting up a positive future. A collective 22 years in healthcare has cultivated a strong medical toolkit, and it’s time to sharpen her business skills to flourish financially. Justin demonstrates best practices for “doing business as” multiple entities, and the most streamlined ways to integrate services (including medical weight loss and IV treatments). He stresses the importance of knowing your audience, and using digital channels in calculated ways to reach niche populations. Listen in for this inspiring story that demonstrates the perseverance of the Elite NP community, and how it’s never too late to become your best self.

Episode 145: Finding Your Fit

Episode 145: Finding Your Fit

Jen is a former CNA and current FNP with over twenty years of experience in the healthcare field. She currently works part time in community health and addiction medicine, and has recently taken on a side hustle as an independent provider offering weight loss, HRT, and medical marijuana. Intrinsic business instincts have informed strategic decisions related to insurance acceptance and practice designation, and she now enlists Justin’s help to determine the best use of her time. This astute nurse practitioner started her business to be a boss, not give herself another job. She wants to take on this endeavor solo, build a better lifestyle, and find where she flourishes in clinical settings. In this episode, Jen and Justin set this entrepreneur’s priorities straight, create a roadmap for success, and build a stronger patient base in a challenging regional market.

Episode 144: Starting and Scaling an Integrative Medical Business

Episode 144: Starting and Scaling an Integrative Medical Business

Hospitalist, clinical education program director, family and acute care nurse practitioner. NP Nick wears many hats, and his practice extends into several high-demand niche areas. Equipped with a solid knowledge base and a strong plan for a membership-based integrative medicine practice, this aspiring NP entrepreneur enlists Justin to help iron out the final details. Together, Nick and Justin develop a competitive pricing model for a functional clinic offering hormone replacement therapy, peptides, and weight loss services. Nick learns to develop a web presence that communicates his core philosophies while prominently advertising the full scope of his service menu. The two also get candid about the best ways to foster comfort and trust with male hormone replacement clients, and how to be both a medical resource and a friendly face for those in need.

Episode 143: Integrative Psychiatry

Episode 143: Integrative Psychiatry

Ashley is an NP who has experienced the pitfalls of a salaried position firsthand. After being laid off from a psychiatric healthcare platform due to business restructure, this six-year FNP has balanced three remote part time positions in mental health, weight loss, and urgent care medicine. She has set a goal to take her future into her own hands and developed a solid business plan for a functional psychiatric clinic. In this episode, Ashley and Justin lay the groundwork for an efficient startup strategy. Ashley gets valuable advice on property rental, insurance logistics, marketing, and more. By embodying the Elite NP model, this astute nurse practitioner entrepreneur can move away from the harmful business practices of the healthcare industrial complex and treat patients on her terms

Episode 142: Small Town Startup

Episode 142: Small Town Startup

With five years of experience at a skilled nursing facility as a bedside RN position, Sarah is an NP who supports patient wellness through each stage of life. This demanding full-time position has left her burnt out and underpaid, inspiring her to branch out independently. However, her recent relocation to a restrictive state poses significant challenges in establishing a private practice. Justin creates a roadmap for Sarah to navigate rigid regulations while maximizing her income with a telemedicine-based primary care practice. By conducting detailed market research, Sarah evaluates potential competition and profit margins of a wellness and functional medicine niche. After this eye-opening chat, Sarah is primed for success and is ready to build a business from the ground up.

Episode 141: Model NP

Episode 141: Model NP

Today, we speak with a talented provider who proves that the Elite NP Model really works! Carley is an FNP who has worked in an urgent care clinic and currently runs a thriving medical weight loss clinic that grosses over $70,000 per month. Despite working in an extremely rural area in Iowa, business is booming. Her practice has branched out into hormone replacement and IV therapies, and Carley has expanded her income by practicing at another off-site clinic. By engaging her community, building trust, and providing excellent care, Carley has eliminated the need for paid marketing campaigns and relies completely on word of mouth to attract patients. She and Justin cook up even more innovative ways for Carley to leverage her expertise and boost her projected yearly income even higher.

