For nurse practitioners · Nebraska

2,000 hours, then nothing to sign.

New nurse practitioners must practice their first 2,000 hours under a written transition-to-practice agreement with a supervising provider, after which Nebraska imposes no collaborative or supervisory agreement of any kind.

Find your page — we rank for your name →

Every state with a pathway

The moment

The transition, and the moment it ends

Nebraska asks for the first 2,000 hours under a written transition-to-practice agreement; after that, the state imposes no collaborative or supervisory agreement of any kind, and independence arrives automatically — no board application, no separate license.

The law behind it earned its passage twice: a 2014 full-practice bill cleared the Unicameral 43–0 and was vetoed after adjournment; the refiled LB 107 passed 46–0 and was signed March 5, 2015.

The transition

2,000 hours of practice under a transition-to-practice agreement

The moment it ends

Automatic upon completing 2,000 practice hours under the written transition-to-practice agreement; no separate independent-practice license or board application

The timeline

LB 107 approved March 5, 2015 (NPs licensed on or before Aug. 30, 2015 with 2,000 physician-supervised hours were grandfathered); TTP sections last amended by 2017 LB 88 and still in force as of August 2026

The statute

Neb. Rev. Stat. §§38-2317, 38-2322

The receipt

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

Nebraska's 2014 FPA bill passed the Unicameral 43-0 only to be vetoed by Gov. Dave Heineman after adjournment ('too far, too quickly'), leaving no override chance; the refiled LB 107 passed 46-0 and Gov. Pete Ricketts signed it March 5, 2015.

Neb. Rev. Stat. §§38-2317, 38-2322

Scope and carve-outs

The grant and the strings, at equal weight

Full scope after the transition, including prescribing within NP scope, with no post-transition physician-agreement or controlled-substance carve-outs in the NP Practice Act; general professional duties to collaborate and refer remain.

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

During the transition, someone signs — and the signature is a cost line, in money or in kind. Independence retires it. What Gale adds is built to stay just as legible.

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 Nebraska’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.

Find your page — we rank for your name →Browse the provider hub