This episode is for the NP weighing whether independent practice is even possible. For the clinician who dreads the marketing part of running a business. For the owner whose practice has grown so much that they have become the bottleneck.

Monica McKitterick moved to Texas knowing two people. Her in-laws. Three weeks later, she opened a direct primary care practice in a state with some of the most restrictive nurse practitioner laws in the country. No practicing "medicine." Different LLC rules than a physician owner. Limits on who she could hire. She figured it out anyway. She bootstrapped the whole thing with $20,000 and furniture from Craigslist.

Then came the part no clinician is trained for.

The marketing. The networking. Putting her face in rooms full of strangers to explain what DPC even is. She did her own website. Her own admin. Her own faxes. She hit 325 patients before she hired her first full-time admin.

And then the practice grew past her.

Three locations. Ten employees. There is a moment every growing practice owner eventually faces: do you hire or continue as a solo provider?

What You'll Learn

• How to navigate nurse practitioner scope of practice laws before you open
• Why NPs in restrictive states can still build thriving independent practices
• How Monica bootstrapped her DPC with Craigslist furniture
• Why networking and in-person relationships were the real engine behind her growth
• How she went from a solo NP to 325 patients before her first admin hire
• The moment she realized she couldn't run a multi-location practice and see patients
• Why delegating admin work was harder than handing off patients to other clinicians
• The "come to Jesus" moment that forced her to define six core values for her team
• How the shift from clinician-owner to CEO changed everything about how her practice ran

Monica McKitterick,, FNP, Founder of Impact Family Wellness

• Book: DPC Dream Job or Total Disaster
• DPC Launch Kit Course

Courses Mentioned in Today's Episode

• I Need Patients Yesterday
• AI-Powered Brand & Website for DIY Clinicians

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