For nurse practitioners · Montana

Independent by rule since the early nineties.

Montana licenses APRNs under Board of Nursing rules that define APRN practice as an independent practice, with no physician collaboration or supervision requirement at any career stage.

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The moment

Independence attaches at licensure

Montana’s board granted APRNs prescriptive authority by rule effective December 13, 1991, and its current rules define APRN practice as an independent practice — no physician relationship appears at any career stage.

Prescriptive authority for legend and controlled drugs is an endorsement requested on the license application: an application, a fee, graduate pharmacology coursework. A paperwork gate, not a supervision gate.

The requirement

none — independence at licensure (prescriptive authority is a separate board endorsement with pharmacology coursework, but no supervised-hours gate and no physician involvement)

The moment it attaches

automatic — attaches at initial APRN licensure; optional prescriptive-authority endorsement is requested on the license application

The timeline

Long-standing; board APRN/prescriptive-authority rules effective Dec. 13, 1991; current 'independent practice' rule ARM 24.159.1406 effective Sept. 6, 2013

The statute

Mont. Code Ann. § 37-8-102; ARM 24.159.1406, 24.159.1461

The receipt

Other platforms would show a testimonial here. Gale has no Montana NPs to quote, and we do not invent people — so here is the dated, sourced fact instead.

Montana's board granted APRNs prescriptive authority by rule effective December 13, 1991, and since 2013 its rules have flatly defined APRN practice as 'an independent and/or collaborative practice' — no physician tie appears anywhere in the chapter.

Mont. Code Ann. § 37-8-102; ARM 24.159.1406, 24.159.1461

Scope and carve-outs

The grant and the strings, at equal weight

Full scope within the licensed APRN role and population focus: medical diagnosis, treatment, ordering and interpreting tests. Prescribing legend and controlled drugs requires applying for a prescriptive-authority endorsement (ARM 24.159.1461-1463: application, fee, graduate pharmacology coursework) — a paperwork gate, not a supervision gate.

What Gale runs

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

In the product today

  • 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.

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 counsel clears it. No countdown — when it clears, it clears.
  • 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.
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 one flat all-in fee on a transaction — charged only when your practice is actually paid, never as a subscription, never with per-feature line items, never a spread on your rate. The number itself lives 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 Montana’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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