{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Scaling Practice Management by Talkie.ai","title":"What Nurse Practitioners Get Wrong About Owning a Practice | Amanda Guarniere, NP-C","html":"","width":"100%","height":180,"duration":3111,"description":"Can a nurse practitioner build more than a one-person practice that just replaces a salary? Amanda Guarniere says yes - and most NPs never find out because nobody shows them what's possible.\nAmanda is a Yale-educated NP with 15 years of clinical experience, VP of Enterprise Partnerships at Guardian MD, and the founder of The Resume RX. She also runs her own wellness and aesthetics practice - so she sees both the clinical and the business side.\nShe joins Jakub Grajcar to break down how NPs can legally own, run, and scale a practice. We dig into:\n🏥 Amanda's #1 tip for growing a practice - know exactly who your future patient is before you build, then create messaging that attracts them and repels everyone else\n🧠 Why most NPs never scale past replacing their own salary - and the mindset shift that changes it\n⚖️ The compliance buckets every NP must understand - practice ownership vs. medical oversight, and why they're different in every state\n📍 State-by-state reality check - from fully independent states to Texas, Georgia, and the rare in-person supervision rules\n🚨 What actually triggers an audit (usually a complaint) - and why so much runs \"on your honor\" until it doesn't\n👥 The real signal you're ready to hire - a full schedule and a 2-3 week waitlist, not just the wish to grow\n🔮 Where NP regulations are heading post-COVID - and why it comes down to lobbying power, not logic\nResources mentioned:\n👤 Guest: Amanda Guarniere, NP\nLinkedIn: https://www.linkedin.com/in/aguarniere/\nGuardian MD - remote medical directors & compliance infrastructure: https://guardianmedicaldirection.com/\nThe Resume RX - career resource for nurses & NPs: https://www.theresumerx.com/\n📚 Books\nThe Big Leap by Gay Hendricks\nBuilding a StoryBrand by Donald Miller\nVivid Vision by Cameron Herold\n🧠 Frameworks mentioned\nEOS (Entrepreneurial Operating System) - the \"seats\" concept: delivery, growth, operations\n\"Glass balls vs. plastic balls\" - priority triage\n🎙️ Related episode\nCornelius Schmahl on...","thumbnail_url":"https://img.transistorcdn.com/cDl0t9jFckOl-1_LgMnmIWyXNTKcvr8hPfqwaY9KYeg/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9hNGEx/NWRhMDYxMDUxMjE3/MWIyMGU3MjZiZGZl/NjIxNS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}