For nurse practitioners · Rhode Island

Independence, written into the definition.

A certified nurse practitioner is defined by statute as an advanced practice nurse practicing on independent knowledge of assessment, diagnosis, and management, with prescriptive privileges and no collaboration or supervision requirement.

Find your page — we rank for your name →

Every state with a pathway

The moment

Independence attaches at licensure

Rhode Island’s 2013 reform wrote independence into the definition of the role itself: a certified nurse practitioner practices on independent knowledge of assessment, diagnosis, and management, with prescriptive privileges — and may be recognized as the primary-care or acute-care provider of record.

The requirement

none — independence at licensure

The moment it attaches

automatic — at initial CNP licensure

The timeline

2013 (P.L. 2013, ch. 83 and ch. 93)

The statute

R.I. Gen. Laws § 5-34-3 (definition of certified nurse practitioner)

The receipt

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

Rhode Island's 2013 reform (P.L. 2013, ch. 83/93) wrote independence into the definition itself: a CNP practices on 'independent knowledge' and may be the 'primary-care provider of record.'

R.I. Gen. Laws § 5-34-3 (definition of certified nurse practitioner)

Scope and carve-outs

The grant and the strings, at equal weight

Full scope: physical assessment, diagnosis, management, and prescriptive privileges across primary, acute, long-term, and critical-care settings; the statute names no controlled-substance or specialty carve-outs, and CNPs may be recognized as the primary-care or acute-care provider of record.

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 Rhode Island’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