Documentation and care operations for the practice you actually run.
Stream is the AI-native platform built for independent primary care — including NP-led practices. The note is just the start. We close the loop on tasks, referrals, faxes, and follow-up.
Met us through Frank or AANP? Mention it when you book — you'll get a 60-day no-cost pilot if Stream fits your practice.
Running an independent practice means carrying all of it at once — the clinical care, the documentation, the operations, the billing — often without the staff support physician-led groups take for granted. Stream is built to take some of that off your plate, so the work that keeps a practice running doesn't keep landing on you and the people you can barely afford to pay.
An independent practice is fighting on two fronts at once.
Revenue and operations. Both bleed time and money, and in a lean practice they bleed straight onto you. Stream was built to relieve both.
The chart doesn't fully reflect the care you delivered.
You manage complexity every visit. The documentation — and the codes that follow from it — often don't keep up.
- Notes that don't capture the full complexity of the care delivered
- Denials that trace back to specificity, not clinical judgment
- Undercoding because it's safer to be cautious than to defend a code later
- Missed risk capture in Medicare Advantage and value-based contracts
The work that nobody bills for, and nobody else sees.
The operational load behind every visit is real work — and in a lean practice it bleeds into evenings, weekends, and staff you can barely afford.
- Inbound fax triage that someone has to read, sort, and route
- Chart prep before every visit, done by hand
- Referral letters written one at a time
- Follow-up and task tracking held together by memory and sticky notes
The note is where most scribes stop. Stream keeps going.
Stream produces your documentation and handles the operational work that surrounds it — the chart, the letters, the tasks, the prep. Here's what it does.
Problem-structured notes
Stream listens to your visit and produces a note organized around the problems you addressed — not date-organized paragraphs. Subjective, objective, then an assessment and plan for each problem.
Built around active problems
Every visit updates a chart organized around the problems you're actively managing. Open a problem and see it across time, instead of scrolling through a stack of dated notes.
Read, summarized, sorted
Upload an outside document and Stream identifies the patient, summarizes the content, and extracts the tasks inside it for you to review.
Branded letters, ready to send
Stream generates referral letters from your chart data — branded for your practice and ready to fax or send.
Walk in already oriented
Before each visit, Stream surfaces active problems, recent vitals, current medications, and stale issues that haven't been addressed in a while.
Pulled, assigned, tracked
Stream pulls tasks from your notes, your documents, and the clinical context, assigns them to the right person, and tracks them to completion.
Tied to documented complexity
Stream suggests codes tied to the complexity you've actually documented — capture that reflects the care you delivered.
Built by clinicians, shipping updates every few weeks.
One visit, start to finish.
From the moment you start recording to the tasks waiting when you're done. Here's Stream working a primary care visit.
Record or dictate. Stream transcribes as you talk and structures the note for you.
Walk in oriented. Active problems, current medications, and what's gone stale — at a glance.
An assessment and plan per problem — not one undifferentiated paragraph to untangle later.
Nothing slips. Follow-ups are pulled from the note and tracked to completion. Tap one to check it off.
Sample data — not a real patient.
It doesn't assume you have a billing department.
NP-led primary care has its own shape. Stream was built for the practice you have, not the one an enterprise vendor imagines.
Lean teams, many hats
One person is often the clinician, the front desk, and the billing department. Stream is built to absorb the operational load, not add another system for someone to babysit.
Full-practice-authority autonomy
You own the clinical decisions and the practice. Stream supports the way you work without assuming a supervising layer that isn't there.
Chronic care and prevention
Much of NP-led primary care is longitudinal — chronic disease, prevention, the slow work of keeping people well. A chart organized by problem over time fits that better than a stack of dated notes.
Mixed payer reality
Commercial, Medicare, Medicaid, cash, value-based — often all at once. Stream's coding and risk-capture support is built for that mix, not a single tidy payer.
Stream doesn't assume you have a six-figure billing department or a dedicated chart-prep MA. It works for the practice you actually have.
A partner of NNPEN.
Stream is a partner of the National Nurse Practitioners Entrepreneurial Network — a community of NPs building and running their own practices. We didn't design Stream for NP-led primary care from the outside. We built it in conversation with NP practice owners who live the documentation and operational load every day.
Learn about NNPEN at nnpen.org →A 60-day no-cost pilot for NP-led practices.
Stream normally starts with 30 days free. For NPs we meet through Frank, NNPEN, or the AANP National Conference, we'll double it — and set it up properly.
- 60 days at no cost, for NP-led practices that book a conversation through this page
- No credit card, no commitment
- Personal onboarding with a physician — Jake Kantrowitz, MD, PhD
- We set you up and train your team
- You decide at the end of 60 days whether Stream fits
- For NPs we meet through Frank, NNPEN, or AANP
Mention Frank, NNPEN, or AANP when you book so we know how you found us and can apply the pilot.
Let's have a quick conversation.
A real conversation, NP to physician. We'll talk about your practice, show you Stream, and figure out together whether it fits — no pitch, no pressure.
Talk to a clinician →Prefer email? Reach out to [email protected] — mention Frank, NNPEN, or AANP and we'll prioritize the response.