Practice Agreement · NP
Nurse Practitioner Practice Agreement in Nevada
Nevada 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.
Nevada is classified by AANP as a full-practice-authority state, but practically requires this one-time 2,000-hour collaboration period before an NP can obtain prescribing registration and practice/prescribe fully independently (NRS 632.237).
Independent practice requires: ≥2,000 hours of practice under a collaborative agreement with a Nevada-licensed physician, submitted with the application for prescribing registration to the Board of Pharmacy.
What a Nurse Practitioner practice agreement covers in Nevada
Governed by the Nevada State Board of Nursing and the Nevada State Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
Nevada does not require the Nurse Practitioner to enter into a supervision or collaboration agreement with a physician for diagnosis, treatment, or prescribing, consistent with NRS 632.237. The only exception is Schedule II controlled substances: unless the Nurse Practitioner has at least two (2) years or two thousand (2,000) hours of clinical experience, the Nurse Practitioner may prescribe Schedule II controlled substances only pursuant to a protocol approved by the Physician, as required by NRS 632.237.
Source: NRS 632.237
Before that protocol relationship begins, the Physician shall notify the Nevada State Board of Medical Examiners of the name and location of the collaboration, as required by NAC 630.490.
- The agreement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- NRS 632.237statute
Nurse Practitioner independent practice, with a Schedule II prescribing protocol required absent sufficient clinical experience.
- NRS 630.271statute
Requires a written supervisory agreement between a Physician Assistant and a supervising physician.
- NAC 630.495regulation
Limits simultaneous supervision of Physician Assistants and collaboration with Advanced Practice Registered Nurses to a combined total of three, absent Board approval.
- NRS 639.2623; NRS 639.2627statute
Authorizes a pharmacist collaborative practice agreement for collaborative drug therapy management, including initiating, monitoring, modifying, or discontinuing a patient's drug therapy.
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
during the 2,000-hour pre-prescribing-registration period: Available remotely (no on-site requirement)
No on-site or mile/minute radius standard was found; the collaborative agreement must be active and on file when the NP applies to the Board of Pharmacy for prescribing registration.
after obtaining prescribing registration: No proximity requirement
No ongoing proximity/availability requirement once independently registered to prescribe.
Supervision ratio
during the 2,000-hour pre-prescribing-registration period: Up to 3 at a time (combined across provider types)
Shares the same combined 3-PA/APRN cap per physician as the `pa` entry above (NAC 630.495) while under a collaborative agreement.
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
Requires ≥2 semester credits or 15 contact hours of graduate-level pharmacotherapeutics education and a Board of Pharmacy prescribing registration; may prescribe controlled substances once registered.
Written agreement
Required
Required only during the pre-threshold 2,000-hour period — an NP who has completed it and obtained prescribing registration needs no ongoing agreement.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional entity under NRS Ch. 89, owned only by licensees of the profession rendered (§ 89.070). A full-practice-authority NP may independently own and operate a clinical entity (e.g. a med spa) within NP scope without a collaborating-physician owner, per secondary-sourced interpretation of Nevada's CPOM framework.
Legal sources for these rules (3)
- Nev. Rev. Stat. § 632.237 — Advanced Practice Registered Nurse; Qualifications; Scope of Practicesecondary
- Nev. Admin. Code § 630.495 — Restrictions on Simultaneous Supervision/Collaborationsecondary
- Nev. Rev. Stat. § 89.070 — Professional Entities; Ownership Restricted to Licensees
About Nevada's rules
Nevada has an active corporate-practice-of-medicine doctrine (NRS 89.070) limiting professional-entity ownership to the licensed profession rendering the service — a full-practice-authority NP may independently own a med-spa-type entity, but PAs are not enumerated as eligible owners. NPs/CNMs/CNSs share a 2,000-hour APRN practice-authority threshold (NRS 632.237); CRNAs are separately and explicitly supervised (NRS 632.2397).
Other clinicians in Nevada: see the state overview.