How do you turn a mission to reduce rehospitalizations into a multi-location, 22-NP group? Logan Andrews, APRN, FNP-BC, shares how a QAPI deep-dive sparked a house-call practice that now spans clinics, SNFs/ALFs, and mental health sites across North Florida. We cover leaving a bad contract, earning autonomous practice, scaling with a 1099/commission model, building case-manager pods, and why "power in numbers" matters for payer contracting and policy. Logan also talks patient impact, leadership routines, advocacy with the Florida Association of Nurse Practitioners, and plans to expand into Nebraska and Colorado.