The Exact Sequence
Your Launch Roadmap
Six phases from licensed NP to running practice. Click any phase to open its full module.
Start 4–6 months before your target launch date
Credentialing alone takes 60–120 days per payer. Starting the full sequence early is the only way to avoid a revenue gap on launch day.
01
Get Licensed
State NP license + national certification + DEA registration
State Board applicationAANP or ANCC examDEA $888
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02
Form Your Business
LLC/PLLC + EIN + business bank account + malpractice insurance
Secretary of StateIRS EIN (free)Business bank
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03
Get Your Numbers
Type 1 NPI + Type 2 NPI + CAQH profile (all 18 sections)
NPPES (free)CAQH (free)120-day re-attest
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04
Credential With Payers
Medicare ($750) + Medicaid + commercial payers — submit all simultaneously
PECOS $750State Medicaid60–120 day wait
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05
Set Up Finances
QuickBooks Solopreneur + quarterly estimated taxes + expense categories
$20/moSchedule CMileage tracking
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06
Launch
See patients under approved plans, collect revenue, maintain CAQH, grow your panel
First patientQuarterly taxesP&L monthly
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Ready to start checking things off?
The full launch checklist has every task across all 4 phases — with progress tracking.
NP PRACTICEACADEMY
Verified from official state boards · Updated 2026