Primary Care APP - Nurse Practitioner or Physician Assistant

About the role

Frontier Direct Care delivers direct primary care (DPC) to employer‑sponsored patient populations. Providers manage a defined patient panel with an emphasis on continuity, preventive care, and chronic disease management—offering lower daily patient volume and longer visit times than traditional fee‑for‑service primary care. We are hiring Family Nurse Practitioners and Physician Assistants to serve as the primary clinician, providing support, treatment, and management to patients. This full‑scope, hands‑on primary care role includes chronic disease management, in‑office procedures, and building long‑term patient relationships.

We are expanding our direct primary care clinics to the following locations:

• Mesquite, TX 75150
• Duncanville, TX 75137

Key Responsibilities

• Provide longitudinal primary care across chronic disease management, preventive care, and acute visits to members.
• Perform in‑office procedures including incision & drainage (I&Ds), suturing and suture removal, skin biopsies, and men’s and women’s health exams.
• Conduct visits in person, by phone, and by secure text/video, with typical visit lengths of 30 minutes to 1 hour depending on patient need.
• Diagnose and manage chronic conditions (e.g., diabetes, hypertension, hyperlipidemia) with the panel size and visit time needed to intervene before conditions progress.
• Coordinate daily patient care and task delegation with an assigned Medical Assistant.
• Document all visits and maintain patient records in the EHR.
• Maintain 24/7/365 on‑call access for patient communication via a company‑provided secure line (Twilio‑based; personal phone number is never shared with patients).
• Work under a collaborating/delegating physician in accordance with Texas Medical Board supervision requirements.
• Participate in weekly team meetings, 1:1s, and other clinical meetings as requested or required.

Requirements

• Active, unencumbered Texas licensure as a PA (NCCPA‑certified) or APRN‑FNP (national board certified).
• Minimum 2 years of post‑graduate experience as a Family Nurse Practitioner or Physician Assistant in family practice or primary care.
• Demonstrated experience managing patients across the lifespan (pediatric through geriatric).
• Hands‑on experience performing I&Ds, suturing/suture removal, skin biopsies, IV placement, and men’s/women’s health exams.
• Active, unrestricted DEA registration, or ability to obtain prior to start.
• Current BLS certification, or ability to obtain within 30 days of employment.
• Proficiency with electronic medical records and scheduling software.

Preferred Qualifications

• Prior experience in direct primary care, concierge medicine, or an employer‑sponsored clinic model.
• Bilingual (English/Spanish).
• Experience owning or managing a patient panel with full clinical autonomy.
• Multistate licensure or telehealth experience.
• Comfort with a lower‑volume, higher‑touch practice model versus high‑throughput fee‑for‑service.

Benefits

• Medical, dental, and vision insurance for you and your immediate family.
• Frontier Membership for you and your immediate family.
• Voluntary insurance options: short‑term disability, long‑term disability, life insurance, and other supplemental insurances.
• 401(k) plan with free access to financial wellness platforms offering financial advisors and personal finance tools.
• Flexible Paid Time Off (PTO) policy (average 20 days per year) plus up to 5 unplanned days off per year.
• 9 company holidays per year.
• Parental leave policies.
• $1,500 per year toward professional development.