PMHNP · North Dakota
Supervision Agreement for Psychiatric Mental Health Nurse Practitioners in North Dakota
No. Psychiatric Mental Health Nurse Practitioners practice independently here. North Dakota does not require one.
ND's statute does not create a separate PMHNP category — psychiatric-mental health is one of several population foci within the certified nurse practitioner role (NDAC § 54-05-03.1-02), not a distinct licensure tier. All rules are identical to the general `np` entry above.
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
Not codified — left to the agreement
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 statutory authority as general NP (NDAC §§ 54-05-03.1-09 to -11) — no PMHNP-specific schedule restriction found.
Written agreement
Not required
Unconditional, same as general NP — see that entry's note.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — North Dakota does not distinguish PMHNP for ownership purposes.
Legal sources for these rules (1)
- N.D. Admin. Code § 54-05-03.1-02 — APRN roles and population foci
What a supervising physician costs here
Typical monthly cost in North Dakota
$500 – $600
Estimate for one Psychiatric Mental Health Nurse Practitioner. Standard-tier state.
About North Dakota's rules
H.B. 1175 (2019, eff. 2020) and a 2022 rule amendment repealed ND's old PA supervision-contract/ratio/countersignature model — PAs are now CONDITIONAL only below 4,000 practice hours or outside a qualifying facility. All four APRN roles (NP, CRNA, CNM, CNS) are FULL independent practice with no collaboration agreement of any kind.
Other clinicians in North Dakota: see the state overview.