No Prior Auth

Lindsay Hill, DNP, PMHNP-BC
  • 5.0 (2)
  • Education

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 losing sleep over. How they landed their first patients. What they got wrong with credentialing and billing. How they set their rates, hired their team, and stopped charting at midnight. The business decisions that worked, the ones that didn't, and what they'd do differently if they started over tomorrow. If you're a psych NP thinking about going out on your own, already in the early stages, or trying to grow what you've started, every episode gives you something you can actually use. Real strategies from real providers who built it from scratch. Lindsay Hill is a psychiatric NP and coach helping NPs scale freedom and impact.

Episodes

  1. The Most Recognized Psych NP on the Internet | Dr. Kojo Sarfo

    1d ago

    The Most Recognized Psych NP on the Internet | Dr. Kojo Sarfo

    Links from Dr. Kojo: 1. More to ADHD - ADHD updates straight to your inbox Sign up to receive emails with tips on how to help treat and manage your ADHD. You'll also get access to helpful questions for your doctor and a free resource. - https://www.moretoadhd.com/adult/adhd-information?utm_campaign=MoretoADHD_ADHD_DTC_Adult_Organic-Social-Media_UB_PSY_2025_instagram_influencer_kojo_sarfo&utm_medium=socialinfluencer&utm_source=instagram&utm_content=PSY.2025-0050_UB_MoretoADHD_kojo-sarfo-ig-link-in-bio Dr. Kojo’s Comedy 2026 Tour Dates ⬇️: Boston, MA — July 24th Springfield, MA — July 25th Phoenix, AZ — September 17th San Diego, CA — December 3rd For ticket information 🎟️: https://www.kojosarfo.com/ Dr. Kojo Sarfo has 4.5 million followers, around 150 million views a month, and a confession: the internet pays him more than psychiatry does. He wasn't diagnosed with ADHD until he was 25. He couldn't read until third grade, graduated high school with a 2.7 GPA, and only tried nursing because his dad said his grades wouldn't get him in anywhere else. His parents cleaned buildings in Nashville while putting themselves through school. Two months into a forensic inpatient psych job, he posted his first TikTok — it got three likes, and he didn't post again for two months. Now he might be the most recognized psychiatric nurse practitioner on the planet: a telehealth practice, a clothing line that gives back to Mental Health America, a comedy tour, two podcasts, brand deals with CBS and Hulu, a book with Simon & Schuster, and two trips to the White House. In this one he's honest about the parts most people leave out — which platform actually pays (and where psychiatry lands on the list), what it's like to be a Ghanaian-American man in a field of mostly white women, and the thing nobody films: how lonely it gets when millions know your name and almost no one knows you. Whether you're a psych NP, a student, or you just want to meet the person behind the videos — go watch. Then tell me which part landed. His advice for new psych NPs WHERE TO FIND DR. KOJO [add Kojo's TikTok / Instagram / Facebook / practice / book links] LISTEN TO NO PRIOR AUTH 🎥 YouTube: https://www.youtube.com/playlist?list=PL2xQMQAfCsq3OrVz3RTndA80gfFEFOsez 🍎 Apple: https://podcasts.apple.com/podcast/id1893233469 🎧 Spotify: https://open.spotify.com/show/5tNbJqeMERnglfTHedOhym 🌐 https://psychnpfellowship.com/podcast/ 👥 Community: https://www.skool.com/psych #DrKojo #ADHD #PsychNP #PMHNP #MentalHealth #ADHDinAdults

    37 min
  2. Angie Started at 50 with a Credit Card. Two Years Later: 3,000 Patients.

    Jun 2

    Angie Started at 50 with a Credit Card. Two Years Later: 3,000 Patients.

    Angie Janicek worked inpatient psych for 16 years and didn't know psychiatric nurse practitioners existed until 2020. A friend had to tell her. She'd been an RN since 2003, raised four kids (including twins), worked 12-hour shifts, and rotated through military psych units, acute wards, intake, and the ER as a behavioral health assessment nurse. The role she was built for was right in front of her the whole time. She just didn't know it had a name. She went back to school at 45 because her husband had an MBA, her oldest was getting her bachelor's at UT Knoxville, and she realized she was about to have the smallest degree in her own house. That was enough. BSN, then MSN, then DNP from Frontier Nursing University. She opened Premier Psychiatric Services in Goodlettsville, Tennessee in 2024 with her business partner Trey, a credit card, and family members working for free. Her husband John (they've been together since they were 13) managed the books. Trey's wife Brittany quit her respiratory therapy job to answer phones. Nobody got paid for a long time. They hit 1,000 patients in six months. Had to move into a bigger space before their first birthday. They're now past 3,000 patients across a 4,000-square-foot practice, a Spravato clinic for treatment-resistant depression, and a growing ADHD-in-women specialty that Angie is building around the perimenopause and hormonal shift cases nobody else wants to touch. We got into the real numbers: what they spent to open, what they lost on three bad billers before bringing it in-house, why she'd do W-2 over 1099 if she could rewind, the $12-per-chart scribe who changed everything, and why 60% of their referrals come from therapists they visited in person with pamphlets and business cards. She also talked about fighting for NP autonomy in one of the most restricted states in the country and what their senator told them to their faces about why it hasn't passed. If you've been telling yourself you're too far into your career to start over, or too broke to open a practice, or too late to go back to school, Angie went back at 45, opened at 50, and built the thing on a credit card and stubbornness. Her advice is two words: just start.

