Going independent is one of the most rewarding moves a provider can make — and one of the most logistically complex. Here's a practical roadmap of the major steps involved in launching your own practice.
1. Set Up the Business
- Choose a legal structure (PLLC, PC, etc.) and register with the state
- Get an EIN, a business bank account, and a bookkeeping system
- Secure malpractice and general liability insurance
2. Handle Licensing and Credentialing
- Confirm your state medical license and DEA registration are active for your practice location
- Apply for an NPI and begin payer credentialing early — it can take months
- Set up and maintain your CAQH profile for insurance enrollment
3. Choose a Location and Setup
- Decide between a traditional lease and a flexible medical coworking space
- Equip your exam rooms, or use a furnished space that's already patient-ready
- Select an EHR and practice-management system
4. Get Ready for Patients
- Set up scheduling, intake, and billing workflows
- Build a simple website and Google Business profile
- Line up front-desk or virtual reception support
You don't have to do it all at once. Starting in a flexible, fully equipped space lets you open sooner and add overhead only as your practice grows.