Rephonic
Artwork for No Prior Auth
Private Practice
Paper Flower Foundation
Autism
Telehealth
Paper Flower Institute
Arizona

You don't need permission to build the career you want. That's the whole point.

No Prior Auth is a podcast hosted by Lindsay Hill where psychiatric nurse practitioners who've built their own private practices share exactly how they did it. The real version, not the highlight reel.

Each episode is a conversation that feels like catching up with a friend who already figured out the thing you're losi... more

PublishesWeeklyEpisodes6Foundeda month ago
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Artwork for No Prior Auth

Latest Episodes

Paperflower Institute Courses: courses.paperflowerinstitute.com/ - $50 OFF Coupon Code: LHILL

She got fired three times from community mental health jobs for refusing to see patients in 15-minute pill mill rotations. The third time, in Octob... more

Kailee Lenczycki and Lindsay used to sell Miss Me jeans together at The Buckle in Beavercreek, Ohio. Now Kailee runs a group psychiatric practice out of Fort Collins, Colorado with five NPs, two full-time admin staff, and in-house billing — and she b... more

Join us for a "day in the life" as we follow a nurse practitioner at a clinic in Colorado Springs. This "nurse vlog" offers a glimpse into the "real world np" experience, providing insights into "nursing" practice. Come to work with me to see the dai... more

On this episode of No Prior Auth, Lindsay speaks with Miguel De La Mora about his decision to start his private practice immediately after graduation.

Many new graduates ponder the path to independence versus traditional employment. This discussion... more

Heidi Reed contacted over 200 people trying to find preceptors for her psych NP program. She paid $5,600 out of pocket for her last two rotations — and the teaching wasn't worth the price tag. She once asked her nurse anesthetist for a preceptor conn... more

Allison Sikorsky has been in healthcare since she was 16. Pharmacy tech, hospice nurse, clinical coordinator, geriatric psych on a floor so acute the ratio was 1:2. She graduated from Rush University's PMHNP program in 2011, spent seven years learnin... more

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Recent Guests

Dr. Maria Ingala
Founder of Paper Flower Psychiatry; 16-provider private practice in Arizona; neurodivergent-affirming
Paper Flower Psychiatry
Episode: Fired 3 Times, Built a 16-Provider Practice — Dr. Maria Ingala on Refusing to Run a Pill Mill
Kailee Lenczycki
Psychiatric NP who built a group practice in CO/IL
Present Life Psychiatry
Episode: Labs Before Scripts, Supplements Before SSRIs, and a Perinatal Psych Practice That Refuses to Rush | Dr. Kailee Lenczycki, DNP, PMHNP-BC
Robin Goldsmith
Psychiatric Mental Health Nurse Practitioner and founder of Agape Psychiatric Care
Agape Psychiatric Care
Episode: Starting as a Psychiatric Nurse Practitioner (PMHNP)? Here's What to Expect
Miguel De La Mora
Board-certified psychiatric mental health NP, owner of Bellevue Psychiatry
Bellevue Psychiatry
Episode: Miguel’s Bold Move: Starting a Practice Immediately After Graduation
Heidi Reed
Board-certified PMHNP who transitioned from school nursing to private practice
Private practice / Intersect Mental Wellness
Episode: $5,600 in Paid Preceptors, and a Telehealth Practice Built on Fear She Swallowed | Heidi Reed, PMHNP-BC
Allison Sikorsky
Board-certified psychiatric mental health nurse practitioner with 30+ years in health care; founder of At Your Service Psychiatry and PMHScribe
PMHScribe; At Your Service Psychiatry
Episode: From Clinical Practice to Health Tech Founder | Allison Sikorsky, DNP

Host

Lindsay Hill
Host of No Prior Auth

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Talking Points

Recent interactions between the hosts and their guests.

Miguel’s Bold Move: Starting a Practice Immediately After Graduation
Q: What role do mentors and networking play in scaling a private practice?
Mentors provide strategic guidance on both clinical and business issues, helping avoid silos, and networking—especially with therapists and other providers—creates sustainable referral channels and reduces the reliance on any single channel.
Miguel’s Bold Move: Starting a Practice Immediately After Graduation
Q: How did you approach starting up your practice financially and logistically to enable rapid growth?
He started with a modest bootstrap of about $5,000, reinvested in essential staff like a full-time in-person assistant, and used a combination of Headway for billing and gradual independent credentialing, coupled with strong marketing and therapist referrals to drive growth.
Miguel’s Bold Move: Starting a Practice Immediately After Graduation
Q: What gave you the confidence to jump into private practice instead of waiting to work for someone else?
The guest emphasizes not comparing yourself to others, recognizing that you don't see the full story behind successes, and valuing a hybrid model that blends clinical work with business development to create a sustainable path toward independence.
$5,600 in Paid Preceptors, and a Telehealth Practice Built on Fear She Swallowed | Heidi Reed, PMHNP-BC
Q: What are the financial realities of starting a psych private practice?
She shares total startup costs around $10k–$11k (excluding ongoing EHR and malpractice), highlights paying $7,500 retainer to a health-care-setup law firm, and the decision to forego insurance to maintain autonomy.
$5,600 in Paid Preceptors, and a Telehealth Practice Built on Fear She Swallowed | Heidi Reed, PMHNP-BC
Q: How did you secure your first preceptors, and what was the experience like?
She describes networking within her school district, asking colleagues, and eventually paying for two rotations when necessary, noting that the quality of teaching varied.

Audience Metrics

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Frequently Asked Questions About No Prior Auth

What is No Prior Auth about and what kind of topics does it cover?

Real-world, founder-focused conversations with psychiatric nurse practitioners who built private practices from the ground up. Episodes center on practical, sometimes gritty details of launching and growing private practice—credentialing, billing, insurance navigation, pricing, hiring, and workflow efficiency—paired with personal stories about leadership, ethics, and resilience. The show emphasizes actionable strategies over highlight reels, often featuring NPs who navigated multi-location expansion, telehealth, and in-house billing, with a clear through-line of prioritizing patient-centered care while building sustainable businesses. A notable strength is the candid, non-sugarcoated approach from practitioners who also mentor others, makin... more

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No Prior Auth launched a month ago and published 6 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on No Prior Auth?

Recent guests on No Prior Auth include:

1. Dr. Maria Ingala
2. Kailee Lenczycki
3. Robin Goldsmith
4. Miguel De La Mora
5. Heidi Reed
6. Allison Sikorsky

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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