“You can get past the dead end. You can break through the ceiling. I did and so have countless others.”

How I Became a Self Employed Nurse Practitioner in 3 Years with Little Risk.

Money Idea Hand Silhouette  - mohamed_hassan / Pixabay

After 3 years of continuous hustle, I am proud to announce that I am totally self-employed. This means that I and I alone will be responsible for putting food on the table and a roof over my family’s head. Does this scare me? Not in the slightest… Why? Because I feel more secure now than I EVER DID as an employed nurse practitioner. No one’s job is secure, and during the COVID pandemic in 2020, thousands of nurse practitioners lost their jobs. Factor in the ongoing market saturation of our profession and I don’t need to explain any further why your job is not secure. But enough of that, I am going to tell you how I now make three times what I did as an employed nurse practitioner and how I became completely self-employed in just 3 years (you can skip the next dozen paragraphs for the summary to my success at the end of this article if you want).

It all started when I had the epiphany that I reached a ceiling as an employed nurse practitioner. I was working a busy emergency room shift and I looked around at all the physicians, nurse practitioners, and physician assistants working and realized that there is just nothing more… This was it. There was no upward movement. I had to accept the fact that it was going to be the same old same old, shift after shift, and with small incremental raises from time to time for the next 25 years. I will be honest with you, it made me depressed. I have always strived to be the best I could be, and I felt like I had reached the pinnacle of my career just 4 years out of school. I was at a dead end in my early 30s…

After realizing the reality of my employed nurse practitioner situation, I decided it was time to make a change. First, I found a job in an unrestricted state and left the restricted hell hole I was in. I knew one of the biggest factors that was preventing me from reaching my full potential was the need of having a supervising physician. I could never start my own practice without having a physician overlord. This did not settle well with me. So, I took the chance and moved across the country to a full practice authority state (just FYI, finding a collaborator has never been easier, check out the Elite NP Physician Collaboration Network if you need one).

Many of you are thinking “well, I can’t do that” and that might be true because everyone has varying family and local obligations. But let me tell you something about the magic of telemedicine: you can practice in independent states from a restricted state. All you need is a license in that state. Also, there is something called health coaching. You can “coach” people about various health needs in any state free from regulatory burden. The trick here is to not utilize your license… more on that in the coaching and consulting course. But regardless, let us continue…

Within 3 months of moving to an independent state, I started my first practice while working at an urgent care. I started an opioid addiction practice. I did not know much about treating opioid addicts, but if physicians could do it from just an 8-hour online course, then I could too! So, I took on the challenge and started a “Suboxone” practice. It was not a great success… Not from the clinical component (that was easy), but because I was a total rookie when it came to starting a business… But guess what? You live and learn. Sometimes you must fail to succeed. The lessons I learned from starting a practice that ended up failing outweigh what you could learn in an MBA program any day! I was only out $5,000, so it wasn’t the end of the world.

After that, I put my work books back on and started my medical cannabis clinic. I told myself that I was not going to deal with the headaches of accepting insurance so I wanted to start a practice that would involve cash only. This was a success! Within 6 months I went from $0 in revenue to almost $10,000 a month in revenue. Within a year and a half, I was making $20,000-$25,000 a month. It was great. The best part was that I only spent 8 hours a week seeing patients. This is when I had another life changing epiphany: I could make a lot of money with a part-time practice. Therefore, I needed to create multiple part-time businesses so I could break free from the rat race and reach my full potential!

Within 8 months of starting my medical cannabis clinic, I decided to start my men’s health clinic. I invested all the money I was making from my medical cannabis clinic into my men’s health practice. I learned a lot from the mistakes I made with my opioid addiction clinic and from what I did right with my medical cannabis clinic that when I started my men’s health practice, it was a pretty smooth ride. I again decided to only accept cash because when you accept cash, you don’t have to wait to credential with insurance and deal with all that nonsense. So, within 4-5 months I was generating over $10,000 a month in revenue part-time. I spent approximately 6-12 hours a week on my men’s health clinic and after 2 years we were generating over $30,000 a month in revenue. I am now in year 3 and we are consistently hitting $50,000 a month with only seeing patients 8 hours a week. Because of this, I decided to open a 2nd location last year and it has slowly climbed to over $10,000 a month in revenue.

