How to Open a Nurse-Owned Practice in Kansas

You've done the math in your head more than once. A few injectable appointments on your day off, on your own schedule, in your own space, and suddenly the shifts you pick up out of obligation start to look optional. Johnson County sits on the Kansas side of the Kansas City metro with some of the highest household incomes in the Midwest, and Wichita, Lawrence, and Manhattan each have a patient base that will drive past three chains to see the one person they trust. (Already run your own practice? Skip ahead, there's a section below built specifically for you.)

The thing that stops most nurses in Kansas was never the clinical work. You already do harder things on a Tuesday than a first tox or IV appointment will ever ask of you. What stops people is everything around it, the ownership rules, the medical director, the setup, all sitting there as one giant undefined to-do. So let's take it in order, starting with the question every Kansas nurse asks first.

Can a nurse own an aesthetics, wellness, or functional health practice in Kansas?

Yes, with the right setup. Kansas is one of the strictest corporate practice of medicine states in the country. The Kansas Supreme Court held in Early Detection Center v. Wilson (248 Kan. 869, 1991) that a general corporation can't practice medicine even by employing licensed physicians (K.S.A. 65-2801 et seq.). What a nurse can own is a professional entity that renders nursing. The Professional Corporation Law lists "a registered professional nurse" as a profession that can form one (K.S.A. 17-2707(b)(18)), and a Kansas LLC gets the same powers as long as every member is licensed in that one profession (K.S.A. 17-7668(c) and (d)).

The Kansas rule that catches almost everybody: file it as a nursing entity or don't file it

In Kansas the trap isn't a supervision ratio or a mileage rule. It's the paperwork you file on day one. Set up a plain LLC "to operate a med spa," run a physician's or APRN's diagnosing and prescribing through it, and you've built the exact structure the Wilson court struck down, one the Board of Healing Arts or the Attorney General can attack by quo warranto (K.S.A. 17-7668(g)). The fix is boring: the LLC is organized to render nursing services, you're the only member, and the director's clinical work runs through their own entity under a written agreement.

Kansas hasn't written a med spa rule, and the Board of Nursing hasn't spoken. It put "Business Operations: Botox, MedSpas, IV Hydration Practice" on its Practice Committee agenda as new business on March 24, 2026. That's the whole record.

Can an APRN be your medical director in Kansas?

Yes, and since July 1, 2022 they don't need a physician behind them. Senate Substitute for HB 2279 rewrote K.S.A. 65-1130 so an APRN may "prescribe, procure and administer any drug consistent with such licensee's specific role and population focus," with no protocol and no collaborating physician anywhere in the statute. The trade was insurance: every Kansas APRN carries malpractice coverage (K.S.A. 65-1130). Kansas has no on-site or delegation rule specific to cosmetic procedures for either credential.

The initial patient evaluation in Kansas

Kansas has no rule naming who performs the initial patient evaluation, which some states call a good faith exam. The Nurse Practice Act says an RN executes "the medical regimen as prescribed" by a licensed prescriber (K.S.A. 65-1113(d)(1)), so the evaluation and order belong to your APRN or physician. Telehealth for that evaluation isn't addressed in the nursing statutes.

One that surprises people: a Kansas LPN can't run expanded IV fluid therapy without a board-approved IV therapy course and exam (K.S.A. 65-1136(c)).

How Five Square actually gets you started

The whole thing lives in one place: the free Five Square Nurses app. Your medical oversight, the step-by-step training, your pharmacy and vendor accounts, and the entire community of nurse business owners are all in there. You can open it between patients, on a lunch break, or on the couch at 9pm, and pick up right where you left off.

When you join, you're not handed a login and wished good luck. There's a Getting Started path that puts the order of operations right in front of you, so the mountain becomes a checklist.

You pick your lane, or combine them. Five Square supports three:

• Aesthetics. Tox and dermal filler, the core of a nurse-injector practice, with room to add more as you train.
• Wellness. IV therapy and vitamin injections. Low startup, very mobile-friendly, and a natural add-on to aesthetics.
• Functional Health. Peptides, lab work, and whole-person care for nurses who want longer-term, relationship-based patients.

You bring the nursing license and the nerve. We bring the medical director, the compliant Kansas setup, the training, member pricing on products, marketing help, and weekly live calls with experts and other nurse owners, so you're never stuck guessing alone.

