For nurse practitioners · Idaho

Oversight, deleted and never rewritten.

Licensure as an APRN authorizes advanced practice including prescribing, administering and dispensing therapeutic pharmacologic agents; the statute requires only that APRNs 'collaborate with other health professionals' — no supervision or physician agreement.

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The moment

Independence attaches at licensure

Idaho removed physician supervision from its NP rules quietly — the secondary histories put it around 2004 — and never wrote it back. The current statute’s only inter-professional duty is that an APRN collaborates with other health professionals in providing care: a description of good practice, not a supervision mandate.

The requirement

none — independence at licensure

The moment it attaches

automatic at APRN licensure

The timeline

Physician supervision/direction requirement removed circa 2004

The statute

Idaho Code § 54-1402 (definitions, APRN); board rules at IDAPA 24.34.01 (formerly 23.01.01)

Worth knowing

Idaho quietly deleted physician oversight from its NP rules around 2004 and never wrote it back: the current statute's only inter-professional duty is that an APRN 'collaborates with other health professionals in providing health care' — a description, not a supervision mandate.

Idaho Code § 54-1402 (definitions, APRN); board rules at IDAPA 24.34.01 (formerly 23.01.01)

Scope and carve-outs

The grant and the strings, at equal weight

Full scope as defined by the Board of Nursing: advanced nursing practice including prescribing, administering and dispensing therapeutic pharmacologic agents; APRNs may perform only acts for which they are educationally prepared, as provided by the board.

The watch

Pending in Idaho

Statutes move, boards write rules, sunsets arrive. This watch is checked against primary sources on a standing cadence — last verified 5 November 2026 — and every item links the source it was read from.

Rulemaking in progress

Idaho's nursing rules rewrite is headed to the 2027 Legislature; a pending-vote recording is dated October 22, 2026.

Idaho DOPL, Board of Nursing statutes, rules and rulemaking (IDAPA 24.34.01)

Every jurisdiction, every item — The Watch →.

What Gale runs

The inventory, split honestly. Nothing dark is dressed as live.

In the product today

  • Chat runs the practice — say what you need in your own words, and Gale books it, finds the guide, or opens the screen already filled in.
  • Scheduling and the calendar.
  • Notes, with a scribe that drafts during the visit — you stay the final editor of every note.
  • Telehealth where the chart lives.
  • The patient record — see a sample chart, no signup.
  • Superbills for the patient who wants to claim out-of-network benefits.
  • The Fee Schedule — the one Gale document that states the fee.
  • Your practice page, in the public directory compiled from the NPPES registry.
  • Your credentials in one place — every license, DEA registration, board certification and plan enrollment you already hold, with reminders at 90, 60 and 30 days before one expires. Gale checks your NPI against the national registry and marks what it checked. It does not file applications; a credentialing service can.
  • Referrals from colleagues through your own link, acknowledged and booked in one place, and a view of which referral sources send you patients and which have gone quiet.
  • Practice notes on your public page, and your own notes on Gale’s health articles in the content library — credited to you, and nothing is public until you publish it.
  • An activity and access log that records who opened, changed or exported a patient’s chart, and when.
  • Connect Claude to set up your services, rates and hours by talking to it. It cannot open a patient record, move money or sign anything.
  • Tasks for you and your team, each with a due date, a priority and, if you choose, the patient it is about.
  • Supervision for the notes you co-sign: send a progress note back with a comment, or sign it yourself. Gale never signs for anyone.
  • A notifications inbox with the messages Gale sends you, each in full, and the unread ones marked.

Opening with the founding cohort

  • Concierge memberships — a monthly plan your practice sells on its own terms. Not sellable yet: enrollment fails closed behind a legal switch until it is turned on. No countdown — when it opens, it opens.
  • The loop tracker — every referral, lab, and question a visible loop with an owner, a state, and a promised window. Closing one requires an outcome note; nothing silently expires.
  • The guided founding sequence — practice setup walked step by step with the first cohort: entity, posted prices, the practice page, the first visit.
  • Currents — the regulatory watch for your state and the latest evidence for your specialty, dated, sourced, and re-verified on a standing cadence. Quiet weeks say so.

Built, rolling out

  • Insurance billing — a billing console, coding you review and attest, and every claim followed from draft to paid. Claims are filed to payers through Stedi, Gale’s signed clearinghouse, once insurance is on for your practice.
  • Outreach — check-ins for patients who have drifted, drafted overnight for you to approve. Nothing is sent until you approve it.
  • Your panel, sorted so the patients who are due or slipping out of care come first — a sort order, not a prediction — with show rates and between-visit activity counted beside it.
  • Practice health — whether notes get signed and Good Faith Estimates go out on time.
  • Guidance monitoring — the between-visit guidance a patient chooses to share with you, with anything off track listed first. It fills as patients share.
  • Workbooks — your charts, claims, referral pipeline, compliance records and clinician roster as tables you can edit. New accounts start on a sample practice.
  • A desktop bridge and scheduled agents, for work that runs while you are away. A scheduled agent can never send a message, move money or sign anything.
  • Analytics for the date range you pick — income, balances, claims, appointments and notes, and each report as a download. The money figures come from the same test system as billing.
  • Visit requests — the kind of visit a patient asks for, with a suggested length, checked off once the time is booked. For now a request is kept only in the browser it was sent from.
The economics

No physician attached means no standing invoice between you and your own practice — the economics of independence here are unusually legible. What Gale adds is built to read the same way.

Gale’s side of the ledger is deliberately short. The software is free, and Gale earns a fee on a card payment it takes or a flat fee on a claim your practice collects on its own — never as a subscription, never with per-feature line items, never a spread on your rate. The numbers themselves live in exactly one document, on purpose, so it can never quietly say two different things in two places: the Fee Schedule states it.
The playbook

The deepest state cluster we have built is California’s — eight guides on the 103/104 ladder, cited to the statute and the board’s own filings. They are California’s rules, not Idaho’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
Where to start

Your page may already exist

Gale publishes a public directory compiled from the NPPES registry. Find your listing, claim it, and see how you rank for your own name — that page is the front door your independent practice will be found through.

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