In addition to all of this, I have invested large portions of the money I have made in the last 3 years into rental real estate. I am now bringing in a steady passive income of over $2,000 a month from my rentals.

I did all this while still working. I worked full-time at an urgent care during the initial stages of my entrepreneurial journey and transitioned to part-time about a year and a half into it. I did this because maintaining a job while building part-time practices allows you to be MASSIVELY FINANCIALLY SECURE. I was able to live off the income from my job while the profits from the businesses were just icing on the cake. If the businesses had failed, then I would have still been okay because I had the income from my job to fall back on.

Was it a lot of work to maintain a job and start a business? YES! I felt like I did nothing but work for 2 years… I did not have much of a life for a solid year… It was tough, but it was worth it in the end. Sometimes it is about what you DIDN’T do to succeed, remember that.

Another critical aspect to my success was that I avoided business debt. I funded all of this from my own money at first and then reinvested business income into growing the businesses. Did you know I never spent more than $7,500 starting any of my practices? That is right… I spent less than $10,000 to start a practice that now generates $50,000 a month in revenue in less than 3 years. TELL ME ABOUT ANOTHER INVESTMENT WITH THOSE KIND OF RETURNS: I doubt you can…

Side note: Investing in your job will NEVER pay you back like investing in your business. NEVER! Plus, the tax incentives of a business are too numerous to list here… Having a business is the last tax haven left in this country. Ask any accountant.

To top it all off, I have paid off all my debt over the past 3 years. I would have NEVER been able to do this as fast as I did by just being an employed nurse practitioner. Being debt free = FREEDOM. Being debt free = not having to rely on income from a job to be able to survive. I have no debt obligations now outside of good debt on rental properties. I have a VERY low cost of living because of being debt free…

So, just over the last few months, I have decided to finally leave my urgent care job outside of the occasional PRN shift. I don’t need it anymore and frankly; I am sick of following the rules of dumb ass healthcare administrators and government bureaucrats who have no clue what they are doing. I just want to practice freely, help patients, and make a solid living…

I have created an income through entrepreneurship and common-sense business. My practices and rental properties provide me MORE THAN ENOUGH and I work on MY TERMS. I have a surplus every month which I am aggressively investing so I can eventually be totally free from working in the next 5 years if I choose to. Which I won’t because I love my men’s health patients and love helping my nurse practitioner sisters and brothers.

Now, the short version of how I became a self-employed nurse practitioner in just 3 years while taking little risk:

I worked full time as a nurse practitioner at an urgent care and started a small niche side practice that could be done only 6-8 hours a week. I made sure this niche side practice (opioid addiction/medical cannabis) was a business that was CHEAP to start and CHEAP to operate. The list thing I wanted was a business that took $300,000 of debt to start. I wanted something that was cheap and simple to start. A cheaply started business is one that can be cheaply closed if needed. Remember that.

After 12 months of starting my first practice, I opened my 2nd practice which was a men’s health practice. This became very profitable. After 4-5 months of doing this, I dropped to part-time work at the urgent care to maintain a personal income to live off while the businesses started to grow. I did this so I could still maintain a work week of 40 hours. I did not want to work 70-80 hours a week.

During this 2-3 year transition period, I lived off the part-time urgent care income and funneled a majority of the profits from my practices to pay off all my debts, including the bulk of my mortgage. A life of little debt is a life that can be cheaply lived. Remember that.

During the last year while my medical cannabis clinic and men’s health practice grew (I only spent an average of 8 hours a week at each), I started a 2nd men’s health practice because I understood what it took to start one (an idea, courage, and about $7,500). I hired another NP to see patients here part-time (4-8 hours a week). This has started to grow and contributes to my monthly PASSIVE income.