    56 min
  3. Inside Carlat Publishing with Dr. Daniel Carlat; a Detailed Discussion with the GOAT.

    May 26

    Inside Carlat Publishing with Dr. Daniel Carlat; a Detailed Discussion with the GOAT.

    In this special feature, we explore the deep connection between family legacy and the field of psychiatry. The podcast interview offers a unique perspective on the journey into medicine, showcasing a personal story intertwined with professional dedication. The discussion touches upon aspects of mental health and psychology, providing insight into the motivations behind pursuing a career as a doctor. Before Dr. Daniel Carlat built one of the most trusted names in psychiatric education, he was on Wyeth's payroll promoting Effexor. He stopped when the science didn't hold up, wrote a New York Times piece called "Dr. Drug Rep," and spent the next two decades building an alternative — industry-independent CME that psych NPs and psychiatrists could actually trust. In this conversation, Lindsay and Dr. Carlat cover the real story behind his career shift, why he thinks NP education needs structured residencies, what deprescribing looks like when it's done right (not just political), and how his new AI tool, Ask Carlat, pulls clinical answers from 23 years of unbiased content instead of the open internet. He also drops some blunt advice for any NP who's been approached by a drug rep.

    37 min
  4. Fired 3 Times, Built a 16-Provider Practice — Dr. Maria Ingalla on Refusing to Run a Pill Mill

    May 19

    Fired 3 Times, Built a 16-Provider Practice — Dr. Maria Ingalla on Refusing to Run a Pill Mill

    Paperflower Institute Courses: https://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 October 2020, she had a mortgage, a husband in nursing school, and zero interest in starting a private practice. She did it anyway. Dr. Maria Ingalla is the founder of Paper Flower Psychiatry, a 16-provider, five-location neurodivergent-affirming practice in Arizona. She launched it with about $150 — a $100 website she built herself, a $20 Fiverr logo, and a Psychology Today listing. No loans. No investors. No business plan. Just a refusal to keep getting fired for having ethics. In this episode, Maria and Lindsay get into all of it: how insurance companies deliberately underpay claims by pennies hoping you won't notice (she lost $30,000–$40,000 to Blue Cross before catching it), why she hires virtual assistants directly from the Philippines and pays them fairly instead of going through exploitative agencies, and how she built a nonprofit — Paper Flower Foundation — that pays for psychiatric medications and therapy sessions for patients who fall through the cracks. Maria also talks about why she thinks most psych NP programs are failing their graduates, what she actually looks for in a preceptor application (hint: ditch the professional cover letter), and why she diagnoses autism in adults when other providers are still ruling it out because the patient makes eye contact. She's autistic herself, late-diagnosed, and both of her kids are autistic. And yes, she tattoos herself in her free time. Her dogs are named Marshmallow and Potato. She's been offered millions for her practice and turned it down without thinking twice.

    55 min
  5. Labs Before Scripts, Supplements Before SSRIs, and a Perinatal Psych Practice That Refuses to Rush | Dr. Kailee Lenczycki, DNP, PMHNP-BC

    May 12

    Labs Before Scripts, Supplements Before SSRIs, and a Perinatal Psych Practice That Refuses to Rush | Dr. Kailee Lenczycki, DNP, PMHNP-BC

    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 built most of it while pregnant with her fourth child. In this episode, Kailee walks through the full timeline: a psychology degree from Cedarville, a 13-month accelerated nursing program at Loyola in Chicago, inpatient psych units, a TMS clinic doing clinical research, then four years at North Range Behavioral Health in Greeley where a mentor named Dan France — 52 years in nursing, Florence Nightingale award recipient — gave her the clinical foundation she says made everything else possible. She talks about launching Present Life Psychiatry in March 2024 while still working her W-2 job, spending $3,000–$5,000 on a lawyer and about $2,000 on Silverleaf to set up IntakeQ, doing her own credentialing by going straight to the insurance company websites, and learning billing on one payer before bringing it all in-house. She tried the billing platforms — Headway and others — and left because she couldn't control the customer service. Now her team drops claims, chases denials, and gets 99-plus percent of them paid. She explains why she hired her office manager Sarah — who once sat on the panel that interviewed Kailee for her first NP job — and how she found her first two NPs through a LinkedIn post and a Facebook group. She breaks down why she's firmly W-2 for her providers, what benefits she offers, and how she thinks about the 1099 debate after talking to lawyers. Kailee gets into the integrative psychiatry piece too. She's in the Psych Redefined fellowship with Lindsay, she's running Genome Mind testing on her NPs and her patients (Medicaid covers it at 100%), and she's building weekly case review meetings into the practice culture. She's moving her own clinical focus toward perinatal psychiatry and keeping the practice small on purpose — no 80-patient weeks, no three-month wait lists, direct messaging through Spruce so patients can actually reach their provider. 85% of her referrals come from local therapists she networked with in person. She started the Colorado PMHNPs Facebook group because one didn't exist, and she runs a virtual networking lunch on the second Wednesday of every month. Her son knocked on the door mid-recording. That's the reality. She builds the business from the living room, after the kids are asleep, with her husband working his own job from the next room over. And somehow, a month in Florida with the whole family still worked. Lindsay Hill is a psychiatric NP and coach helping NPs scale freedom and impact.

