CNS · Nevada
Supervision Agreement for Clinical Nurse Specialists in Nevada
Yes, a written supervising-physician agreement is required. Nevada does not name a specific instrument.
Nevada regulates clinical nurse specialists as one of the general 'advanced practice registered nurse' categories alongside NP and CNM. This research pass found no CNS-specific statutory carve-out distinguishing it from the general APRN 2,000-hour framework — treat as the same model pending direct confirmation from the Board of Nursing.
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.
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 — CNS-specific scope detail was not separately confirmed in this research pass.
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 (1)
What a supervising physician costs here
Typical monthly cost in Nevada
$500 – $600
Estimate for one Clinical Nurse Specialist. 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.