Practice Agreement · NP
Nurse Practitioner Practice Agreement in New Hampshire
New Hampshire 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.
RSA 326-B:11 grants APRNs 'plenary authority' to assess, diagnose, and prescribe within their scope, with no supervising-physician or collaborative-agreement requirement — NPs have practiced independently in NH since 1991, with no experience-based transition period, unlike most 'full practice' states.
What a Nurse Practitioner practice agreement covers in New Hampshire
Governed by the New Hampshire Board of Nursing and the New Hampshire Board of Pharmacy. Each numbered item is a statutory requirement the agreement must satisfy.
New Hampshire does not require the Nurse Practitioner to enter into a collaboration or supervision agreement with a physician. The Nurse Practitioner assesses, diagnoses, prescribes, and administers or dispenses drugs, including controlled substances, under the Nurse Practitioner's own license, consistent with N.H. Rev. Stat. Ann. § 326-B:11.
Source: N.H. Rev. Stat. Ann. § 326-B:11
If the Nurse Practitioner prescribes a Schedule II through IV controlled substance by telemedicine, the Nurse Practitioner shall ensure the patient receives a subsequent evaluation, capable of being conducted in person, by a prescriber at intervals appropriate to the patient and at least annually, as required by § 326-B:11.
- The agreement on file also carries 1 scope, 1 education, 1 registration clauses, generated in the document itself.
Statutes and rules cited
- N.H. Rev. Stat. Ann. § 326-B:11statute
Authorizes Advanced Practice Registered Nurse independent diagnosis, prescribing, and dispensing under the nurse's own license.
- N.H. Rev. Stat. Ann. § 328-D:3-bstatute
Physician Assistant collaboration agreement requirement, the 8,000-hour experience threshold, and the Board of Medicine waiver process (which itself sunsets January 1, 2027).
- N.H. Rev. Stat. Ann. § 318:16-astatute
Standards for collaborative pharmacy practice agreements between a pharmacist, an attending practitioner, and a consenting patient.
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 physician relationship of any kind is required to practice full NP scope in NH (RSA 326-B:11).
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
Individual DEA registration and NH Prescription Drug Monitoring Program (PDMP) rules still apply on top of this statutory grant.
Written agreement
Not required
Unconditional — RSA 326-B:11 never requires a physician agreement for NP practice, regardless of experience.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — New Hampshire has no independent corporate-practice-of-medicine doctrine — an NP may be a direct corporate employee of a non-licensee-owned entity. An NP may alternatively organize as a Professional Corporation under RSA 294-A, in which case ownership is restricted to 'qualified persons' (licensed professionals, RSA 294-A:1, :8).
Secondary sources conflict on how far NH's permissive stance extends (see state-level notes and this app's `pa` entry) — treat entity structuring as an open item for counsel, not a settled fact.
About New Hampshire's rules
RSA 326-B:11 gives all APRN categories (NP/CRNA/CNM/CNS) plenary, independent practice authority with no supervising-physician or collaborative-agreement requirement and no experience-based transition period — unlike NC/VA. PA title changes to 'physician associate' effective 1/1/2027 (not yet live). NH has no independent corporate-practice-of-medicine doctrine; secondary sources disagree on how far that extends — verify before relying on any CPOM entry below.
Other clinicians in New Hampshire: see the state overview.