In this weeks episode Justin breaks down what nurse practitioners and practice owners can realistically expect as we head into 2026. He talks honestly about economic uncertainty, income plateaus, and why slower growth does not automatically mean you are doing something wrong.

He also highlights where opportunity still exists, from longevity focused care to higher value service models, and why positioning and structure matter more than chasing volume. If you are thinking about how to protect your income, adapt your practice, or prepare for what comes next, this episode will help you think more clearly about your next move.

In this episode, Justin talks with Claire, a family nurse practitioner ready to break out of traditional employment and launch her own functional medicine practice. Like most NPs considering the leap, Claire faces imposter syndrome and fears about starting a business from scratch. Together, they cut through the uncertainty and get real about what it takes to move from employee to business owner.

You’ll hear actionable advice on structuring a lean, cash-based practice, how to price and package services without overcomplicating your offer, whether insurance is worth the headache, and why you don’t need thousands of patients to build a profitable clinic. They cover how to leverage your current skills, keep overhead low, and use your 1099 income to fund your startup smartly. Justin calls out the most common limiting beliefs, offers practical steps to get started part-time, and explains the right time to scale or bring on extra help.

If you’re stuck in overwhelm, worried you’re not “ready,” or just want a blueprint for building your practice the right way, this episode lays out a clear, honest path forward.

In this episode, Justin breaks down the realities of NP entrepreneurship that often get overlooked. From unrealistic expectations to common early-stage mistakes, this conversation dives into what actually slows practitioners down when starting or growing a practice.

You’ll hear practical insights on mindset, decision-making, and why progress often feels harder than expected in the early phases of business ownership. If you’re building an NP practice or thinking about taking the leap, this episode offers a grounded look at what it really takes to move forward with clarity and confidence.