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Updated May 24, 2024

Nextiva Review

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Jeff Hale, Business Operations Insider and Senior Analyst
Verified Check With BorderEditor Reviewed
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Editor Reviewed
This guide was reviewed by a Business News Daily editor to ensure it provides comprehensive and accurate information to aid your buying decision.

Table of Contents

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Editors Score:9.5/10
Nextiva is the best business phone system for multisite retail and healthcare. Its geographically diverse data centers and easy-to-use analytics make pinpointing busy times across multiple locations and time zones simple, so you can staff efficiently.Nextiva is the best business phone system for multisite retail and healthcare. Its geographically diverse data centers and easy-to-use analytics make pinpointing busy times across multiple locations and time zones simple, so you can staff efficiently.
Plus Sign Pros
  • You can mix and match Nextiva's plans to build a cost-effective phone system and avoid paying for features not everyone on your team will use.
  • Nextiva provides the same great 24/7 customer service with all subscription levels.
  • The vendor has many attractive features for businesses that speak with repeat customers on a regular basis.
Minus Sign Cons
  • Nextiva's cost is above average for small businesses with fewer than five user accounts.
  • Voicemail transcription is only available with the company's most expensive Enterprise plan.
  • The vendor's advertised pricing includes discounts that may not be available to smaller companies.
Nextiva company logo
Editor's Rating9.5/10

Businesses dealing with sensitive patient data or secure financial information have unique communications requirements. As a result, they need prudent service partners with experience building voice, messaging and video tools that comply with regulations like HIPAA, PCI and GDPR. 

Nextiva’s cloud-based business phone system offers many effective communication features and tools with safeguards for secure and compliant communications. The platform is easy to set up with a drag-and-drop call flow builder and intuitive interface that makes it simple for someone without experience routing calls in a potentially complex system. 

Nextiva drag-and-drop call flow

The simple drag-and-drop interface makes designing your call flow easy. Image source: Nextiva

Nextiva Editor's Rating:

9.5 / 10

Ease of use
Customer service

Why Nextiva Is Best for Multisite Retail and Healthcare

Nextiva offers the security, encryption and data center redundancy needed to support multisite retail and healthcare organizations with a wide range of communications needs. We appreciate that Nextiva’s mix-and-match plans allow organizations to provide the appropriate set of communications tools and permissions to the right employees without overspending on staffers who only need a basic VoIP phone solution. 

Nextiva’s diverse data centers are located strategically across the country with eight points of presence and 24/7 monitoring to ensure potential issues are flagged and solved immediately. As a result, many of Nexiva’s features and services are HIPAA-compliant, including voice phone calls, call recording, analytics, video conferencing and some integrations, including CRMs. 

We love that Nextiva’s Call Pop feature highlights everything you need to know about the caller to provide personalized service before you pick up the phone, including information about past interactions, experience score, survey responses and total account value from your desktop, softphone or mobile device. 

Subscribers at every service level receive the same 24/7 customer support, mobile and desktop apps, unlimited calls within the U.S. and Canada and free toll-free or local numbers. Nextiva also lets you mix and match plans to provide different levels of service and cost for different employees or business locations. 

Due to the need for extra monitoring, Nextiva requires healthcare providers sign a comprehensive business associate agreement that covers the rules required by both parties under HIPAA. Whether your sector is retail or healthcare, Nextiva has the features to suit your needs.

Did You Know?Did you know
You get 12,500 toll-free minutes every month with Nextiva’s Enterprise business communications plan.


Nextiva’s drag-and-drop call flow builder is one of the simplest and most user-friendly we tested in our annual review of business phone systems. This easy-to-use visual tool lets anyone without prior experience. Even beginners will manage setting up a menu for callers and route calls based on set days, times, locations and devices without hassle. More complex routing activities, like round-robin ringing for a sales team, are suggested through drop-down menus, ensuring you’re able to use your phone system to its fullest potential. 

Once the system is set up, you can begin making or receiving calls from any internet-connected device with the mobile app, desktop app or standard office IP softphone. We really like how seamless the experience feels when switching between devices on voice or video calls. Plus, features like Call Pop provide you with a wealth of caller information, including the caller’s previous interactions, survey responses, satisfaction score and total account value to help provide personalized service. This makes for a user-friendly experience that benefits the employee and the caller.

If you or your team struggle with complex business software, you should read our Ooma review. Ooma is another cloud-based business phone system we tested that was especially easy to implement and use.

