NP · Nevada
Supervision Agreement for Nurse Practitioners in Nevada
Yes, a written supervising-physician agreement is required. Nevada does not name a specific instrument.
Nevada is classified by AANP as a full-practice-authority state, but practically requires this one-time 2,000-hour collaboration period before an NP can obtain prescribing registration and practice/prescribe fully independently (NRS 632.237).
Independent practice requires: ≥2,000 hours of practice under a collaborative agreement with a Nevada-licensed physician, submitted with the application for prescribing registration to the Board of Pharmacy.
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)
No on-site or mile/minute radius standard was found; the collaborative agreement must be active and on file when the NP applies to the Board of Pharmacy for prescribing registration.
after obtaining prescribing registration: No proximity requirement
No ongoing proximity/availability requirement once independently registered to prescribe.
Supervision ratio
during the 2,000-hour pre-prescribing-registration period: Up to 3 at a time (combined across provider types)
Shares the same combined 3-PA/APRN cap per physician as the `pa` entry above (NAC 630.495) while under a collaborative agreement.
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
Requires ≥2 semester credits or 15 contact hours of graduate-level pharmacotherapeutics education and a Board of Pharmacy prescribing registration; may prescribe controlled substances once registered.
Written agreement
Required
Required only during the pre-threshold 2,000-hour period — an NP who has completed it and obtained prescribing registration needs no ongoing agreement.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional entity under NRS Ch. 89, owned only by licensees of the profession rendered (§ 89.070). A full-practice-authority NP may independently own and operate a clinical entity (e.g. a med spa) within NP scope without a collaborating-physician owner, per secondary-sourced interpretation of Nevada's CPOM framework.
Legal sources for these rules (3)
- Nev. Rev. Stat. § 632.237 — Advanced Practice Registered Nurse; Qualifications; Scope of Practicesecondary
- Nev. Admin. Code § 630.495 — Restrictions on Simultaneous Supervision/Collaborationsecondary
- Nev. Rev. Stat. § 89.070 — Professional Entities; Ownership Restricted to Licensees
What a supervising physician costs here
Typical monthly cost in Nevada
$500 – $600
Estimate for one Nurse Practitioner. 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.