The Elite Nurse Practitioner Show

Episode 225 - Beyond Basic Hormone Testing

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 approach to hormone and longevity care.

Episode 224 - Building Toward Your Bigger Vision

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 doesn't directly support the future she wants to build. For nurse practitioners who have already built a practice and are thinking about what's next, this episode offers a practical look at scaling with intention, staying aligned with your goals, and building a business that creates more freedom over time.

Episode 223 - Maximizing Your Practice's Potential

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 wellness market. For nurse practitioners preparing to launch or refine their own practice, this episode offers practical ideas for building a business around your expertise, your patients, and the kind of career you want to create.

Episode 222 - Growing Without Doing It All

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 what that transition can look like.

Episode 221 - From Provider to CEO

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 protocols, protecting your brand, and maintaining exceptional patient experiences as your business grows, Justin shares practical advice on scaling intentionally and sustainably. Whether you're preparing to hire your first employee or dreaming about building a practice that can one day run without you, this episode offers an encouraging look at what the next stage of practice ownership can become.

Episode 220 - Creating a Practice That Fits Your Goals

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 rather than trying to do everything at once. Whether you're still planning your first practice or refining your vision before launch, this episode is a reminder that successful businesses aren't built overnight. They're built one thoughtful decision at a time.

Episode 219 - The Power of Finding Your Niche

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 media. Justin also shares practical advice on networking, overcoming rejection, and finding opportunities that may already exist within your professional circle. This conversation is also a reminder that success in practice ownership is rarely a straight line. Whether you're launching your first business or starting over with a new idea, this episode offers practical insights on building a practice that's focused, sustainable, and uniquely your own.

Episode 218 - Expertise Creates Opportunity

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, building a business that isn't tied to every hour worked, and using today's success to invest in tomorrow's growth. If you've spent years developing expertise in a specific area of medicine, this episode offers an encouraging perspective on how that experience can become the foundation for a business that's both impactful and built for the long term.

Episode 217 - From Nursing Professor to Practice Owner

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 can set the foundation for long-term success, while avoiding many of the expensive mistakes new practice owners often make. If you've ever wondered what it takes to leave the security of a traditional healthcare career and build something of your own, Meg's story is an encouraging reminder that with the right plan, your next chapter might be closer than you think.

Episode 216 - Turning Experience Into Ownership

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 open your first practice or refining your vision before launch, this conversation is full of practical ideas for building a business that's focused, memorable, and positioned for long-term growth.

Episode 215 - Scaling Without Sacrificing Your Lifestyle

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 build a business that can continue growing without relying entirely on the owner's time. If you've already built a solid practice and are wondering how to create more freedom, more scalability, and more long-term opportunity, this episode offers a practical look at the decisions that can help get you there.

Episode 214 - Building a Resilient Practice in a Changing Market

Episode 213 - Freedom, Flexibility, and Full-Time Success

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 time. Whether you are a solo practitioner looking to scale, or an employee looking for the confidence to finally quit your day job, this episode is packed with the raw, common-sense business advice you need to grow a profitable, cash-based practice.

Episode 212 - Starting Small and Growing with Purpose

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 episode is a reminder that momentum starts with taking the first step

Episode 211 - Turning Clinical Experience Into a Thriving Practice

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 focused and sustainable practice of their own

Episode 210 - Creating Structure as Your Practice Grows

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, along with simple approaches to increasing visibility and strengthening patient relationships. Overall, this episode offers a practical look at how to bring more structure into a growing practice, creating a smoother, more sustainable path forward.

Episode 209 - Turning Your Practice Plans Into Reality

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 into progress.

Episode 208 - How to Integrate New Services Into Your Practice

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 trust and visibility over time. Overall, this episode offers a clear and grounded look at how to expand a practice step by step while creating new opportunities for growth and long-term success

Episode 207 - How to Get More Patient Volume

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 happens after you launch, when things don’t grow as fast as expected, and what it actually takes to turn things around. If you’re building an HRT or men’s/women’s health practice and feel stuck, Samantha’s situation will probably sound very familiar.

Episode 206 - Launch Your Practice Without Leaving Your 9 to 5

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 overwhelm, just consistent progress that can realistically grow into a ten to twenty thousand dollar per month practice over time. For anyone trying to build something on the side without taking big risks or burning out, this episode shows what that path can actually look like.