The Elite Nurse Practitioner Show

This episode takes a different approach as Justin sits down with Stephen Cano, a medication dispensing expert from PDR, to explore how nurse practitioners can incorporate medication dispensing into their practices.

They discuss how dispensing medications directly from your clinic can create an additional revenue stream, improve profit margins, and make the patient experience more convenient. The conversation covers medication sourcing, dispensing software, inventory management, regulatory considerations, and how this model can fit into subscription-based and concierge care packages.

Whether you operate a cash-based, direct primary care, or traditional practice, this conversation offers a closer...

What does it take to turn a new nurse practitioner practice into a profitable, sustainable business?

In this follow-up conversation, Justin reconnects with Abby, a family nurse practitioner who recently launched her own women’s health practice. They discuss how to stand out in a competitive market, create high-value service packages, price offerings for healthy margins, and attract patients by maximizing existing relationships and local marketing opportunities.

Justin also shares his approach to building an online presence, staying consistent long enough to gain momentum, and recognizing emerging opportunities in healthcare. The conversation extends beyond practice ow...

What should you do when you have a good practice, a solid foundation, and you're still waiting for the growth to take off?

In this consultation-style episode, Justin works with a nurse practitioner who has built her own practice but is struggling to attract more patients and wondering what she should change. They discuss marketing mistakes, choosing the right niche, rebranding around men's health, building reviews and referrals, pricing for healthy margins, and identifying where to focus limited time and resources.

Justin also shares why patience is one of the most important parts of building...

What happens when a new nurse practitioner decides the traditional career path isn't enough?

Justin sits down with Abdul, a young NP, to talk about getting started in business, building financial flexibility, navigating a saturated market, and creating a practice that can eventually grow beyond the owner. They also explore scalable business models, high-ticket services, location strategy, and the mindset required to take calculated risks.

A candid conversation about thinking differently, starting strategically, and building a career that gives you more control over your future.

What does it really take to grow a successful nurse practitioner practice?

In this solo Q&A episode, Justin answers questions about overcoming growth plateaus, increasing revenue, hiring providers, managing profits, and knowing which services are worth adding. He also shares his approach to starting a cash-pay practice with a lean budget and building a business around recurring revenue and scalable systems.

Tune in for practical advice on moving beyond busy work, making smarter business decisions, and creating a practice designed for long-term growth.

Emily recently opened her own men’s health clinic and joins Justin for a practical conversation about navigating the early stages of practice ownership.

They discuss patient acquisition, referral programs, online reviews, local marketing, pricing, subscriptions, operating expenses, and creating simple workflows that keep the practice running efficiently. Justin also shares advice on staying flexible, recognizing opportunities, and allowing the market to guide future service lines.

For nurse practitioners preparing to launch a practice or working through their first few months in business, this episode offers practical guidance for getting started, building momentum, and creating a...

Amy has built a successful wellness practice focused on HRT and weight loss, and now she is looking at how to improve profitability, streamline the business, and continue growing.

In this episode, Justin and Amy discuss pricing, medication costs, improving margins, recurring revenue, and the importance of diversifying beyond weight loss. They also explore expanding into women's HRT, developing simple clinical protocols, and hiring additional providers to create a practice that can grow beyond the owner.

If you are building a wellness practice or looking for ways to make an established practice more profitable and...

In this clinical episode, Justin takes a closer look at the Hormonal Homeostasis Panel and how providers can use a broader set of laboratory markers to better understand hormonal balance, metabolism, body composition, healthy aging, and potential treatment response.

He walks through the different components of the panel, including sex hormones, reproductive hormones, thyroid markers, metabolic health, and growth related factors, while explaining what different patterns can tell you about a patient's overall health and treatment needs.

This episode is designed as a practical clinical pearl for nurse practitioners looking to take a more comprehensive...

In this episode, Justin is joined by Salina, a family nurse practitioner who has built a successful DPC and wellness practice. They discuss expanding the practice with additional providers, creating new service lines, increasing patient lifetime value, and using a lean business model to grow without unnecessarily increasing overhead.

The conversation also explores Salina's interest in expanding into men's health, how to structure and compensate a part-time provider, and how building a team can create additional revenue without requiring more of the owner's time. Justin and Salina also discuss whether pursuing another certification makes sense when it...

In this episode, Justin sits down with Danielle, a women's health nurse practitioner preparing to launch her own wellness and longevity practice. They discuss how to structure services and pricing, create subscription and package options, increase patient lifetime value, and position a practice around a clear value proposition.  

