DirectShifts connects your NPs with board-certified physicians across all 50 states and manages sourcing, credentialing, and compliance in one place.

Trusted by healthcare organizations across the U.S.
NP-led care is only as fast as your slowest collaboration agreement. Most organizations are absorbing the same six problems.
Months lost to physician searches while patient panels wait.
Rules change every legislative session — one miss creates real risk.
CAQH, NPI, DEA, malpractice — your team is doing verification, not care.
Submit and approve timesheets on the go with our top-rated mobile application.
Gain insights into labor costs, overtime trends, and staffing efficiency with custom reports.
Configure approval workflows that match your organizational hierarchy and policies.
One partner for the network, the compliance, and the day-to-day management.
Board-certified physicians across every major specialty and all 50 states — pre-vetted before you see the match.
State-specific collaboration rules, ratios, chart review, and licensure tracked continuously in one system of record.
DirectShifts specialists source, credential, and manage every collaboration — you get software plus a team, not another tool to staff.
Get to signed collaboration agreements in under 2 weeks so your NPs can practice at the top of their license.
Average time to signed collaboration agreement
First-match acceptance rate across specialties
Specialties matched — primary care to psychiatry to aesthetics
Physicians primary-source verified before match
Based on aggregated DirectShifts customer results across NP-led practices, 2024–2026.
How it works
Every capability comes with a specialist who runs it for you. Not another dashboard your team has to staff.
Platform
Enter specialty, state, and ratio requirements — the platform maps them to your compliance rules.
DirectShifts specialist
Your specialist reviews the intake and confirms details before sourcing.
Platform
See ranked, licensed physicians matched to your specialty and state.
DirectShifts specialist
Our team screens each candidate and presents 2–3 qualified matches.
Platform
Verify licenses, DEA, and malpractice through a single digital workflow.
DirectShifts specialist
Enrollment specialists collect signatures and chase every document.
Platform
Monitor ratios, chart reviews, renewals, and state rule updates in real time.
DirectShifts specialist
Your success manager flags issues before audits.
Platform
Message, share documents, and escalate cases within an audit-ready platform.
DirectShifts specialist
DirectShifts supports coverage swaps, replacements, and expansion.


Why DirectShifts
Software-only vendors leave the work on your team. Agencies leave the compliance risk on you. DirectShifts is the only partner that runs both layers.
Capability
DirectShifts
Software-only
Agency-only
Physician sourcing
Nationwide vetted network
You source
Yes, but opaque
Credentialing & PSV
Managed by specialists
DIY workflow
Manual, offline
State compliance rules
Tracked in-platform
You configure
Not their job
Agreement management
Digital + monitored
You upload PDFs
Ad hoc
Coverage continuity
Backup match built in
None
New search each time
Audit-ready records
One system of record
You assemble
Email threads
Managed services
Your NPs get a collaborator. Your admin team gets their week back. Every task below is owned by the DirectShifts team by default.
Physician sourcing across 40+ specialties
Primary-source credential verification (NPI, DEA, licensure, board)
Malpractice, OIG, SAM, and NPDB screening
Digital collaboration agreement drafting and signature
State-specific rule and ratio configuration
Chart review scheduling and log capture
License and DEA renewal tracking
Coverage continuity and backup matching
Dedicated success manager for every account
FAQ
Most organizations receive qualified, state-licensed physician matches within 5 business days. Our managed team handles sourcing, credential verification, and agreement paperwork so your NPs can start seeing patients faster.
We match across primary care, psychiatry, urgent care, women's health, cardiology, dermatology, aesthetics, med-spa, telehealth, and more — in every U.S. state with NP collaboration or supervision requirements.
Yes. DirectShifts supports single-facility groups, multi-state telehealth practices, and enterprise health systems. We match physicians who hold licenses in the states your NPs practice and track compliance across every jurisdiction.
Every physician is board-certified and passes primary-source verification: NPI, DEA, state licensure, board certification, malpractice history, OIG/SAM exclusion screening, and references. Nothing manual left to your team.
Yes. DirectShifts integrates with common HRIS, credentialing, and scheduling platforms and can export compliance records on demand for audits or payer requests.
Continuity is built in. Our managed team monitors availability, license renewals, and agreement expirations, and provides a vetted backup match before any gap in NP practice.
DirectShifts simplifies the process of connecting nurse practitioners with qualified collaborating physicians, making it easier to support compliant, collaborative care.