#186: Tactical Tuesday: Use Scope of Practice as your Roadmap for Opening a Clinic


Jason A. Duprat, MBA, CRNA

Jason A. Duprat, MBA, CRNA

May 4, 2021


Jason A. Duprat, Entrepreneur, Healthcare Practitioner and host of the Healthcare Entrepreneur Academy podcast talks about the best entrepreneurial states for APRNs to open up a practice. He answers questions about how to actually start a practice, including the importance of remaining within your scope of practice. Be sure to listen until the end of the episode for a special free offer from Jason! 



  • The Nurse Practice Act outlines everything a nurse is allowed to do, depending upon their license type. 
  • Visit your state’s Board of Nursing website to access scope of practice regulations. 
  • Over the last 30 years or so, there’s been a big move to expand scope of practice and increase autonomy for nurses in the US.
  • When it comes to owning a practice, there are several levels of physician involvement.
  • Only a few states require having a physician present for direct supervision. 
  • Following direct supervision, the next level is physician supervision where the physician directs the work and has overview responsibilities to ensure appropriate treatment is provided. 
  • Next is physician collaboration which means a physician isn’t required to be onsite yet he/she is available for consultation. Protocols at this level can be in a written format yet it’s not required. 
  • Lastly, a physician isn’t required to be onsite for the independent practice level and these protocols can be verbal. Independent prescribing is an area that falls into this level.
  • If you need to find a collaborating physician, NPs can go to the Collaborating Docs website (see link in the Resource section). 
  • If regulations limit your scope of practice to a certain area, hire another NP or you can change your specialty by obtaining a post-master’s graduate certificate.



  1. You can start a practice in any state, but the best states allow nurses to practice independently of a physician and to prescribe—no collaboration required. 
  2. Understand the level of autonomy allowed by your state’s regulations and then structure your practice so staff members remain within their scope of practice.
  3. Collaborating physicians are not responsible for the independent decisions of the APRNs they’re supervising or working with.



“Understand your scope of practice.” – Jason Duprat

“Hire…or become double board certified.” – Jason Duprat



To download ‘The 22 Best States To Open A Practice For APRNS’ guide and to gain access to Jason’s Bonus Deep Dive Video, visit jasonduprat.combeststates

Collaborating Docs Website: https://collaboratingdocs.com/

HEA Facebook Group for Digital Businesses: https://www.facebook.com/groups/HeathcareEntrepreneurAcademy/

HEA Facebook Group for Bricks & Mortar Businesses: https://www.facebook.com/groups/HealthcareEntrepreneurAcademyBrickandMortar/


#HealthcareEntrepreneurAcademy #healthcare #entrepreneur #entrepreneurship #podcast #nurses #scopeofpractice #openyourownpractice #startyourownpractice 

Jason A. Duprat, MBA, CRNA

Jason A. Duprat, MBA, CRNA


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