The conversation also covers incorporating complementary services, setting boundaries with patients, creating different levels of access, and knowing when the time is right to transition from full-time employment into the practice. Justin and Danielle also explore why longevity may offer an opportunity to stand out in an increasingly competitive w...

In this episode, Justin and Luke discuss what it takes to scale a successful practice beyond the owner. They cover hiring and compensating providers, creating clinical protocols and systems, expanding through telemedicine, and building a team that can support continued growth. 

They also explore patient referrals, local marketing, increasing patient lifetime value, and new revenue opportunities that can emerge as a practice grows. 

If you've built a practice that's working and are wondering how to take the next step without simply adding more hours to your own schedule, this episode offers a practical look at wh...

In this episode, Justin welcomes back Peggy, a women's health nurse practitioner who first appeared on the podcast nearly two years ago. Since then, her practice has grown into a multi-provider, multi-location business serving hundreds of patients each month, giving her the freedom to step away knowing her team and systems will continue to thrive. The conversation is a powerful reminder of what's possible when you commit to building something bigger than yourself.

Together, they discuss what it really means to transition from being self-employed to becoming an entrepreneur. From hiring and leading providers to creating clinical...

In this episode, Justin sits down with Brittany, a nurse practitioner who's preparing to take the next step into practice ownership. Together, they discuss what it means to build a business intentionally, making decisions early on that can create more flexibility, sustainability, and long-term growth.

Their conversation explores everything from selecting the right services and creating recurring revenue streams to developing a marketing strategy that aligns with both personal and professional goals. Justin also shares practical advice on keeping things simple in the beginning, avoiding common pitfalls, and building a practice that's designed to evolve over time...

In this episode, Justin sits down with Breshelle, a family nurse practitioner who's turning years of clinical experience and hard-earned lessons into a focused vision for her next practice. After a previous business venture didn't go as planned, she's taking a new approach, building a practice centered on diabetes and metabolic health while leveraging the relationships and expertise she's developed throughout her career.

Together, they explore what it really takes to build a niche practice, from identifying the right patient population and creating meaningful referral partnerships to developing a marketing strategy that doesn't rely solely on social...

In this episode, Justin sits down with Kara, a nurse practitioner with more than two decades of experience caring for patients with neurological conditions. As she prepares to launch her own business, they explore how years of specialized knowledge can become the foundation for something that reaches far beyond a traditional local practice. 

Together, they discuss the opportunities and limitations of building a highly specialized practice, the role of telemedicine, coaching, and educational content, and why consistency can be one of the most valuable marketing tools a provider has. They also talk about creating multiple revenue streams, b...

In this episode, Justin sits down with Meg, a family nurse practitioner who has spent the past seven years teaching the next generation of nurses. Now, she's preparing for a new chapter, leaving academia behind to build a wellness and aesthetics practice that gives her more flexibility, independence, and time with her family. 

Together, they discuss how to make the transition into practice ownership, from choosing the right services and developing a pricing strategy to marketing in a small community and creating predictable recurring revenue. Justin also shares why starting with a focused set of high-value services c...

In this episode, Justin is joined by Misty Ford, a family nurse practitioner who has spent years building successful clinics for other providers and is now preparing to launch a wellness practice of her own. 

Together, they work through everything from choosing the right services and creating a brand that clearly communicates value, to finding effective ways to market the practice and connect with the right patients. They also discuss why focusing on complementary services, instead of trying to offer everything, can create a stronger patient experience and a more sustainable business. 

Whether you're preparing to...

In this episode, Justin sits down with Joe, a psychiatric nurse practitioner who has built a thriving telehealth practice serving patients across Massachusetts. With a full caseload, strong patient retention, and a business he genuinely enjoys running, Joe is now focused on a different challenge: figuring out what comes next. 

Together, they explore strategies for scaling beyond the solo provider model, including hiring additional clinicians, creating concierge-style offerings, and introducing complementary services that can add value for patients while creating new revenue opportunities. They also discuss the realities of delegation, practice valuation, and what it takes to b...

In this episode, Justin sits down with Jennifer Jersan, a family nurse practitioner of 16 years and owner of Elevate HRT. After 16 years in the traditional primary care setting, Jennifer turned in her notice and is officially betting on herself full-time.

On their conversation they talk through practical strategies for building momentum, creating a service model that fits both the provider and the patient, and keeping the process simple while laying the foundation for long term success. The conversation also touches on balancing career goals with lifestyle goals, and how small consistent steps can create meaningful growth over...

In this episode, Justin sits down with Tawana to talk through the realities of stepping into private practice and building something from the ground up.

