Business in Michigan?

Lots of nurse practitioners in Michigan have asked about starting a business in their own practice. Unfortunately, according to the law, APNs cannot open their own practices.

The reasoning behind this has been confusing for many NPs. In this episode of the NP Business Matters podcast, we talk with Dr. Denise Hershey, PhD, FNP-BC, the current president of the Michigan Council of Nurse Practitioners about this issue and other issues affecting NP practice in Michigan.

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Your Turn

Are you in Michigan? How is this affecting your practice? I look forward to hearing your thoughts and questions about this episode in the comments below.

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  1. The Podcast on Michigan NP struggles did not play. It plays the introduction and the ending, but nothing in the “middle”.


  2. Why are we paying MICNP dues if MICNP is so hesitant to work on being our “own best advocate?” We can change the law. No, we don’t work under a delegated practice unless we want to prescribe Schedule II and III drugs. Federal law includes us as a Learned Profession. Please stop settling for half a loaf.

  3. I cannot speak as to what MICNP is doing or not. I will say, that I use to wonder that about my own state. What I learned is that it’s give-and-take in politics and that it moves slower than a slug. While it seems simple enough, across the country we are fighting for our right to practice against an organization that is extremely well funded. It takes numbers, it takes money, and it’s slow. I hate that about this process. We’d all like it to move faster.

  4. hello, I was wondering if you could find/sign a collaborative physician (not in the clinic overseeing practice), could you open your own self-pay-only clinic in Michigan, (such as IV infusion, weight loss, or men's health) as an FNP? Or if you choose to open LLC in an FPA state, could you practice telehealth in that state without a collaborative physician and live in a restricted state? Any information would be appreciated, Thank you for your time.

  5. Unless something has changed in MI (I have not heard if it has),…

    1. No you cannot open a self-pay clinic of any kinds. NPs are prohibited by law.
    2. No you cannot open a practice in another state and still practice from MI. You would be subject to the laws in MI as well as the FPA state.

    I strongly suggest you speak with your NP organization, and find out what you can do to support the efforts to remove these barriers. MI is the only state in which NPs cannot legally own a practice.

    Best wishes.

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