Primary care, home and facility practice
Office-based primary care plus house calls and nursing facility rounds. Different settings, different workflows, different money.
About
Larry Wilkes, MSN, PMHNP-BC, FNP-C
Practicing FNP and PMHNP. Practice owner for more than 10 years. Founder of APRN Academy, NP Revenue Partners, and Illinois College of Nursing.
Build the practice you were licensed for.
I didn't build one lane in healthcare. I built several. I've practiced as both an FNP and PMHNP, built private practices, worked in homes and nursing facilities, built a billing and revenue company for NPs, and I also own an LPN nursing school. APRN Academy is where I teach the business lessons I had to learn by doing the work.
I still see patients. I am board certified as a family nurse practitioner and as a psychiatric mental health nurse practitioner, and I have owned and operated private healthcare practices for more than 10 years. That work spans primary care, psychiatry, and care delivered in homes and nursing facilities.
The business side came out of necessity. I had to understand coding, documentation, credentialing, and the revenue cycle to keep my own practices running. That turned into NP Revenue Partners, a company built around NP billing and revenue operations. I also own Illinois College of Nursing, an LPN nursing school, which taught me a different side of running a healthcare organization.
NP school teaches us how to take care of patients. It usually doesn't teach us how to build the business around that care.
That gap is why APRN Academy exists. Most NPs stall because they start with a business idea and then look for someone who wants it. The work starts earlier. Find a real access, workflow, clinical, or business problem. Match it to what you are licensed and able to do. Know who pays before you build anything.
Once you find your lane, you have to know how to get paid in that lane.
APRN Academy classes are education only. They are not legal, tax, accounting, credentialing, compliance, clinical, or individualized billing advice, they carry no continuing education credit, and no income, reimbursement, or business result is guaranteed.
This comes from doing the work
The lanes I've built
Five lanes, built and run in practice. Listed here so you know where the teaching comes from.
Psychiatric care
Therapy and medication management as a PMHNP, including how psych visits get documented and paid.
NP billing, coding and revenue operations
NP Revenue Partners, built around the claims side of NP practices. The revenue material comes from that daily work.
Nursing education
Owner and operator of Illinois College of Nursing, an LPN nursing school. Running a school is its own business.
APRN business education
APRN Academy and mentorship, where the lessons from the other four lanes get taught to other NPs.
How APRN Academy teaches
Four principles
I teach what I run
Everything in these classes is something I have had to decide, build, bill, or fix inside a business I own.
Start with the problem
An idea with no unmet need behind it is a hobby. We start by finding a real problem and the people who will pay to have it solved.
Then learn to get paid
Coding, documentation, and revenue cycle are part of the clinical decision. They are not paperwork you hand off and forget.
No hype
No income promises, no fake urgency, no borrowed credentials, and no claims about what your payers will reimburse.