For nurse practitioners · New Mexico

Independent since the early nineties.

Statute (NMSA 1978 § 61-3-23.2) provides that certified nurse practitioners 'practice independently,' making their own decisions and prescribing Schedule II-V controlled substances without physician oversight.

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Every state with a pathway

The moment

Independence attaches at licensure

New Mexico’s statute says certified nurse practitioners practice independently — language the legislative histories date to 1993, with Schedule II authority included from the start, decades before most states’ full-practice laws.

The 400 hours of recent prescribing experience the board asks about is a credentialing requirement for prescriptive authority — met by a preceptorship if needed — not a supervised transition on practice.

The requirement

none — independence at licensure (board-granted prescriptive authority requires pharmacology coursework plus 400 hours of recent prescribing experience or a preceptorship)

The moment it attaches

automatic — attaches at initial CNP licensure

The timeline

1993 (CNP independent-practice statute); prescriptive-rule details updated since, most recently via 2023 legislation broadening board rulemaking

The statute

NMSA 1978 § 61-3-23.2; 16.12.2 NMAC

The receipt

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

New Mexico has let nurse practitioners practice independently and prescribe Schedule II drugs since 1993 — including from day one the Schedule II authority that many states adopting FPA decades later still restrict.

NMSA 1978 § 61-3-23.2; 16.12.2 NMAC

Scope and carve-outs

The grant and the strings, at equal weight

Full scope: independent practice as a primary, acute, chronic, long-term and end-of-life care provider, prescribing dangerous drugs and Schedule II-V controlled substances within the CNP's clinical specialty. Prescriptive authority is granted by the board (400 hours of prescribing experience within the prior two years or a preceptorship; state CS registration and DEA number; maintained specialty formulary). Collaboration with physicians only 'as necessary.'

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 New Mexico’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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