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Step 1-05/15/10 Graduation from MSN/FNP program 

Step 2- 05/17/10 Request for final transcript submitted to university, paid via echeck per suggestion of registrar (BIG mistake-takes 10-14 days to clear) 

Step 3- 06/04/10 Transcript received, 2 sealed copies, 1 copy opened to check for accuracy.

Step 4 - 06/07/10 AANP application complete now that final transcript received, mailed to AANP

Step 4- 06/17/10 Received letter from AANP "pleased to notify you …application to sit for exam approved" Now need to wait for letter from testing site with "window"

Step 5- 06/25/10 Letter from Prometric with number required and info on date selection, date for exam tentatively scheduled 6 weeks ahead for August 7, 2010 (really losing it now…looked at moon schedule, horoscope and biorhythm prediction before choosing date:)

Step 6- 07/27/10- panic mode, realize that every 1 out of 3 questions will be Pedi, decided to postpone date, to Sunday 8/22/10 (Feast of the Immaculate Heart of Mary, moon entering capricorn, at some kind of astrological crossroad…really losing my mind)

Step 7- 08/22/10- Take exam and pass! On-screen notification "you have successfully PASSED…." after 3 minutes of staring at screen, pure joy sets in!

Step 8- 09/10/10- Receive certificate from AANP in mail

Step 9- 09/30/10- Application for State of Connecticut APRN license mailed (needed to raise $200 for state license fee). Required passport photo; notarized application; proof of graduate level 40 hour pharmacology course, signed by school administrator

Step 10- 11/01/10- Received State of CT APRN license, effective dat 10/25/10 (expires month of my B-day Jan 2011, will need to pay another $200)

Step 11- 11/4/10 Application for State of CT "Controlled Substance…" submitted. One page form, $40 fee. 

Step 12- 12/6/10 Received state DEA license, mailed Federal DEA application with $591 fee

Step 13- 12/15/10 Received Federal DEA license- Now officially ready to work- a full SEVEN MONTHS after graduation

Step 14- 01/05/10 Negotiate employment, construct "Collaborative Agreement" with new MD employer. Apply on-line for free NPI number (federal requirement to bill as practitioner). Receive official NPI number via email same day.

Step 15- 01/13/10 Apply for Malpractice Insurance- $1000 for one year policy (includes new-grad discount, "tail", $1,000,000/$3,000,000 coverage)

Now, work for six weeks learning the ropes. Had to teach myself about CPT codes, documentation requirements for reimbursement, new EHR system, order prescription pads. Still not officially recognized by medicare, medicaid or insurance companies. 03/11/11- Submit application to "CAQH." Very long and painful application process. Required names, dates, description of all clinical rotations, date of initial RN licensure (9/8/91), references, background check, etc. CAQH will submit application on my behalf to multiple insurance companies for approval as provider. Saves time and effort of applying to each individual company. 10 months after graduation, still not done with the red tape. To be continued…