If you hire NPs in a restricted or reduced practice state, you are paying for physician oversight whether you planned for it or not. Here is what it actually costs, state by state, and how to model it before you hire.

In some states, your NP can practice independently from day one. In others, you need a physician collaboration agreement in place before they see a single patient. Here is the full state-by-state breakdown for 2026, with cost ranges and compliance requirements.

DirectShifts approaches New York staffing differently from most of the firms above: rather than relying purely on recruiter outreach, employers and clinicians connect directly on the platform, which tends to compress time-to-fill on roles where speed matters.

Illinois is not currently a member of the Nurse Licensure Compact. Out-of-state nurses, including those holding a multistate compact license from another state, need a separate Illinois license to practice in the state.

The major GLP-1 telehealth platforms are not hiring the same clinicians they were two years ago. Here is what Hims, Noom, and WW each figured out about clinical staffing, and what operators building programs in 2026 need to take from it.

Provider licensing with per-license pricing across all 50 states. No monthly retainer, no lock-in. Volume discounts up to 25% for physicians, APRNs, behavioral therapists, and registered nurses.