Never Miss a License Renewal Again
DirectShifts renews and manages state licenses for physicians, NPs, PAs, therapists and RNs across all 50 states. We track every deadline, pull your CME, file the renewal, and confirm the board approval. You keep seeing patients.
50
States covered
2,000+
Clinicians Served
99%
On-Time Renewals
120 days
Renewal lead time
One Missed Renewal Can Cost a Shift, a Contract, or Your DEA
Every state board has a different portal, a different CME rule, and a different processing time. Miss a deadline and you are looking at reinstatement fees, credentialing holds with hospitals, and payer re-enrollment.
Renewing on your own
Logging into 3 to 12 different state board portals
Chasing CME certificates and audit-ready transcripts
Requesting verifications of licensure and employment
Rewriting the same background disclosures every cycle
Guessing at renewal windows that open 60 to 120 days out
Renewing with DirectShifts
We track every license and file 90 to 120 days early
Your CME is pulled, verified, and matched to state rules
We request VOLs, VOEs, and training letters for you
Board disclosures are pre-filled from your on-file profile
You approve, we file, and we confirm the board decision
Renew Your License in Four Simple Steps
01
Send us your licenses
Upload your active licenses or forward a wallet card. We import DEA, state controlled substance, and board licenses in minutes.
02
We build your renewal calendar
Every license is mapped to its state-specific renewal window, CME requirement, and fingerprint or jurisprudence rule.
03
We file the renewal
We pull CME, request verifications, complete the application, and submit it. You get one approval link and one signature.
04
You get the confirmed license
We monitor the board, respond to deficiencies, and deliver the renewed license and wallet card to your dashboard.
Everything You Need Beyond the Renewal
Renewal deadline monitoring
State-specific alerts start 120 days out. We open the renewal window the moment the board does.
CME and CE verification
Hours are pulled from AMA PRA, AAPA, ANCC, and specialty boards, then matched to each state rule.
Multi-state license dashboard
One live view of every license, DEA, and CSR. Filter by state, status, or expiration.
Primary source document retrieval
VOLs, VOEs, training letters, and NPDB queries handled by our licensing team.
Board deficiency response
If the board flags anything, our team responds within one business day so your license does not lapse.
Purpose-Built for Modern Clinicians
Physicians (MD, DO)
State medical board renewals, DEA, and CSR. Coordinated with hospital credentialing.
Nurse Practitioners
APRN license, national certification, and collaborative agreements kept current in every state.
Physician Assistants
State PA license, NCCPA CME, and prescribing authority renewals in one workflow.
Therapists
LCSW, LMFT, LPC, PT, OT, SLP renewals with jurisprudence and ethics CE tracking.
Registered Nurses
Board of Nursing renewals for single-state and Nurse Licensure Compact states.
Locums and 1099 clinicians
Built for clinicians licensed in 3 or more states. Everything renews on time, every cycle.
Real Stories from Real Clinicians
See how we've helped healthcare professionals expand their practice nationwide.
"They offered to help me pursue a license in another state, and through their patient help, it is proceeding quite well. Their fees are extremely reasonable"
John ODonoghue
LMFT, LCMHC
"DirectShifts handled my renewals with lightning speed. I stopped tracking dates in a spreadsheet and started saying yes to more shifts."
Regina Flowers
APRN, licensed in 6 states
4.9/5 rating from 500+ reviews
Frequently Asked Questions
How much does a medical license renewal cost?
$100 for physicians (MD/DO), $75 for NPs and PAs, $60 for therapists, and $45 for RNs. Flat fee per renewal, per license. State board fees are separate and billed at cost.
When do you start working on a renewal?
We open renewals 90 to 120 days before expiration. That is early enough to absorb CME audits, fingerprint delays, and slow-processing state boards.
Do you handle CME verification?
Yes. We pull hours from AMA PRA, AAPA, ANCC, and specialty boards, map them to each state's rule, and store audit-ready certificates in your profile.
Can you renew my DEA and state CSR?
Yes. DEA and state controlled-substance registrations can be added to any physician, NP, or PA renewal at a small add-on fee.
Do you file new state licenses too?
Yes. We also handle new multi-state license applications through a separate service with occupation-specific fees. View new license services and pricing. Renewals afterward continue at the standard renewal price.
Is DirectShifts HIPAA compliant?
Yes. DirectShifts is HIPAA compliant and follows SOC 2 aligned controls. Your documents are stored encrypted at rest and in transit.
Let Us Handle Your Next Renewal
Upload one license or your whole portfolio. Get a renewal plan back the same business day.
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