Abstract
Nurse practitioners (NPs) are increasingly stepping into ownership roles to address critical gaps in primary care, particularly in underserved communities. This feature highlights four NP-led practices across the United States, exploring how autonomy, clinical excellence, and community engagement converge in these grassroots models. Drawing on first-person narratives, the article examines the motivations, challenges, and innovations of NP entrepreneurs who are reshaping access and outcomes. Their stories reflect a broader shift toward provider diversity and patient-centered care-and underscore the need for policies that support NP ownership through full practice authority, business training, and equitable reimbursement.