Practice Agreement · NP

Nurse Practitioner Practice Agreement in Alaska

Alaska law does not require a Nurse Practitioner to hold a named agreement with a physician. Practices still use one to define the working relationship; here is what it covers and what the state does require.

Practice authorityIndependent practice
Written agreementNo agreement required
What Alaska calls itNo instrument required
Governing boardAlaska Board of Nursing and the Alaska Board of Pharmacy
Research date2026-09-03 · clauses 2026-09-03

Alaska is a full-practice-authority state for all APRN roles. AS 08.68.850(1) and 12 AAC 44 Article 4 define the NP as a licensed independent practitioner with no supervising or collaborating physician required at any point.

What a Nurse Practitioner practice agreement covers in Alaska

Governed by the Alaska Board of Nursing and the Alaska Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.

  1. Alaska does not require the Nurse Practitioner to enter into a collaboration or supervision agreement with a physician. The Nurse Practitioner practices and prescribes under the Nurse Practitioner's own license, consistent with AS 08.68.

  2. This Agreement's terms regarding the Nurse Practitioner accordingly serve to define the working relationship, referral pathways, and any Medical Director oversight between the Parties, and are not themselves required by Alaska law as a condition of the Nurse Practitioner's authority to practice.

  3. The agreement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.

Statutes and rules cited

  1. Alaska Stat. § 08.80.337statute

    Authorizes a pharmacist to provide patient care services, including prescribing and administering drugs and devices, under a collaborative practice agreement with a written protocol approved by a practitioner; requires the pharmacist to recognize the limits of the pharmacist's education and training. Cited from the Alaska Board of Pharmacy's own published compilation of its statutes and regulations.

Terms it has to carry

Ratio, proximity, chart review, meeting and prescribing terms the agreement has to carry, from the state's supervision rules.

Proximity

No proximity requirement

No supervising-physician relationship exists to have a proximity standard for.

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

Separate prescribing terms required · controlled substances permitted

Controlled-substance authority requires a separate board application (12 AAC 44.445: $100 fee, proof of licensure, 15 contact hours of advanced pharmacology within 2 years) distinct from base prescribing under 12 AAC 44.440. Alaska PDMP check-in required before initial Schedule II/III dispensing, then periodically thereafter.

Written agreement

Not required

Unconditional — no Alaska statute conditions NP practice on a collaborative or supervisory physician agreement.

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Same Alaska Professional Corporation Act (AS 10.45) framework as `pa` — a nursing PC's owners must be licensed in the applicable profession.

Legal sources for these rules (3)
How the relationship works day to day
Who has to be where, how often you meet, and what the physician costs: Nurse Practitioner in Alaska on collaborativeagreement.com.

About Alaska's rules

All four APRN roles (NP, CRNA, CNM, CNS) share one statutory framework (AS 08.68.850, 12 AAC 44) with FULL independent practice and no collaborative agreement. PA law is mid-transition: SB 89 would add a 4,000-hour conditional pathway effective ~Sept. 16, 2026, but its enrolled text couldn't be verified — current codified law (below) still requires a standing collaborative plan with no experience-based exit.

Other clinicians in Alaska: see the state overview.