For nurse practitioners · Vermont

Two years, 2,400 hours, then notify the Board.

An APRN with fewer than 24 months AND 2,400 hours of licensed active advanced nursing practice in a role and population focus must hold a formal agreement with a collaborating provider; past both thresholds the agreement and the bar on solo practice fall away.

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Every state with a pathway

The moment

The transition, and the moment it ends

Vermont’s thresholds run together: 24 months and 2,400 hours of licensed APRN practice in the role and population focus, under a formal agreement with a collaborating provider. Past both, the agreement and the bar on solo practice fall away — after you notify the Board, which the statute requires before solo practice begins.

The distinctive wrinkle: the transition re-applies, at 12 months and 1,600 hours, for each additional role or population focus an APRN adds.

The transition

24 months and 2,400 hours of licensed APRN practice (12 months and 1,600 hours for each additional role or population focus)

The moment it ends

Board notification: 26 V.S.A. §1613(b) requires an APRN who has met the requirements to notify the Board before engaging in solo practice

The timeline

Added by 2011 Act 66, effective June 1, 2011; amended 2019 Act 30 and 2019 Act 91 (Adj. Sess.), effective March 30, 2020 (emergency-waiver provision)

The statute

26 V.S.A. §1613

The receipt

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

Vermont's transition, on the books since June 1, 2011 (Act 66), uniquely resets for each additional role and population focus — an experienced FNP adding a psychiatric focus owes another 12 months and 1,600 collaborative hours.

26 V.S.A. §1613

Scope and carve-outs

The grant and the strings, at equal weight

Full scope in the role and population focus where the thresholds are met; the transition re-applies (12 months/1,600 hours) to each additional role or population focus, and the Board may waive the agreement during a declared state of emergency.

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 Vermont’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
Questions with citable answers
Yes. The transition re-applies for each additional role or population focus: 12 months and 1,600 hours of practice under a collaborative agreement in the new focus, even for an APRN long independent in another.
Yes — 26 V.S.A. §1613(b) requires an APRN who has met the requirements to notify the Board before engaging in solo practice. The thresholds plus that notification are the whole mechanism.
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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