Episode 140: Get Focused

Episode 140: Get Focused

As NPs, it can be difficult to recognize the true value of our work while navigating the healthcare industry. Lisa, an FNP with a history in ER medicine and a 14-year tenure at a privately-owned women’s health clinic, is overworked, underpaid, and ready for a change. She recognizes the financial prosperity and freedom that comes with business ownership. It’s time for her to broaden her horizons and open a private practice, but she’s not sure where to start. Here, Lisa weighs the pros and cons of various niche specialties—and determines whether it’s worth it to return to school. Justin encourages this veteran NP to leverage the skills she already has, utilizing these strengths to build a patient base and practice medicine on her own terms. He recommends a collection of Elite NP courses that can help Lisa figure out which focus areas would fit her work style best, including weight loss, functional medicine, and more.

Episode 139: Talking Telemedicine

Episode 139: Talking Telemedicine

Monica is a midwife, family NP, and psych NP who works part-time at a mental health clinic while running a psychiatric side practice. As an expectant mother, Monica is in search of an income stream that is flexible, time-efficient, and low overhead. Her new path in psychiatric medicine led to the startup of her independent business that is supported through a popular telemedicine platform. While she enjoys the “hands-off” nature of the site, Justin poses some important questions that Monica should consider before taking the plunge full time. In this episode, Justin outlines the pros and cons of practicing through online third-party healthcare corporations—including the specific terms of insurance credentialling, patient retention, charting, and more. This serious brainstorming session gives Monica inspiration for new ways to become more independent, including the integration of more providers and an expanded service menu.

Episode 138: Nurse of All Trades

Episode 138: Nurse of All Trades

This episode features Misty, a seasoned RN turned NP who works part time in a wound care clinic while running her own practice. Misty’s eclectic private clinic focuses on aesthetics, hormone replacement, medical weight loss, and IV hydration services. With lofty goals to open a second practice and overcome the growing pains of the startup phase, she utilizes Justin’s keen business instincts to grow and thrive financially. Using the Elite NP Model, Misty brainstorms the next steps of her career. It’s time to make an exit from her staff job and instead cultivate new specialty skills that provide value to her independent practice. By leveraging professional and personal connections, this business-minded NP aligns her priorities and develops a strategic future roadmap.

Episode 137: Mentorship Medicine

Episode 137: Mentorship Medicine

Janelle is an acute and adult care NP with an eclectic career spanning across the internal medicine, cardiology, and general medicine fields. She dreams of sharing the wisdom gained throughout her decade of experience--developing a comprehensive mentorship program for emerging NPs. With the help of Justin and the Elite NP Model, Janelle learns how to educate others, build a thriving business, and balance her current responsibilities with the demands of her academic pursuits. This sage NP inspires others to forge their own path, scaling a business slowly and sustainably to phase out of demanding clinical roles. Janelle proves that NPs can help others and make a difference in their community as a business owner. Tune in for an eye-opening lesson on ways to develop individuality, find your “special talent”, and broadcast positive messaging to others embarking on their career journey.

Episode 136: Women’s Mental Health Matters

Episode 136: Women’s Mental Health Matters

After experiencing postpartum depression as a new mom, PMHNP Amy was inspired to create a mental health clinic specializing in reproductive psychology. Offering medication management through an integrative mental health lens, Amy’s clinic is a place for her to display her skills and explore her niche without inhibition. With the practice generating over $10,000 per month after only six months in operation, Amy seeks ways to keep the momentum going and pinpoint areas of potential expansion. What are the best ways to manage administrative duties without compromising clinical components? How can NPs prevent “compassion fatigue” with large caseloads? Do we really have to spend money to make money? Justin addresses these questions and more in our latest episode.

Episode 135: Moving Medicine

Episode 135: Moving Medicine

Taking the plunge into business ownership as an NP can be tricky. Amber, an FNP whose scope of practice spans from telemedicine case management to hormone replacement and ketamine infusion, connects with Justin Allan for valuable business development strategies. This ambitious medical entrepreneur works to grow an independent practice in multiple states while remaining employed, using her free time effectively to make smart money moves. Justin gives Amber tailored advice according to her niche specialties, helping to brainstorm logistical models to streamline care protocols. We take a deep dive into strategic debt spend down practices, and how to use credit cards and business loans to boost financial well-being. This episode discusses the value of a standard operating procedure, best practices for navigating non-competes, and optimizing digital platforms to attract specific patient demographics.

