Physician duties · CRNA · Alaska
Signing for a Certified Registered Nurse Anesthetist in Alaska: what the physician takes on
No agreement is required, so the terms are whatever you both negotiate. Certified Registered Nurse Anesthetists practice independently in Alaska, so any agreement is voluntary.
CRNA is one of Alaska's four statutory APRN roles (AS 08.68.850(1)) with FULL independent practice. Alaska has also opted out of Medicare's federal physician-supervision Condition of Participation for CRNAs — well-corroborated by multiple secondary trackers, though the primary gubernatorial opt-out letter itself was not independently retrieved in this research pass.
What you take on as the physician
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
No proximity requirement
No supervising-physician relationship exists.
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
Same APRN controlled-substance framework as general NP (12 AAC 44.440/.445) — separate board application, PDMP check-in.
Written agreement
Not required
No collaborative/supervisory agreement is required. 12 AAC 44.500 requires CRNAs to maintain written practice guidelines developed with appropriate health professionals, including a quality-assurance method — a QA framework, not a physician-supervision or collaborative-practice agreement, and it does not gate independent practice.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the general `np` entry — AS 10.45 Professional Corporation Act.
Legal sources for these rules (3)
- AS 08.68.850(1) — Definitions (Advanced Practice Registered Nurse)
- 12 AAC 44.500 — CRNA Practice Guidelines and Quality Assurance
- Medicare CRNA state opt-out list (secondary-sourced tracker confirming Alaska's opt-out status; primary gubernatorial letter not independently retrieved)
What physicians charge for this role
Typical monthly compensation in Alaska
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. Standard-tier state.
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.