Nextiva Features


Promises highly secure HIPAA-compliant voice, fax and video services.

Threaded Conversations

Brings all contacts and conversations into a single, searchable stream for quick access.

Call Flow Builder

Makes building and changing call flows easy for first-time users.

Call Pop

Provides personalized caller information for better customer interactions.

Nextiva provides the same core communications features across all of its unified business plans. That includes complete call-handling capabilities, team messaging and basic video conferencing tools. While SMS/MMS and some integrations are limited with the entry-level plan, Nextiva provides everything a business needs to communicate professionally in any industry or business setting.


Nextiva’s core platform resides in North American data centers with eight points of presence that are SSAE 16-certified, SOC II-audited and offer PCI-DSS certification. Each data center has a dedicated power grid with dual OC48 (2.5 Gbps) rings to create redundant call paths. Nextiva’s network is monitored 24/7 and data is protected with transport layer security (TLS) and secure real-time transport protocol (SRTP) encryption between all endpoints. As a result, Nextiva offers HIPAA-compliant services and features for phone, auto attendant, call recording, virtual fax, video conferencing and integrations with some of the best CRM software. This level of security is ideal for both healthcare organizations and multisite retail businesses. [Read related article: How to Find a HIPAA-Compliant CRM]

Threaded Conversations

Nextiva helps you utilize the advantages of having your company’s phone, chat, email and video conference data unified via a single platform with threaded conversations. This feature provides a single, searchable timeline with all of your communications in one simple chronological panel. We liked having the ability to tag important communications, add notes, and track the activity of everyone interacting with the data. All of this helps to make sure nothing important is ever lost or overlooked.

Nextiva threaded conversations

Nextiva’s threaded conversations feature makes communication more efficient. Image source: Nextiva

Call Flow Builder

We like how this phone platform is structured around a convenient drag-and-drop system. Its system lets you visualize your call flow when you’re working from the demo template or starting from scratch. For new call flows, the system will prompt you to select the primary inbound number and any additional numbers you want to follow the same call flow. 

Suggested steps for the next action, like directing callers to your business hours, phone menu, users and teams, voicemail or transfer out, are provided. These suggested steps help you build a user-friendly system quickly. Drop-down menus with prefilled options are available to help you pick the best features for each stage, including turning on settings like round-robin distribution for your sales team. This ensures each team member receives a fair number of opportunities to speak with new customers.

Call Pop

Nextiva’s Call Pop feature populates the user’s display with important caller information to improve conversations with personalized service. Before you pick up the phone or make a call, you’re given loads of context to contextualize the caller. You’ll be able to see your company’s last interaction with the customer, their experience score, any survey responses they’ve provided and the total value of their account. This information helps tailor your service to their needs and expectations. Retail businesses using this Nextiva to close sales and respond to customer inquiries will find this tool particularly valuable.

Nextiva Call Pop

Call Pop helps personalize each interaction with a customer. Image source: Nextiva

Nextiva Costs

Take care to note how Nextiva’s advertised prices reflect an account with at least 20 users and an annual subscription. When reviewing phone costs, we always select the fewest number of user accounts possible to provide a fair comparison between service providers. In the case of Nextiva, our listed prices reflect accounts with one to four users. 

Nextiva’s Business Communications plans cost slightly more than average, starting at $18.95 per monthly user. Some competitors offer comparable entry-level packages for around $15 per month per user. Nextiva offers a discounted rate of up to 35 percent for annual subscribers, which is reflected in the prices listed below.

We really like how competitors 8×8 and Nextiva let you mix and match plans to suit the needs of your team. This means you can save money on accounts for employees who only need basic phone services to perform their duties while providing advanced features to other staffers who will put them to good use. [Learn more in our detailed 8×8 review or see how Nextiva stacks up in our Nextiva vs. 8×8 comparison.]






$18.95 per user per month

Unlimited voice and video calling within the U.S./Canada, voicemail, toll-free numbers with up to 1,500 minutes, 24/7 support, desktop and mobile apps, unlimited internet faxing, video meetings, auto attendant, call log reports, threaded conversations, 500 shared contacts, team status alerts, shared lines, call groups and integrations with Outlook and Google Contacts.


$22.95 per user per month

Everything in the Essential plan, plus unlimited conference calls with 40 participants, unlimited video conferencing, screen-sharing, multilevel auto attendant, up to 3,000 toll-free minutes, SMS/MMS and CRM integrations.