Episode 134: Veteran NP

Episode 134: Veteran NP

Today we speak with Kimberly, an adult and women’s health nurse practitioner working in the VA hospital system. A Navy veteran, Kimberly pivoted to an NP career after working as a dental hygienist for over 20 years. She plans to work under the federal medical system to earn a substantial pension, while simultaneously operating her own practice to generate supplementary income. In this episode, Kimberly learns how to bring her practice to life. She has all the puzzle pieces needed to flourish in her field: an LLC, a payment processing platform, a telemedicine model, and a potential brick and mortar location. Justin uses his expertise to give Kimberly actionable steps for the creation of a thriving business. We cover the ideal strategies for developing a niche, running a cash-only practice, dealing with competition from large-scale healthcare entities, and more.

Episode 133: Wellness as a Family Affair

Episode 133: Wellness as a Family Affair

Mandy is a former pediatric ER nurse who opened a wellness and aesthetics practice in 2023. She adopted the principles of holistic and functional medicines to address the many failings of the American healthcare system. After partnering with a dedicated functional medicine nurse to expand the practice’s patient base via telemedicine, she now aims to return to her roots as a pediatric specialist. Mandy’s main priority is quality pre and post-natal health— developing solid relationships with moms and caring for their children from the newborn stage and beyond. Tune in to hear Justin’s strategies for attracting key client demographics, navigating state restrictions, and building a concierge medicine model. We’ll cover logistical best practices, including the creation of independent LLCs, malpractice insurance, budgeting, and more.

Episode 132: From L&D to HRT

Episode 132: From L&D to HRT

This week’s episode explores one clinician’s journey from RN to NP. Eric, a labor and delivery nurse turned nurse practitioner, has dreams of becoming the owner of a men’s health clinic. Justin provides expert advice for making the most of these transitionary periods, including ways to find financial freedom from the jump. Eric’s story is highly relatable to many NPs, including those struggling to navigate the hyper-competitive medical job market while grappling with student loan debt. Listeners will learn actionable strategies for securing passive income through telemedicine and subscription-based practice models, and ways to gain credibility within niche practice areas.

Episode 131: Your Men’s Health Clinic Roadmap

Episode 131: Your Men’s Health Clinic Roadmap

Meet Rob, a family nurse practitioner who recently founded a men’s health and weight loss side practice. Rob has found success by following the Elite NP model, building a niche business and developing strategies to further expand his clinic. In this episode, Rob taps into Justin’s clinical and business development expertise to create punchy marketing initiatives, target potential clients, and streamline operational processes. Tune in to learn the pros and cons of this clinical focus, with actionable tips to quickly cultivate a self-sustaining business. We cover key tactics for establishing a recurring patient base, effectively addressing unique health challenges to gain trust and loyalty.

Episode 130: Dive Into Wellness

Episode 130: Dive Into Wellness

Michael, an NP with extensive experience in geriatric medicine and exercise science, is the new owner of an independent practice specializing in weight loss medicine, functional primary care, and hormone therapies. Here, he speaks with Justin about the growing pains of his new clinic and how to make the most of his time and startup capital. This conversation highlights the importance of marketing in the growth of medical businesses, and how to tailor service menus based on the needs of served communities. Our latest episode is an ideal case study for regimented business development. Learn how to transform your practice from a “shell” into a thriving presence within your regional market. Topics include vendor vetting processes, real estate acquisition, digital outreach, and more.

Episode 129: Functional Mental Health Care

Episode 129: Functional Mental Health Care

This episode features husband-and-wife duo Megan and Jamison—two medical professionals interested in starting up a psychiatric wellness clinic. Justin provides the couple with step-by-step tips for building a business from the ground up, including strategic accreditation, identification of target populations, and insurance logistics. We address the pros and cons of Medicaid and Medicare acceptance and suggest ways to introduce supplementary services into focused practices. Our guests are now equipped with the knowledge and confidence needed to cultivate their practice and serve patients with diverse needs. Listeners can learn how to incorporate functional medicine principles into their mental health toolkit and build trust within their client base.