Practice Medicine the Way It Should Be Practiced

Tired of 15-minute visits and 25-patient days? At Frontier Direct Care, our providers see fewer patients, spend 30–60 minutes per visit, and build real, long-term relationships with the people they care for.

Frontier Direct Care is a fast-growing direct primary care (DPC) organization serving employer-sponsored patient populations across Texas. Because our members' care is covered through their employer benefit plan, there's no fee-for-service billing pressure — no RVU targets, no coding-driven medicine. Just you, your panel, and the time to actually keep people healthy.

If you're a Family Nurse Practitioner or Physician Assistant who wants to practice full-scope primary care with genuine clinical autonomy, we'd love to talk.

What You'll Do

• You'll serve as the primary clinician for a defined patient panel, supported by a dedicated Medical Assistant and a collaborating physician.
• Provide longitudinal primary care: preventive care, chronic disease management, and acute visits.
• Manage chronic conditions (diabetes, hypertension, hyperlipidemia, and more) with the panel size and visit time needed to intervene before conditions progress.
• Perform in-office procedures including I&Ds, suturing and suture removal, skin biopsies, and men's and women's health exams.
• See patients in person, by phone, and via secure video/text — typical visits run 30 minutes to 1 hour depending on patient need.
• Direct daily patient care and delegate tasks to your assigned Medical Assistant.
• Document visits and maintain records in our EHR.
• Provide after-hours patient access through a company-provided secure line (your personal number is never shared with patients).
• Practice under a collaborating/delegating physician in accordance with Texas Medical Board requirements, with mentorship from our Medical Director team.
• Participate in weekly team meetings and 1:1s.

What You'll Bring

Required:

• Active, unencumbered Texas licensure as an APRN-FNP (national board certified) or PA (NCCPA-certified).
• 2+ years post-graduate experience in family practice or primary care.
• Experience managing patients across the lifespan (pediatric through geriatric).
• Hands-on procedural experience: I&Ds, suturing/suture removal, skin biopsies, IV placement, men's/women's health exams.
• Active, unrestricted DEA registration (or ability to obtain before start).
• Current BLS certification (or ability to obtain within 30 days).
• Comfort with electronic medical records and scheduling tools.

Preferred:

• Prior experience in direct primary care, concierge medicine, or employer-sponsored clinics.
• Bilingual (English/Spanish).
• Experience owning a patient panel with a high degree of clinical autonomy.
• Telehealth experience or multistate licensure.
• A preference for lower-volume, higher-touch medicine over high-throughput fee-for-service.

Why Frontier

• Time with patients. 30–60 minute visits and a manageable panel — practice medicine, not throughput.
• Autonomy with support. You own your panel, backed by a collaborating physician and Medical Director mentorship.
• A model that works. Employers cover membership, so patients actually come in — and keep coming back.
• Ground-floor growth. Join as we launch new DFW clinics and grow with us.
• Competitive compensation aligned to the local market.