$33.95 per user per month

Everything in the Professional plan, plus voicemail transcription, call recording, up to 12,500 toll-free minutes, unlimited video conference recording, single sign-on, unlimited participants on voice conferencing and additional integrations.


If you ever want to upgrade or downgrade your Nextiva plan, you can reach out to a Nextiva client support specialist to make changes to your account.

Nextiva Setup

Most small businesses that select a new phone number for a Nextiva account can have their business phone system operating the same day it’s ordered. Businesses transferring an existing number may have to wait for their previous carrier to release the number. Regardless, we like that the overall setup process is easy. Adding users, setting up locations, assigning business phone numbers and voicemail, managing teams, and creating a phone menu are all simple to do. 

For most modern business phone systems, the bulk of the setup work is in building the call flow. Nextiva makes this process especially straightforward with its drag-and-drop call flow builder that lets you visualize how calls will move through your system. You can just as simply make adjustments as needed later on.

Nextiva Customer Service

We appreciate how Nextiva serves all of its customers equally well with the same 24/7 customer support for all phone plans. If you need assistance, you can reach a Nextiva representative by email, chat or phone. There is also an in-app help button and an online self-help resource center. Nextiva’s resource center is stocked with webinars, quick start account guides, product updates, system status information and password reset options. Users can explore helpful how-to videos, get tips on setting up a menu to greet callers and learn how to make the most of advanced features like voice analytics.

Nextiva Drawbacks

Small businesses with fewer than five user accounts will pay above-average prices with Nextiva. On its website, the company’s pricing page settings are set by default to show the cost for businesses purchasing at least 20 user accounts for a savings of roughly 19 percent. Other providers with sliding scales, like Vonage, show you the standard price for one user as the default setting. Compare cost information in our full Vonage review for another phone option that’s especially great for small businesses.

It’s also worth noting that Nextiva’s voicemail transcription service is only available with its highest tier Enterprise plan. This is true despite it being a fairly ubiquitous feature with cellular and other technology providers. For example, our Dialpad review notes that the vendor includes voicemail transcription and other AI-powered features with all plans. That said, aside from lacking voicemail transcription, Nextiva’s entry-level Essential and mid-tier Professional packages feel more than adequate in terms of basic features and functionality.


We researched and analyzed more than a dozen of the industry’s leading business phone systems. Our investigations included participating in product demos, conducting independent research, and testing a variety of phone systems through paid and free trial accounts. Each examination considered factors like pricing, ease of use, features, customer service availability and implementation. We found Nextiva to be the best business phone system for multisite retail and healthcare organizations because of its easy-to-use interface, mix-and-match plans and HIPAA-compliant security features.

Nextiva FAQs

Nextiva and NextivaONE are not different. Rather, NextivaONE is just the name of the software application announced by the company in 2022. It replaced the previous Nextiva desktop app with an updated user experience and feature enhancements. Nextiva updated existing customers free of charge.
Yes, Nextiva works with cell phones. You can use the system on any cellular phone or mobile device running Android, iOS, Windows or macOS.
While it doesn’t cost anything to download the NextivaONE desktop or mobile apps, you will have to pay for the Nextiva service, which starts at $23.95 for businesses purchasing fewer than five user accounts with an annual commitment.

Overall Value

We recommend Nextiva for …

  • Businesses that can benefit from the ability to mix-and-match phone plans for different employees, teams or locations.
  • Companies that prioritize receiving 24/7 customer support with a basic, entry-level subscription.
  • Healthcare organizations that need HIPAA-compliant communication methods.

We don’t recommend Nextiva for …

  • Very small businesses and independent contractors looking for basic phone service.
  • Companies that would prefer an extensive list of third-party integration options.
  • Organizations wanting voicemail transcription without signing up for an enterprise-grade phone plan.
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Jeff Hale, Business Operations Insider and Senior Analyst
Jeff Hale is a communications and content marketing expert with extensive experience leading teams as a managing editor. He has deep knowledge of B2B communications technologies, including business phone systems and customer relationship management (CRM) software. Jeff is also an entrepreneur who knows the realities of launching and managing a small business, where he serves as a Content Director and SEO Consultant. In his role as an entrepreneur and professional, Jeff has identified new market opportunities for Fortune 500 clients and developed communications strategies and digital branding for tech startups and small businesses. Jeff holds a Bachelor’s degree in English from the University of California, Irvine, and an MBA from Chapman University.
Nextiva company logo
Editor's Rating9.5/10
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