Employment Opportunities

Doctors, Physicians, and Nurse Practitioners Can Provide Better Care Through Big Tree Medical

Big Tree Is Putting the Care Back Into Healthcare

At Big Tree, we’re making relationships central to healthcare again. When you join the movement, you can use your knowledge and skill to help patients get better and stay healthy, all without the stress of navigating the traditional healthcare system. Big Tree is a 100% virtual primary care practice. Our app is where care happens. Virtual care is different from in-person care, and it is the future. Our virtual care platform allows you to deliver 80% of healthcare for 10% of the cost.

The Benefits of Direct Primary Care Through Big Tree Medical

Big Tree patients pay $44 per month for unlimited virtual primary care. They can text or video chat with their doctor, physician, or nurse practitioner all from the comfort of home. While the lack of physical exams might make it more difficult to diagnose some medical issues, the ability to have regular interactions with a care provider is incredibly helpful. When a patient needs medication or lab work completed, Big Tree will help your patients save money on these important services whether they have health insurance or not. This is the simplest and most affordable way for patients to receive care.

  • Quick & Easy Same-Day Appointments

    We allow patients unlimited same-day access to care via secure video chat and messaging. Do patients overuse the services? No. Our data and the reports from our providers have demonstrated that patients are not abusing the system. Virtual care allows you to be there for your patients when they need you, not months later when an appointment is finally available.

  • No More Waiting Rooms

    In-person care is very provider-centered. The patient travels, waits, gets moved to an exam room, and waits again. All so the provider can see as many patients as possible. While this is convenient for providers, it costs patients time away from work, time to travel, and time to wait. This is especially detrimental in rural areas where patients might have to take an entire day off to visit the closest primary care provider. True patient-centered care considers the advantages and disadvantages of virtual care and puts a premium on patient convenience.

  • Virtual Primary Care Covers Many Health Concerns

    Virtual care can be used to serve patients with conditions like acute sinusitis, UTIs, and URIs, as well as many chronic conditions like hypertension, diabetes, and depression. With a little flexibility and outside-the-box thinking, virtual primary care can provide affordable, accessible health care to people who have been traditionally limited in their health care options by cost, regional availability, or a lack of providers.

How Can Care Providers Benefit From Offering Direct Primary Care?

The gig economy has flipped the traditional business model on its head. From freelancers to rideshare and delivery drivers, there is a new way to work in America. With incredible results in these industries, why can’t healthcare do the same? What if you could care for a group of patients “on the side,” either in addition to another job or as a part-time gig? Whether you are trying to use your skills to supplement your income or trying to figure out how to be a mom and a nurse practitioner, Big Tree can help.


As a doctor, physician, or nurse practitioner through Big Tree Medical, you can be your own boss, care for patients, and get paid to do it! Of course, there are a few rules. Depending on your state, the “practice” may be in association with a physician you collaborate with who delegates it to you, the APRN, or PA. Most states allow your company to contract with a physician for their services.

Become a Big Tree Provider With a Few Simple Steps

When you join the Big Tree movement, you become an independent contractor. In “tax-speak” you are a 10-99 contractor, not a W-2 employee. Billing is easy because our billing manager will handle monthly patient fees, labs, bills, etc. Partnering with Big Tree will also mean setting up or amending your malpractice insurance, but don’t worry, we can recommend someone to help you tackle this part of the transition. Providers with LLCs can take advantage of tax breaks. All you need to become a Big Tree Medical virtual care provider is a reliable internet connection, a smartphone, and a capable computer.

Frequently Asked Questions

  • What is Big Tree Medical?

    Big Tree Medical Home is a direct primary care organization that exists to streamline the business side of healthcare, allowing great health care providers to care for patients seamlessly.

  • Why was Big Tree Medical founded?

    Big Tree was founded by a team that believes there are plenty of providers and plenty of patients who need care, but the current healthcare model makes it difficult for patients to get great care. Through a membership model, a team approach to care, and mobile technology, care providers and patients can have aligned incentives and get a healthcare experience that is unmatched.

  • Who is an ideal Big Tree candidate?

    A nurse practitioner who is looking for a way to care for more patients in a cutting-edge environment. We prefer providers with prior primary care experience. Working with Big Tree makes a great side hustle or a great full-time career.


    Some cases require an emergency room visit or we will send some patients to urgent care when a physical exam is critical. Too often patients don’t know what to do, and they don’t have anyone looking out for their interests. Now you do.


    We are a primary care clinic, and like any primary care clinic, we can handle every situation. Heart attacks, difficulty breathing, strokes, and similar situations require care that you can only receive at a hospital. Surgery, colonoscopies, and other physical procedures are pretty hard to do over a text message. Most of our patients use us as part of a healthcare package that includes something like insurance to cover catastrophic health needs. We are happy to connect you with some of our partners if you are looking for a more affordable way to protect yourself from these situations. Contact us to learn how you can pair your primary healthcare with insurance. 

  • How does the medical care BTM provides affect the lives of its members and providers?

    Both providers and patients love Big Tree. Big Tree values nurse practitioners as essential team members who are uniquely positioned to provide a healthcare experience that is transformative to the many people who have been functionally excluded from healthcare. Patients value having a caring healthcare team. The convenience that is added by a virtual care platform more than makes up for the lack of physical interaction.

  • What if I need a collaborative physician?

    Some states require you to work with a collaborative physician. You are free to find your own, hire your own, or work with ours! For $5 per patient per month, you can use our partner physician, who is licensed in most states. Collaboratingdocs.com is a great resource to find physicians in your area.

  • Do I need clinical experience?

    Probably. We have had a few thousand applicants and we find that clinicians with at least a year of experience do better. If, however, you see that your state does not yet have a provider, we would still encourage you to apply if you have a collaborating physician who is willing to work with you.