And every Five Square member, brand new or already established, gets instant on-demand Good Faith Exams for $19.99 each, a price we subsidize because we believe in nurse success. A walk-in can be cleared in about a minute, seven days a week, and the exam paperwork lands right in the patient's chart, which is exactly what a state board wants to see.

You start before you feel ready, and that's the point

Most programs make you wait. Watch every module, sit through every call, and someday you finally see a patient. By then half the people who started have lost momentum. Five Square runs the other way: you start your practice while you're still finishing the training, because the training sticks when there's a real patient on next week's calendar.

Kayla, an ER nurse in North Carolina, had never injected anyone when she joined. She watched the videos, took notes, and set a goal of 30 people in 30 days. Here's the advice she'd give a nurse who's scared to start:

"Believe in yourself, even when you don't know how to do something. Figure it out. The clinical knowledge from your nursing career is more than enough to get started, and there's a community of people around you who want to help. Do it scared."
- Kayla, ER nurse

She launched April 4. Her first month: 46 appointments, 28 good-faith exams, and $10,320 in revenue, run out of a single room inside a salon she'd been a client at for years. That's one real month from one real nurse, not a typical result and not a promise, and your market and hours are your own. The point is she was exactly where you are, never-done-this-before, and she started anyway.

Does it actually work once you launch?

Getting launched is step one. What you really want to know is whether it works after that. Here's the honest picture, numbers included, because income claims in this industry deserve a skeptical read.

Results vary, and they depend on things no membership controls: your market, your hours, how long you've been at it, how consistently you market. As practices mature, some established members report months in the $10,000 to $20,000 range. Individual results vary widely. Some land higher, some lower, and nobody here will promise you a number.

What's more useful is the math underneath, which is public. Neurotoxin appointments bring in $200 to $600. A syringe of filler runs $500 to $800. IV sessions run $150 to $350. Functional health consults run $150 to $300, often with patients coming back monthly. At those prices, two to four appointments a month would cover the $899 membership before product costs, and everything past that is the business growing. Want to see it with your own pricing? Run your numbers in the Five Square membership earnings calculator.

The nurses say it better than a revenue range does:

"I'm never going back to floor nursing. I didn't think making this income while still making it to all my kids' activities was even possible. Five Square made it easy."
- Lindsey K., RN

"Having my own schedule, that flexibility as a mom to say the kids are at school these hours, so I can see patients and make way more than I was making at the hospital."
- Ashley C., RN

Inside the community, the wins show up in real time. A nurse a few weeks into her launch posted she was already up to eight bookings, nearly all of it from one post in a local mom's Facebook group. Another saw a husband and wife for their good-faith exams in under ten minutes using the same-day exam tool when her director wasn't free. Scroll the forum any week and it's full of small wins like these.

The Google rating sits at 4.8 stars, and the reviews keep naming the same things: the setup help, the medical director, the training, and a team that answers when you're stuck.

Already run a practice in Kansas? There's a membership for that too

Not every nurse reading this is starting from scratch. Plenty of you already run your own practice and already pay for a medical director somewhere. If that's you, a lot of what's above is stuff you sorted out a while ago, and Five Square has a leaner membership built for exactly your spot. Kansas is on the Five Square expansion roadmap, and in most new states the Established Nurse Membership opens first, so if you already run a practice, you're likely first in line.

It's called the Established Nurse Membership. It's $799 a month, month to month, no annual lock. You get a medical director who's actually engaged, a compliant structure in Kansas, vendor and product pricing, the Five Square Nurse Community, and those instant on-demand Good Faith Exams at $19.99 each, a price we subsidize for our members because we believe in nurse success. There's no new-injector training folded in, because you don't need it and shouldn't pay for it. If you ever want the full education stack later, you can add it.

Here's the honest pitch. Most established practices are either paying $1,500 to $5,000 a month for a director who's genuinely involved, or a few hundred for one who signs protocols and disappears, which is its own risk when a board comes asking. For most nurses, $799 all in beats both, on price and on what you actually get. Tell us what you're paying now and we'll show you the side by side. No pitch, just the math.

