PMHNP · South Dakota
Supervision Agreement for Psychiatric Mental Health Nurse Practitioners in South Dakota
Yes, a written supervising-physician agreement is required. South Dakota does not name a specific instrument.
SD's Nurse Practice Act does not carve out a separate framework for psychiatric-mental health NPs — PMHNPs are licensed as CNPs under the same SDCL 36-9A regime. This entry exists for its own page/URL/calculator weight, not a codified legal distinction.
Independent practice requires: same 1,040-hour threshold as general `np`.
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
Psychiatric prescribing in practice skews toward stimulants and benzodiazepines more heavily than general NP practice — not a different legal limit, reflected only in calculatorWeights below.
Written agreement
Required
Same as general `np` — only pre-1,040-hour PMHNPs need the written collaborative agreement.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — not directly confirmed in this research pass.
Legal sources for these rules (1)
What a supervising physician costs here
Typical monthly cost in South Dakota
$500 – $600
Estimate for one Psychiatric Mental Health Nurse Practitioner. Standard-tier state.
About South Dakota's rules
SD is unusually permissive: NP/CNM need only 1,040 practice hours (or a collaborative agreement with ANY physician OR already-independent NP/CNM) to become fully independent (SDCL 36-9A), and a 2025 reform (SL 2025, ch 149) gives PAs the same kind of pathway after 6,000 hours plus NCCPA certification. Older sources citing a fixed PA-per-physician ratio are now outdated — that cap was repealed.
Other clinicians in South Dakota: see the state overview.