  • How do I acquire patients for my panel?

    Big Tree will embark upon a digital marketing campaign once you begin working with us. We work with organizations that want to utilize direct primary care as a part of their healthcare solution but are limited by the lack of providers. We connect those patients to you. We are also actively working with businesses, insurance administrators, and related organizations to acquire patients throughout the US.

  • How quickly will my patient panel fill up?

    It is difficult to say. This is a new business landscape that is evolving quickly. Our most successful providers have anywhere from 50-150 patients after 6 months. Some providers only have a couple of patients. Like anything else, the more you put in, the more you get out.

  • How busy will I be?

    We find that for every 100 patients on your panel, you will have about 1-2 virtual visits and 2-4 text message conversations per day. The smaller your practice, the more variation you can expect. These numbers also vary based on practice style.

  • Can I work three days a week?

    No. You are looking for urgent care, where you are paid for a shift. We pay you to take responsibility for patients, not shifts.

  • If I already have an independent practice, can I contract with Big Tree for a panel of patients as well?

    Yes. If you take health insurance in your regular practice, you may want to create a new business to work with Big Tree, which is something you may want to talk to a lawyer about.

  • Can I open a physical clinic?

    Yes. This will make you eligible to take patients that enroll in Big Tree Unlimited, our in-person plan.

  • Do I have to be an F.N.P.?

    Yes, or a P.A. that is comfortable with children. Kids are a part of the program, so if you can't take care of kids, you should not apply.

  • What if I am a doctor, is there a way for me to join?

    Yes! We would recommend working with our partner organization, collaboratingdocs.com.

  • What about medications and labs?

    We are the healthcare hackers. In our model, you get to help your patients figure out how to spend less and still receive great care. We offer affordable access to labs, generic medications, specialty medications, and more. 

  • Is there a medical acuity triage, or do I take every BTM member in my practice area?

    It is your business, so like any healthcare provider, you are allowed to turn people away, though few do so. You are expected to be the primary care provider, not the sole healthcare solution for your patients. Every primary care provider refers patients to specialists while continuing to manage their more basic healthcare needs. The more complex a patient is, the more of a team-based approach you will take to management. This is no different than any other primary care practice.

  • What if I cannot take care of the patient virtually?

    No primary care clinic takes care of everything. Most primary care clinics refer patients to urgent care every day simply because they don’t have time to see them. We send far fewer patients to urgent care than they do simply because we can see all of our patients that need care. You will refer patients to specialists. You will refer to the ER and even urgent care. Every primary care clinic does. But at least your patients will know they need to get their abdominal pain examined at urgent care. Without you, they would just have to guess. 

  • What if I have a really difficult or very sick patient?

    It is no different than if you had a very sick or very difficult patient in your office. You may need to call 911. You may need to refer them to a specialist or direct them to the ER. 

  • Does Big Tree provide benefits?

    Because you are an independent contractor, we cannot put you in a group medical plan, or group 401k. But, Big Tree is on the front lines of fixing healthcare, so we have a solution for you. We can connect you with the low-cost solutions that we connect self-employed people with every day. The cost of health insurance should not inhibit anyone from chasing their dream job. Now it doesn’t have to.

  • Do I have to work 24/7, 365 days a year?

    Not necessarily. You are responsible for your patients 24/7, 365 days a year. Just like any clinic, there will be natural ebbs and flows of care volume. You can team up with another nurse practitioner and cover each other when one of you is unavailable. You can also hire a nurse to take the first layer of calls. 

  • Can I practice how I want to?

    It is your practice. Through Big Tree’s marketing, you will be featured as someone that is practicing mainstream, evidence-based medicine. If you love being up-to-date on the most scientifically sound ways to practice medicine, you will fit right in. We typically lean on the protocols in resources like UpToDate heavily.

  • What does documentation look like?

    We do not bill insurance companies based on your documentation, so the documentation merely serves the purposes of record-keeping. Your clinical judgment determines what is in your notes, but most providers spend a few seconds on each note. There is no billing or coding.

  • Do I need to be tech-savvy?

    No. If you can work a smartphone, email, Facebook, Google, and similar programs, you will be fine. You will need a working laptop, smartphone, and internet connection that supports video conferencing. Most providers use an iPhone, a laptop of some kind, and their regular home WiFi.

  • What billing and administrative tasks am I responsible for?

    Big Tree Corporate will take care of billing and collecting, and we assume those associated risks and costs. We pay you for the patients on your panel. There are admin roles that are similar in scope to any medical practice, but they take about 10% of the time that is spent in a regular practice. You will have some administrative tasks associated with running your own business and we recommend the use of a good small business accountant or bookkeeper. Providers work with the Big Tree billing staff to make sure membership info is up to date.

  • Who covers my malpractice insurance, and is specific telehealth malpractice insurance necessary?

    Nearly all malpractice carriers now have a separate form to fill out for telemedicine. Your existing malpractice will likely be sufficient. Whether you have malpractice through a health system you work for or do not have any coverage, we can help you find an appropriate policy or let you participate in our group policy. Malpractice coverage cost varies by state but is usually under $5,000 per year.

Become a Care Provider Through Big Tree Medical

Interested in taking the next step? Applying to become a healthcare provider with Big Tree Medical is simple. Please follow the steps below. 

  • Email your resume to HR@bigtreenational.com.
  • Sign up for an interview. We will answer your questions and make sure you and Big Tree are a good fit. 
  • If you are approved, we will send you a link to sign your contract and provide all the necessary documentation.


If you have additional questions regarding the process of becoming a provider with Big Tree Medical, please email HR@bigtreenational.com.

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