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Imagine trading the stress of seven-minute patient visits and two hours of nightly charting for a practice where you can truly connect with patients in a space that smells like apples instead of alcohol. That's exactly what Katlyn Agosta did when she founded Papaya Primary Care in Valrico, Florida—a journey she shares with remarkable candor in this captivating episode.

As a type 1 diabetic since age 15, Katlyn brings unique expertise and passion to her work with patients facing metabolic challenges. Her path from inpatient diabetes educator to burnt-out corporate healthcare provider to DPC owner offers a blueprint for nurse practitioners contemplating similar transitions. With refreshing honesty, she reveals the practical realities of starting from scratch—from finding affordable equipment on Facebook Marketplace to the emotional rollercoaster of building a patient panel that currently stands at 17 members.

What makes this conversation particularly valuable is that we're catching Katlyn at the beginning of her DPC journey, when every detail of getting started remains fresh. She shares specific pricing strategies ($75/month with a focus on metabolic syndrome patients), marketing approaches that actually work (local Facebook groups outperforming paid advertising), and practical considerations like EMR selection (she chose Hint) and finding clinical space (she rents 125 square feet within an aesthetics practice).

Beyond the business aspects, Katlyn's story illuminates the profound personal transformation possible through DPC. "I'm just now in a space in time where I can create connections," she reflects, describing how she's finally able to chaperone her son's field trip and pursue interests beyond medicine. Her vibrant clinic with its eye-catching mural represents not just a business but a philosophy—healthcare that feels welcoming rather than clinical.

Whether you're a seasoned DPC provider, considering opening your own practice, or simply interested in healthcare alternatives, this conversation offers invaluable insights into creating a practice built on connection, autonomy, and balance. Ready to reimagine what your professional life could be? Listen now and join Katlyn on her journey from burnout to breakthrough.

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John Rothwell's journey from Army medevac paramedic to owner of a thriving Direct Primary Care practice offers a blueprint for healthcare entrepreneurs seeking both clinical and business success. With over 1,000 patients and three nurse practitioners at Island Direct Primary Care in Florida, Rothwell demonstrates how values-based healthcare can create sustainable, profitable practices.

The foundation of Rothwell's approach rests on two core pillars: "God, family, and community" paired with a commitment to being "loving, encouraging, and empowering." This philosophy shapes everything from patient interactions to business decisions, creating a practice that stands out in a crowded healthcare marketplace.

After experiencing traditional healthcare's frustrations firsthand, Rothwell leveraged his diverse background in emergency medicine and technology sales to reimagine primary care delivery. Starting as the first DPC in his county five years ago, he built his practice through initial word-of-mouth referrals, strategic partnerships, and eventually hiring a dedicated marketing professional. This methodical growth approach has yielded remarkable results despite charging premium prices ($99/month for adults, $49/month for children) – 25-40% higher than local competitors.

What truly distinguishes Rothwell's model is his investment in people. Rather than following the typical lean DPC approach, he prioritizes quality staffing, offering nurse practitioners 28-hour workweeks, uncapped PTO, and a clear salary progression from $100,000 to $150,000 plus profit-sharing. This focus on practitioner wellbeing translates directly to patient experience, with providers having the time and energy to deliver exceptional care.

Rothwell's strategic innovations extend beyond staffing to include free medications for patients, specialized functional medicine programs at premium pricing ($4,800-5,500 for six months), and carefully designed technology systems. Now planning his third and fourth clinic locations, including out-of-state expansion, he offers aspiring DPC owners crucial advice: "Don't go at it alone," and "If you're not ready to make less and live more, then being an entrepreneur early on in DPC is probably not for you."

Ready to transform your healthcare practice or start your own DPC journey? Connect with like-minded practitioners, find mentors who've walked this path, and remember that sustainable success comes from putting values before profits. Your patients—and your quality of life—will thank you.

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Terri Pinder, a nurse practitioner with over two decades of experience, joins us for an enlightening episode exploring how she combines her passion for horticulture with healthcare through the innovative Direct Primary Care (DPC) model. Discover how her unique practice, "Intentionally Well," emphasizes not only functional medicine but also the importance of community engagement and education in health.

Throughout her journey, Terri shares valuable insights on overcoming challenges and the critical need for autonomy in healthcare, highlighting the importance of nurturing meaningful relationships with patients. She offers a glimpse of her approach, which focuses on holistic wellness, promoting not just the physical health of her patients but encouraging them to adopt healthier lifestyles through workshops on gardening and wellness.

This episode challenges conventional wisdom surrounding medical practice, diving into how entrepreneurship can foster innovation in healthcare delivery. With her extraordinary experience and wisdom, Terri inspires both current and aspiring practitioners to explore their paths in healthcare and redefine success beyond numbers and productivity. Join us for this inspiring discussion, and discover the myriad ways you can also cultivate health and wellness in your communities. Don’t forget to subscribe and share your thoughts!

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