📚Modules 🏠All 50 States 🚀Launch Roadmap Credentialing Tracker
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Launch Checklist

Your 90-day countdown — 47 tasks, nothing left behind
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🎉 Launch ready!

You have completed all 47 tasks. You are ready to see your first patient.

Months 4–6 Before Launch0 / 11
Obtain your state RN + NP/APRN license
Sit for and pass national NP certification — AANP or ANCC
Get Type 1 NPI at nppes.cms.hhs.gov — free, 20 minutes
Form your LLC or PLLC with your state Secretary of State
Get your EIN from irs.gov — free and instant
Get Type 2 (organization) NPI using your EIN
Open a dedicated business bank account + business credit card
Get malpractice insurance — minimum $1M/$3M coverage
Apply for DEA registration at deadiversion.usdoj.gov — $888 fee
Register with your state PDMP within 30 days of DEA issuance
Set up QuickBooks Solopreneur and connect your business bank account
Month 3 Before Launch0 / 14
Complete your CAQH ProView profile — all 18 sections
Upload all required documents to CAQH (license, DEA, malpractice, CV)
Authorize all target payers in CAQH — authorize all at once
Attest your CAQH profile and set a 120-day re-attestation calendar reminder
Enroll in Medicare via PECOS — CMS-855I application, $688 fee
Enroll in your state Medicaid fee-for-service program
Apply to all Medicaid MCOs in your state
Apply to Aetna provider network
Apply to Blue Cross Blue Shield (your state plan)
Apply to UnitedHealthcare provider network
Apply to Cigna provider network
Apply to Humana provider network
Apply to Headway or Grow Therapy for income during the credentialing gap
Establish collaborating/supervision agreement if your state requires it
Month 2 Before Launch0 / 9
Follow up with every payer every 14 days by phone — log each call
Set up your EHR — SimplePractice, Jane App, or TherapyNotes
Set up your telehealth platform (usually built into your EHR)
Build your practice website with your accepted insurance list
Draft patient intake forms, consent forms, and office policies
Set up HIPAA-compliant secure messaging — OhMD, Spruce, or similar
Enable e-prescribing through your EHR
Establish preferred pharmacy relationships in your service area
Verify your NPI record is correct in the public NPI Registry
Launch Week0 / 5
Confirm effective dates in writing from every active payer before billing
Test a complete patient encounter end-to-end in your EHR before going live
Verify your malpractice certificate lists your correct practice address
See your first patients under all approved insurance plans
Submit your first claims and verify they process correctly
Ongoing — After Launch0 / 8
Track every dollar in QuickBooks — review your P&L weekly
Pay quarterly estimated taxes on time (Apr 15, Jun 16, Sep 15, Jan 15)
Re-attest CAQH every 120 days — set a recurring calendar reminder
Review your state NP license expiration and CE requirements annually
Renew your DEA registration 90 days before expiration (every 3 years)
Re-credential with additional payers as your patient volume grows
Join your state NP association for legislative updates and CE
Review your Profit & Loss on the first Monday of every month