    45 min
  6. Starting as a Psychiatric Nurse Practitioner (PMHNP)? Here's What to Expect

    May 5

    Starting as a Psychiatric Nurse Practitioner (PMHNP)? Here's What to Expect

    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 daily responsibilities of a registered nurse in this dynamic setting. No Prior Auth Podcast with Lindsay Hill, DNP, PMHNP-BC. Founder of The Psych NP Fellowship. Private Practice Owner, APNA - AZ Chapter Past President, Co-Founder of The Psych NP Network.

    43 min
  7. Miguel’s Bold Move: Starting a Practice Immediately After Graduation

    Apr 29

    Miguel’s Bold Move: Starting a Practice Immediately After Graduation

    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 explores what it takes to build "self confidence" and embrace "entrepreneurship" early in one's career journey. We dive into essential "career advice" for those considering "how to start a business" right out of school, focusing on "personal growth" and the motivations behind such bold steps. 🚀

    51 min
  8. $5,600 in Paid Preceptors, and a Telehealth Practice Built on Fear She Swallowed | Heidi Reed, PMHNP-BC

    Apr 21

    $5,600 in Paid Preceptors, and a Telehealth Practice Built on Fear She Swallowed | Heidi Reed, PMHNP-BC

    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 connection right before being put under for surgery. When she woke up, the name was sitting on her lap. That's the kind of person Heidi is. Scared and doing it anyway. In this episode, Heidi talks about going from substitute school nurse to board-certified PMHNP, graduating during COVID in 2020 after more than a decade of starting and restarting nursing school while raising three kids. She shares why she decided to skip the employed-provider route entirely and build Intersect Mental Wellness, a cash-pay telehealth practice launching across Arizona and Nevada with her husband handling the tech side. She breaks down the real startup costs — roughly $10,000–$11,000 including a $7,500 attorney retainer for a healthcare-specialized law firm that handled federal and state compliance so she could sleep at night. She walks through the DEA registration process, why each state handles it differently, what a registered agent actually is (and that it costs about $35–$50 a year), and why she refused to take insurance after watching providers get paid and then forced to give the money back months later. Heidi's advice to anyone behind her in the journey: ask everybody, start early, and swallow your fear. Don't let it make the decision for you. Lindsay Hill is a psychiatric NP and coach helping NPs scale freedom and impact.

    25 min
  9. From Clinical Practice to Health Tech Founder | Allison Sikorsky, DNP

    Apr 14

    From Clinical Practice to Health Tech Founder | Allison Sikorsky, DNP

    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 learning every setting she could get into, and then decided she was done being an employee. In this episode, Allison talks about building At Your Service Psychiatry into a multi-state telehealth practice years before COVID made virtual care mainstream. She did 50 EHR demos, couldn't find what she needed, and built her own system. She walked away from insurance contracts, applied for licensure in 25 states, and figured out direct-to-consumer psychiatric care when most people thought telehealth was "just for rural."She also gets real about the hard stuff. A colleague getting stabbed by a patient. Losing patients to suicide and sitting through root cause analysis meetings. A very public meltdown on an inpatient unit that ended with her walking out for good. And how she processes all of it now, including breathwork, calling families, and giving herself exactly 30 minutes to obsess before putting it down.Then there's PMHScribe, the AI documentation tool she built from her own audit-tested templates after years of being flagged as a "high numbers provider." She designed it so the charting practically writes itself for the auditor. https://pmhscribe.com/If you've ever thought about going independent, going telehealth, or building something that doesn't exist yet, this one's for you.

    54 min
  • 9 Episodes

Ratings & Reviews

5
out of 5
2 Ratings

About

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 losing sleep over. How they landed their first patients. What they got wrong with credentialing and billing. How they set their rates, hired their team, and stopped charting at midnight. The business decisions that worked, the ones that didn't, and what they'd do differently if they started over tomorrow. If you're a psych NP thinking about going out on your own, already in the early stages, or trying to grow what you've started, every episode gives you something you can actually use. Real strategies from real providers who built it from scratch. Lindsay Hill is a psychiatric NP and coach helping NPs scale freedom and impact.

Information

  • Creator
    Lindsay Hill, DNP, PMHNP-BC
  • Years Active
    2K
  • Episodes
    9
  • Rating
    Explicit
  • Copyright
    © Lindsay Hill 2026
  • Show Website
    No Prior Auth

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