Their conversation covers everything from choosing the right services and keeping startup costs manageable, to building confidence early on and avoiding the trap of overcomplicating the process. Justin and Tawana also dive into the bigger picture of what practice ownership can create long term, including more flexibility, independence, and control over your future.

If you’ve been thinking about starting your own practice but keep waiting for the “perfect time,” this e...

In this episode, Justin sits down with Felicia, a nurse practitioner currently working in urgent care who is preparing to launch a wound care and foot care clinic. Together, they walk through key decisions around choosing a service area, office setup, and navigating cash versus insurance based models. 

The conversation also explores the long term opportunities that come with practice ownership, including creating more flexibility, building financial independence, and leveraging specialized clinical experience into a growing business. 

Overall, this episode offers a practical and encouraging look at how nurse practitioners can turn their experience into a...

In this episode, Justin sits down with Jill, a nurse practitioner who is balancing a growing integrative medicine practice alongside a contract role, and is looking for a more efficient way to manage both.

They walk through practical strategies for improving time management, reducing day to day workload, and making better use of support staff. The conversation highlights how documenting processes, creating simple training systems, and delegating effectively can help free up time and create more consistency in the business.

They also explore ways to build momentum through consistent community engagement and patient driven growth...

In this episode, Justin works with a nurse practitioner who is ready to open her hormone and wellness practice and wants a clearer path to launch with confidence. Together, they break down practical decisions around pricing, memberships, marketing, and how to keep a new practice simple in the early stages. 

The conversation also explores how steady growth often comes from clarity and consistency, not complexity, and why getting started matters more than waiting for everything to feel perfect. From working through competition to building momentum with local outreach, this episode offers a practical roadmap for turning preparation i...

In this episode, Justin sits down with a chiropractor who is preparing to become a nurse practitioner and is looking to expand his existing practice by integrating medical services.

They walk through how to approach this transition strategically, including how to introduce services like hormone therapy and injections, how to ease into a new scope of practice, and how to use an existing patient base to build momentum.

The conversation also highlights practical ways to grow without relying on paid advertising, focusing instead on word of mouth, patient experience, and simple content strategies that build...

In this episode, Justin sits down with Samantha to break down the real challenges she’s facing while trying to grow her HRT practice. Like many new practice owners, Samantha has already taken the leap, but now she’s dealing with the frustrating reality of low patient volume, slow growth, and uncertainty around what to focus on next.

Together, they unpack what’s likely holding her back, where her strategy may be falling short, and what she should be prioritizing to start gaining traction in a competitive HRT space. This episode is a real-world look at what happen...

In this episode, Justin sits down with a pediatric neurology nurse practitioner who is looking to start a women’s health and HRT practice without leaving her full-time job.

They walk through the key decisions behind getting started, including choosing a niche in a saturated market, why focusing locally can outperform a fully telemedicine approach, and how to keep startup costs low with just a few thousand dollars.

The conversation also breaks down a smarter growth strategy built on patience, community engagement, and adding just one to two new patients per week. No ads, no ov...

In this episode, Justin sits down with Tarvette, a dual-certified family and psychiatric nurse practitioner who’s in the early stages of building her own practice.

After nearly a year of slow growth, she’s now making a major shift, cutting back to part-time employment, investing in a physical location, and going all-in on scaling her business. But like many new practice owners, she’s facing challenges with traction, marketing, and confidence in her next steps. Justin breaks down what’s likely holding her back, how transitioning from telemedicine to a brick-and-mortar clinic changes the game, and what she...

In this solo episode, Justin breaks down one of the most common operational questions new practice owners ask: how to offer lab testing inside your clinic.

He walks through the practical side of setting up lab services in an NP practice, including how providers typically obtain labs, what options are available for newer clinics, and how to do it in a way that is both efficient and financially sustainable. Justin also discusses common mistakes new practice owners make when setting up lab workflows and shares insights on newer solutions that can simplify the process.

Whether...

In this episode, Erica shares her journey into NP practice ownership, what pushed her to make the leap, the uncertainty she faced, and the strategic decisions that made the difference early on.

She opens up about the realities of starting from scratch, navigating fear and doubt, and learning how to approach business ownership with intention instead of impulse. From early planning to execution, Erica breaks down what she wishes she had known sooner and what helped her move forward with confidence.

If you’re considering launching your own NP practice, or you’re in the earl...

In this episode, Justin talks with Jose, a family nurse practitioner and co-owner of a men's health and weight loss clinic, about what really happens when your practice starts making seven figures, but hits a plateau. Jose opens up about the realities behind stalled growth, from leadership gaps and operational bottlenecks to the mindset shifts required to move past being just the primary operator.

