NP · Alaska
Supervision Agreement for Nurse Practitioners in Alaska
No. Nurse Practitioners practice independently here. Alaska does not require one.
Alaska is a full-practice-authority state for all APRN roles. AS 08.68.850(1) and 12 AAC 44 Article 4 define the NP as a licensed independent practitioner with no supervising or collaborating physician required at any point.
What the supervision must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
No supervising-physician relationship exists to have a proximity standard for.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
Controlled-substance authority requires a separate board application (12 AAC 44.445: $100 fee, proof of licensure, 15 contact hours of advanced pharmacology within 2 years) distinct from base prescribing under 12 AAC 44.440. Alaska PDMP check-in required before initial Schedule II/III dispensing, then periodically thereafter.
Written agreement
Not required
Unconditional — no Alaska statute conditions NP practice on a collaborative or supervisory physician agreement.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same Alaska Professional Corporation Act (AS 10.45) framework as `pa` — a nursing PC's owners must be licensed in the applicable profession.
Legal sources for these rules (3)
- AS 08.68.850(1) — Definitions (Advanced Practice Registered Nurse)secondary
- 12 AAC 44, Article 4 — APRN Role and Scope of Practicesecondary
- 12 AAC 44.445 — Controlled Substance Prescriptive Authority
What a supervising physician costs here
Typical monthly cost in Alaska
$500 – $600
Estimate for one Nurse Practitioner. Standard-tier state.
About Alaska's rules
All four APRN roles (NP, CRNA, CNM, CNS) share one statutory framework (AS 08.68.850, 12 AAC 44) with FULL independent practice and no collaborative agreement. PA law is mid-transition: SB 89 would add a 4,000-hour conditional pathway effective ~Sept. 16, 2026, but its enrolled text couldn't be verified — current codified law (below) still requires a standing collaborative plan with no experience-based exit.
Other clinicians in Alaska: see the state overview.