Additionally, I have funneled business profits to purchase rental real estate. This has resulted in a great passive income stream. AirBNB is an amazing thing and you should consider getting into the short term rental game…

After 3 years of starting my very first practice, I have replaced the salary I was getting from my full-time nurse practitioner job by 3-fold. All of my practices and rental real estate generate a healthy and comfortable living. More comfortable than I ever was being employed… and honestly, more secure. Plus, I am working less hours.

Many of you are thinking that this is too scary to do. Listen, I took little risk here… I maintained my job to live off and started a niche side practice that could be done 8 hours a week. I never invested more than $10,000 of my personal income into these businesses. I never took out business debt. I am debt free and plan to stay that way (outside of mortgages on rental properties).

This wasn’t hard folks. I followed a basic model and was very disciplined on how I spent my money. Could I have bought a $150,000 sports car? Sure… but that isn’t important to me. FREEDOM is what is important to me. I value living life over materialistic nonsense. The best way to live life is by being financially secure and independent. Owning multiple income generating businesses is the BEST WAY for a nurse practitioner to get there.

I developed The Elite Nurse Practitioner Model to help you succeed. This is based off my experiences and what I did to become financially independent. Follow the principles, it WILL pay off.

I have developed multiple courses to walk you through the process step by step on how to get to where I am at. The courses teach you how to open a niche side practice. The financial independence course teaches you how to manage your money so you can be free.

If I can do this, anyone can do this. If the THOUSANDS of nurse practitioners that have followed my advice can do this, SO CAN YOU. I receive emails on a DAILY basis from nurse practitioners who have started their own practice and changed the trajectory of their life.

Your job will never set you free. Following the standard model of how you should live (full time job, lots of debt, living beyond your means, a 401k, etc.) will only enslave you further. There is a way out for the nurse practitioner, and it is not as hard as you think. All it takes is a little bit of courage, $5,000-$10,000 to invest in a business, and an idea.

I have achieved financial independence in just 3 years as a nurse practitioner. I have achieved in just 3 years what most nurse practitioners achieve over an entire career. In the next 5-10 years, I could completely stop practicing and I won’t even be 50 years old. The employed nurse practitioner route will never provide you the income and freedom that a business can.

So, the decision is yours:

Stay employed full-time and be a slave to the system that doesn’t care about you. A system that treats you as a disposable asset. A system that is designed to enslave you. A system where you are secondary to the administrative pencil pushers and physician collaborators.


Venture out on your own and build multiple income streams that will put you on the path to freedom. Build a life where you live on your terms. Practice how YOU WANT to practice, not how an insurance protocol tells you to. Essentially, be a wolf amongst the herds of sheep.

It is up to you… If I can do it, and the countless of others that have as well, so can you. Only the fear in your mind and the limiting beliefs you hold about yourself are holding you back from a life that is simply unimaginable by the majority of people in this country. You can reach your full potential as a nurse practitioner. You can become one of the ELITE nurse practitioners. I promise you can… and I am here to help you along that journey!

23 Responses

  1. Great article, very inspiring.
    For me the most frustrating aspect to the thought of opening a practice is no clear practice guidelines as it pertains to Mens’ Health clinic.
    Does your course offer some practice guidelines that would make implementation easier?
    Congratulations on your success.

    1. Neil,

      There really aren’t any standard “guidelines” for doing true men’s health. It is a specialty that is truly forgotten. The course covers exactly what you need to know to do it safely and effectively. If you truly want to create a world class men’s health clinic, I would advise taking the Original Men’s Health course and the Advanced One. Do not just take the advanced course though without taking the first one as you need that foundation.The course covers both clinical and business recommendation and guidance to help you succeed.

  2. This is really great. I made a mistake and jumped into an NP residency fresh out of school. I’m now applying to urgent care jobs with the intention of doing exactly what you did. It’s nice to see someone succeed before jumping into it.

