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.

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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

Worth knowing

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.

The watch

Pending in Nebraska

Statutes move, boards write rules, sunsets arrive. This watch is checked against primary sources on a standing cadence — last verified 11 August 2026 — and every item links the source it was read from.

Nothing pending in Nebraska that we can pin to a primary source. What has already taken effect is below.

Landed recently (1)

Recently effective

Nebraska NPs may perform fluoroscopy for procedural guidance once they complete department- and board-approved training.

Nebraska Legislature, LB 912 slip law (109th Leg., 2nd Sess.)

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.

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.
  • 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, on sample data for now

  • Insurance billing — a billing console, coding you review and attest, and every claim followed from draft to paid. Today a claim is checked by Gale’s own test system: nothing reaches a payer and no money moves.
  • Outreach — check-ins for patients who have drifted, drafted overnight for you to approve. Approving sends nothing yet; patient contact stays off until it opens.
  • 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.
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.

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