Together, they break down why so many NP-owned practices stall around the $1M mark and what it takes to push through: developing true CEO-level leadership, learning to delegate, and building systems so the...

In this episode, Justin sits down with Carissa, a family nurse practitioner who runs two thriving practices, to talk honestly about her journey and the challenges behind the scenes. Carissa shares what it is really like to manage both a med spa and a men’s health clinic, including the pressure of making every decision and the overwhelm that comes with an endless to do list. 

Together, they explore why delegation is so difficult for so many NPs, how decision fatigue can quietly stall growth, and what it truly takes to move from being the solution to eve...

In this episode, Justin talks with Tiana, a family nurse practitioner balancing a full-time job in rehab and nursing facilities while preparing to launch her own psych practice. They discuss the challenges of transitioning from employee to business owner, including financial preparation, juggling responsibilities, and overcoming mental roadblocks.

Justin shares actionable advice on how to start lean, avoid common pitfalls like taking unnecessary business loans, and build a practice that grows sustainably. Whether you’re just starting out or feeling stuck, this episode offers a clear roadmap to help you move forward with confidence.

In this weeks episode Justin breaks down what nurse practitioners and practice owners can realistically expect as we head into 2026. He talks honestly about economic uncertainty, income plateaus, and why slower growth does not automatically mean you are doing something wrong.

He also highlights where opportunity still exists, from longevity focused care to higher value service models, and why positioning and structure matter more than chasing volume. If you are thinking about how to protect your income, adapt your practice, or prepare for what comes next, this episode will help you think more clearly about your next...

In this episode, Justin talks with Claire, a family nurse practitioner ready to break out of traditional employment and launch her own functional medicine practice. Like most NPs considering the leap, Claire faces imposter syndrome and fears about starting a business from scratch. Together, they cut through the uncertainty and get real about what it takes to move from employee to business owner.

You’ll hear actionable advice on structuring a lean, cash-based practice, how to price and package services without overcomplicating your offer, whether insurance is worth the headache, and why you don’t need thousands of p...

In this episode, Justin breaks down the realities of NP entrepreneurship that often get overlooked. From unrealistic expectations to common early-stage mistakes, this conversation dives into what actually slows practitioners down when starting or growing a practice.

You’ll hear practical insights on mindset, decision-making, and why progress often feels harder than expected in the early phases of business ownership. If you’re building an NP practice or thinking about taking the leap, this episode offers a grounded look at what it really takes to move forward with clarity and confidence.

In this week's podcast, Justin sits down with Lisa, a psych NP who's balancing two part-time jobs alongside a private practice that's finally gaining serious momentum. We dive into the hard numbers, break down the tax advantages of business ownership, and look at what it really takes to reclaim your time and stop living at the mercy of an employer. 

You’ll hear actionable strategies for managing your hours, deciding exactly when to hire help, and how to drop the fear-based thinking that keeps so many NPs stuck. If you're ready to move past survival mode and sta...

In this episode, Justin talks with Brian, a family nurse practitioner in South Florida who’s ready to launch his part-time men’s health clinic while juggling shift work, a newborn, and Miami’s competitive market. They walk through choosing the right location, avoiding corporate clinic pitfalls, setting a realistic startup budget, and running lean during the first year. 

Justin breaks down the pros and cons of adding functional medicine, how to price and structure memberships, and why social media consistency can become a major lead source. If you’re planning to open a men’s health or TRT prac...

In this episode, Justin reconnects with Alex, a registered nurse who’s taking the leap into entrepreneurship before she even finishes NP school. Alex is launching her hormone and weight loss wellness clinic while working full-time, managing school, and preparing to graduate in 2026. Justin walks her through the essential startup steps, creating SOPs as she builds, structuring provider contracts, choosing the right revenue streams, avoiding common time sinks, and navigating safe prescribing and compounding options. 

They also cover smart marketing for new clinics, how to pace growth during slow seasons, and the mindset shifts needed to stay foc...

In this solo episode, Justin breaks down the mindset shifts every nurse practitioner entrepreneur must make to achieve real success. From moving beyond scarcity thinking to taking full ownership of your outcomes, he explains why your internal operating system matters more than any business strategy. 

Justin shares eight core principles: abundance, responsibility, creation over consumption, decision-making, systems, big-picture thinking, high-level peers, and identity rewiring, and shows how each one shapes your income, confidence, and long-term growth. If you're ready to level up your mindset and operate like the successful NP you want to become, this episode lays t...