    1. Totally doable Miguel! You MUST start your own business though if you want to truly build wealth as an NP. It is the ONLY way.

  3. I appreciate your frank commentary about how we are viewed by the system. Management and physicians are pretty clear about our role and purpose when they use terms such as “physician extender.” We need to be clear that we are trading our life’s energy for money, and consider what else we might achieve with a small investment, some risk-taking, and chutzpah.

    1. EXACTLY SCOTT! You hit the nail on the head… With a small investment and a SMALL RISK, we can venture out on our own and build a powerful six-figure income instead of being handed the scraps that are left over after these sharks pay themselves ridiculous salaries and bonuses.

  4. Thank you for sharing your trials and successes. I’ve been practicing as an NP for 11yrs now. I wish I had pursued owning my own practice sooner but was always afraid of the what ifs and had lived in a restricted state. My last job as a hospitalist NP taught me so much as to how insignificant they value me, no matter how much of my time was given to them, it was never good enough. I was just a number pushing a number. With all the hard work and time invested, I didn’t even see a raise in that 3 years working and slaving for them. This last year I decided to do bedside travel nursing to save up to start my own clinic. I recently completed 2 courses with Elite Nurse Practitioner Group and in 2 weeks I’m heading to FL and will work on building a mobile clinic. Again, Thank you for giving me hope that if we set our mind to it we can achieve anything!!!!

    1. That is so awesome Allison!!! Congrats on taking the steps necessary to get started. I am very proud of your progress. Remember, NEVER stop pushing forward. You will hit speedbumps along the way, but you will succeed as long as you stay persistent. Keep us updated!

  5. Love this Justin! I always circle back to your page and blogs to get some inspiration. Thanks for your transparency and for your email replies. Because of your guidance, I stepped out on my own in opening a weight loss and HRT telemedicine practice. It was somewhat of a slow start but I now have about 13 to 14 patients and have made about $10K in the last 3 months. All of the money I am making I am reinvesting back into my business, and because my overhead is so low, I am able to save and reinvest safely.

    Thanks again for all you do in making a difference in fellow NP’s lives. Never thought I could go out on faith and become an entrepreneur, but here I am!

    1. Hey, 10k in 3 months working part-time is pretty solid. That is more than you would have ever made working for someone else! CONGRATS!

      A pleasure to have helped and inspire you. It brings me great joy in hearing from another NP who is breaking free.

      A positive review is always appreciated just FYI 🙂 https://www.trustpilot.com/review/elitenp.com

    1. Nope, RNs can certainly take any of our courses. You just need to ensure you stay within your scope which typically means you need a provider on staff to sign off on orders for you.

  6. When you talk about multiple side niches and incomes streams, are they all under the same business name? Or are you creating separate business names, accounts, etc.

  7. Count me in all I need is a mentor. Can this be done as a psych NP or do you have any successful psych NP’s in the Elite club to recommend to me for mentorship/guidance?

  8. I am absolutley in love with this idea. My biggest hurddle is that I live in Texas, and it is incredibly restrictive. This is not an independent practice state and medical cannibs is also very restricted. Because of these challenges, I find the comment about telemedicine and being licensed in another state incredibly interesting. I do however, wish to open a hybrid model with brick and mortar location. I feel overwhelmed while trying to figure this out. Thank you for the blog posts and encouragement, it is helpful.

    1. Don’t let the supervision requirement be a roadblock for you. Simply find a supervisor and get started. I know MILLIONAIRE NPs who operate their own practices in TX. It can be done.

  9. you are just literally amazing!!
    I have been working as an internal medicine NP little bit more than 1 year, I am so so done..
    i work literally like dog..:((
    so I have been thinking..about my own practice.. the amount time I spent for current my job would make fortune..
    so..a question.. how did you spend only $7500 for opening your own business??

    1. By following a simple model: keeping expenses low, keeping it simple, and offering a specific service. All explained on this site, The Elite NP Model, and in our courses.

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