CNM · Nevada
Supervision Agreement for Certified Nurse-Midwives in Nevada
Yes, a written supervising-physician agreement is required. Nevada does not name a specific instrument.
Nevada regulates nurse-midwives as one of the 'advanced practice registered nurse' categories under the general APRN framework alongside NP and CNS, distinct from CRNA's separately-supervised statute.
Independent practice requires: ≥2,000 hours of practice under a collaborative agreement — same general APRN threshold as NP (NRS 632.237).
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
during the 2,000-hour pre-prescribing-registration period: Available remotely (no on-site requirement)
Same standard as general NPs — no on-site or mile/minute radius standard was found.
after obtaining prescribing registration: No proximity requirement
No ongoing proximity/availability requirement once independently registered.
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
Covered by the practice agreement · controlled substances permitted
Same general APRN pharmacotherapeutics-education and prescribing-registration requirements as general NP.
Written agreement
Required
Required only during the pre-threshold period, same general APRN model as NP.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — professional entity under NRS Ch. 89, owned only by licensees of the profession rendered.
Legal sources for these rules (2)
- Nev. Rev. Stat. § 632.237 — Advanced Practice Registered Nurse; Qualifications; Scope of Practicesecondary
- Nev. Admin. Code § 632.0605 — Nurse Midwife Defined
What a supervising physician costs here
Typical monthly cost in Nevada
$500 – $600
Estimate for one Certified Nurse-Midwife. Standard-tier state.
About Nevada's rules
Nevada has an active corporate-practice-of-medicine doctrine (NRS 89.070) limiting professional-entity ownership to the licensed profession rendering the service — a full-practice-authority NP may independently own a med-spa-type entity, but PAs are not enumerated as eligible owners. NPs/CNMs/CNSs share a 2,000-hour APRN practice-authority threshold (NRS 632.237); CRNAs are separately and explicitly supervised (NRS 632.2397).
Other clinicians in Nevada: see the state overview.