For nurse practitioners · South Dakota

1,040 hours, then a form.

A newly licensed CNP practices under a written collaborative agreement until 1,040 licensed practice hours are completed and verified to the Board of Nursing, after which the agreement may be retired.

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Every state with a pathway

The moment

The transition, and the moment it ends

South Dakota runs one of the nation’s shortest transitions: 1,040 licensed practice hours in the CNP role under a collaborative agreement — roughly six months of full-time work. The moment is a form: a Practice Verification Form on file with the Board of Nursing, and the agreement may be retired. What remains afterward is the general professional duty every CNP carries — collaborate, refer, transfer as the patient requires — with no agreement attached.

The transition

1,040 licensed CNP practice hours under a collaborative agreement

The moment it ends

Practice Verification Form on file with the Board of Nursing verifying a minimum of 1,040 licensed practice hours in the CNP role

The timeline

SB 61 enacted 2017; effective July 1, 2017

The statute

SDCL 36-9A-12, 36-9A-13.1 (2017 SB 61)

The receipt

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

SB 61 (2017) gave South Dakota one of the nation's shortest NP transition periods — 1,040 hours, roughly six months of full-time practice — and the collaborating provider can be another CNP or a CNM rather than a physician.

SDCL 36-9A-12, 36-9A-13.1 (2017 SB 61)

Scope and carve-outs

The grant and the strings, at equal weight

Full scope after verification, including prescribing; an ongoing general duty to collaborate, refer, and transfer as appropriate (SDCL 36-9A-13.1) applies to all CNPs but requires no agreement.

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 South Dakota’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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