What it costs, and the catch nurses look for

For a nurse starting out, membership is a flat $899 a month for one tier, $1,199 for two, $1,499 for all three, on a 12-month term. Startup beyond that is lighter than people expect: a starter tox order, insurance that runs well under most nurses' guesses, and the products you actually use. No revenue share, ever. (Already have a practice? The Established Nurse Membership above is $799 a month, month to month.)

That's usually the moment the skeptical part of your brain asks where the catch is. Fair. So, plainly: you own your practice and your patients through your own LLC. Five Square does not take a cut of what you make, and if a discovery call turns up that the honest answer for you is 'not yet' or 'start smaller,' the team will tell you that too.

Kansas-specific costs to budget for

Forming the LLC costs $85 online or $90 on paper with the Kansas Secretary of State, which is lower than it was a few years ago. There's no annual report; Kansas businesses file an Information Report every two years, due April 15 in the odd or even year that matches your formation year, at $90 online or $110 on paper. Miss it and the state forfeits the entity, which is a headache to reinstate. If you sell retail product, Kansas charges 6.5 percent state sales tax plus local rates that push many Johnson County and Sedgwick County addresses past 9 percent, so register with the Department of Revenue before you stock a shelf.

So, where do you actually start in Kansas?

You book the call. That's genuinely it. Not a six-month research project, a 15-minute conversation about your license, your goals, and what launching (or leveling up) in Kansas would look like for you. Whether you're brand new or already running a practice, the whole reason Five Square exists is so you're not doing the hard parts alone.

Schedule a discovery call

Common questions about starting a practice in Kansas

Can I just form a regular LLC for my med spa in Kansas?

Not if medical services will run through it. Kansas only lets a natural person, or a professional entity owned by people licensed in that one profession, practice a healing art (Early Detection Center v. Wilson, 248 Kan. 869; K.S.A. 17-7668). Your LLC should be organized to render nursing services with you as the licensed member, and your medical director's evaluations and orders come in under contract from their own practice. One extra agreement, and it's the difference between a clean structure and one the Board of Healing Arts can unwind.

Does the Kansas Board of Nursing allow RNs to inject Botox and fillers?

There's no Kansas position statement either way as of March 2026. The board's Practice Committee took up "Botox, MedSpas, IV Hydration Practice" as new business on March 24, 2026, so guidance may be coming. Right now the governing text is the Nurse Practice Act, which lets an RN execute a prescribed medical regimen (K.S.A. 65-1113(d)(1)). Every Five Square practice runs on a documented order from the medical director, which is the structure that holds up whichever way the board goes.

Can an LPN start IVs in a Kansas wellness practice?

Only with the state's IV therapy credential. A Kansas LPN may perform limited-scope IV fluid therapy under RN supervision, and expanded-scope IV therapy only after completing a board-approved IV therapy course and passing the exam (K.S.A. 65-1136). The Board of Nursing publishes the approved provider list. Budget the course into your hiring plan rather than finding out at the first appointment.

Can a registered nurse own a med spa in Kansas? Yes, with the right setup. Kansas is one of the strictest corporate practice of medicine states in the country.

Do I need a medical director for aesthetics in Kansas? Yes. Kansas requires oversight for medical aesthetic services, and every Five Square practice includes a medical director as part of the membership.

Can a nurse do Botox in Kansas? Yes, within a compliant structure and with the physician oversight Kansas requires. The clinical work is rarely the barrier; the structure around it is.

I already run a practice in Kansas. Can Five Square still help? Yes. The Established Nurse Membership is built for nurses who already have a practice: $799 a month, month to month, with a medical director, a compliant structure, vendor pricing, and $19.99 on-demand Good Faith Exams. No new-injector training you don't need, and no annual lock.

How much are Good Faith Exams? For Five Square members, simple Good Faith Exams are $19.99 each, on demand, seven days a week, a price we subsidize because we believe in nurse success. One exam can clear a patient for several treatments at once, and the documentation attaches right to the patient's chart.

Is Five Square available in Kansas yet? Kansas is on the Five Square expansion roadmap, and in most new states the Established Nurse Membership opens first. The fastest way to get the timeline and hold your spot is a discovery call.

How much does it cost to start? For a new nurse, membership is $899 a month for one tier, and startup beyond that (a tox order, insurance, products) is lighter than most nurses expect. If you already run a practice, the Established Nurse Membership is $799 a month, month to month. No revenue share either way.