NP · Vermont
Supervision Agreement for Nurse Practitioners in Vermont
Yes, a written supervising-physician agreement is required. Vermont calls it a Formal Collaborative Provider Agreement.
Uniform APRN transition-to-practice threshold (26 V.S.A. § 1614) — after meeting it, an NP practices without any collaborative-agreement requirement.
Independent practice requires: ≥2 years and ≥2,400 hours of practice under a collaborative agreement (≥1,600 hours over ≥12 months if adding a second APRN certification).
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
below the 2,400-hour/2-year transition-to-practice threshold: Available remotely (no on-site requirement)
No codified mile/minute radius or on-site requirement was found; the collaborating provider (a physician or another qualified APRN of the same role/population focus with an unencumbered license) need only be available per the collaborative agreement's terms.
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
No schedule-specific numeric restriction tied to transition status was found beyond the general collaborative-agreement requirement below threshold.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional Corporation under 11 V.S.A. ch. 4 — NPs are widely described as able to own their own practice entity given Vermont's full-practice-authority trajectory, though H.583 (eff. July 1, 2026, see state-level notes) newly imposes majority-licensee ownership/governance conditions on 'medical practices' generally — whether/how that reaches NP-only practices was not separately confirmed.
Legal sources for these rules (3)
What a supervising physician costs here
Typical monthly cost in Vermont
$500 – $600
Estimate for one Nurse Practitioner. Standard-tier state.
About Vermont's rules
H.583 (signed June 15, 2026, eff. July 1, 2026) newly restricts private-equity/hedge-fund control and requires majority physician ownership/governance of medical practices — a major shift from Vermont's historically permissive, no-common-law-CPOM stance. All 4 APRN roles (NP, CRNA, CNM, CNS/PMHNP) share one 2,400-hour/2-year transition-to-practice threshold (26 V.S.A. § 1614) — treat as newly in effect and monitor implementing guidance.
Other clinicians in Vermont: see the state overview.