Practice Agreement · NP
Nurse Practitioner Practice Agreement in Idaho
Idaho 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.
Idaho is a full-practice-authority (FPA) state for NPs — an NP may evaluate, diagnose, and prescribe (including controlled substances, with DEA/Board of Pharmacy registration) without a collaborating physician, per Idaho Board of Nursing rule (IDAPA 24.34.01).
What a Nurse Practitioner practice agreement covers in Idaho
Governed by the Idaho Board of Nursing and the Idaho State Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
Idaho does not require the Nurse Practitioner to enter into a supervision or collaboration agreement with a physician for assessment, diagnosis, treatment, or prescribing, including controlled substances, consistent with Idaho Code §§ 54-1402 and 54-1409. The Nurse Practitioner practices under the Nurse Practitioner's own license.
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 Idaho law as a condition of the Nurse Practitioner's authority to practice.
- The agreement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- Idaho Code § 54-1705statute
Defines 'collaborative pharmacy practice,' 'collaborative pharmacy practice agreement,' and 'drug therapy management' (selecting, initiating, or modifying drug treatment pursuant to such an agreement).
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/collaborating physician relationship is required at all for clinical practice or prescribing (IDAPA 24.34.01).
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
Full independent prescriptive authority, including controlled substances, subject to standard DEA/Board of Pharmacy registration.
Written agreement
Not required
Unconditional — Idaho NPs never need a physician agreement to practice their full scope.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — Following the Idaho Board of Medicine's 2016 corporate-practice-of-medicine disavowal, an NP may generally hold equity in a standard LLC/corporation, including one also owned by physicians or non-licensees.
About Idaho's rules
Idaho APRNs (NP/CRNA/CNM/CNS) have full independent practice authority. The Idaho Board of Medicine formally disavowed corporate-practice-of-medicine enforcement in March 2016 — physicians, NPs, PAs, and (per this research pass) even non-licensees may generally co-own a standard business entity, so long as licensed professionals actually deliver the care.
Other clinicians in Idaho: see the state overview.