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.
Year-Round License Management, One Monthly Price
Built for clinicians who actively practice across multiple states.
Essential
10-19 licenses managed 12-month plan
$39
/month
$468 billed over 12 months
Professional
20-34 licenses managed - 12-month plan
$69
/month
$828 billed over 12 months
Elite
35-50 licenses managed - 12-month plan
$99
/month
$1,188 billed over 12 months
Included in Every Plan
Every member receives the same core experience. The only difference between plans is the number of licenses managed.
Dedicated Specialist
Same person, every renewal
Renewal submissions
Filed 90-120 days early
CE/CME guidance
Matched to each state's rule
DEA & CSR tracking
Tracked alongside licenses
Document vault
Audit-ready, always current
Renewal reminders
Before every deadline
Board correspondence
Handled on your behalf
Priority support
Direct line, no queue
25% off new state license
On new state applications
All plans require a 12-month commitment so we can build your complete renewal calendar.
Flexible Pricing for Occasional Licensing Needs
For clinicians who manage fewer than 10 state licenses or have occasional licensing needs, we continue to offer our traditional Pay-As-You-Go pricing model. Pay only for the services you need, without a recurring subscription.
Essential
Full-service renewal for any state license, any clinician type.
State board fees, fingerprinting, and exam fees are billed separately at cost.
$100
per license, per renewal
Service fee only
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 multi-state clinicians. 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
What happens if my license count changes mid-term?
If you add licenses that push you into the next tier, we'll notify you before making any change — your new rate starts at your next billing cycle, never back-billed. If your count drops, your current rate holds through the end of your 12-month term.
Can I cancel before the 12 months are up?
Membership plans are billed monthly against a 12-month term, and early cancellation isn't available since we build your renewal calendar around the full year. If your circumstances change — a new state, a career move, retirement — reach out to your specialist and we'll work out the right transition, including pausing renewals already in progress.
What happens at the end of the 12 months?
Your membership renews automatically at your current tier unless you cancel or change plans before your renewal date. We'll email you at least 30 days out so there are no surprises.
Are state board fees and fingerprinting really separate from my monthly price?
Yes. Your membership covers the service fee — tracking, filing, CME matching, and specialist support. State board fees, fingerprinting, and exam fees are set by each state and billed separately at cost, the same as with Pay-As-You-Go.
What if I need a license in a state I'm not yet licensed in?
New state license applications are handled as a separate service from renewals. Membership holders get 25% off new application fees, and once that license is active, it's added to your renewal count going forward.
What if my license count drops below 10 mid-term?
Your rate and tier stay the same through the end of your current 12-month term. At renewal, we'll right-size your plan — including moving you to Pay-As-You-Go if that fits your practice better.
What happens if a renewal is denied or delayed by the board?
We file 90 to 120 days before expiration specifically to leave room for this. If a board flags a deficiency or delays processing, your specialist responds on your behalf and keeps you updated — you're not left tracking the board portal yourself.
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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