Physician duties · NP · Colorado

Signing for a Nurse Practitioner in Colorado: what the physician takes on

No agreement is required, so the terms are whatever you both negotiate. Colorado calls the instrument a Articulated Plan.

Practice authorityIndependent practice
Written agreementNo agreement required
What Colorado calls itArticulated Plan
Governing boardColorado Board of Nursing and the Colorado State Board of Pharmacy
Agreement familyCollaborative Practice
Research date2026-08-20 · clauses 2026-09-03

No physician agreement is required for NP clinical practice at any experience level (C.R.S. §§ 12-255-104, -111) — independent practice attaches immediately upon admission to the Advanced Practice Registry. The only experience gate is prescriptive: 'full' (vs. 'provisional') prescriptive authority requires a 750-hour prescribing mentorship, which may be led by an experienced APRN rather than a physician (§ 12-255-112(4)(b)).

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 proximity/reachability standard applies — NP practice requires no supervising or collaborating physician at all. § 12-255-111(5) requires only 'a safe mechanism for consultation or collaboration with a physician or, when appropriate, referral to a physician' — a professional-judgment standard the NP applies to their own practice, not an externally imposed distance/availability rule.

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

The mentor need not be a physician — this is a one-time credentialing/experience requirement, not an ongoing supervision relationship, and it ends once the 750 hours are logged (the APRN otherwise continues practicing under provisional authority up to the 3-year mark).

Written agreement

Not required

Unconditional — no supervising or collaborating physician relationship of any kind is required for NP clinical practice. The prescribing mentorship (see `supervision.prescriptiveAuthority` below) is a one-time credentialing step toward 'full' prescriptive authority, not a standing agreement, and its mentor need not be a physician.

Practice ownership (corporate practice of medicine)

Non-licensee ownership permitted — No Colorado statute requires physician ownership of an entity delivering APRN-scope care — C.R.S. § 12-240-138's physician/PA-shareholder mandate is scoped to entities practicing 'medicine' under the Medical Practice Act; APRN practice is licensed and regulated separately under the Nurse Practice Act (Title 12, Art. 255) and isn't 'the practice of medicine.' Multiple secondary CPOM-guide sources read this as APRNs having materially more ownership flexibility than physicians/PAs — no primary statute or Board of Nursing rule was found either confirming or denying this for APRN entities specifically. Moderate confidence; flag as an inference rather than a codified rule if load-bearing.

This ownership analysis does not extend to any service outside this provider's own APRN scope (e.g., delegated medical-aesthetic procedures — see Colorado Medical Board Rule 800, 3 CCR 713-30), which stays physician-controlled regardless of the APRN's own practice-entity ownership.

Legal sources for these rules (6)
The document: Articulated Plan
What a Colorado Articulated Plan must contain, who governs it and who signs: read the Articulated Plan page on practiceagreement.com.

What physicians charge for this role

Typical monthly compensation in Colorado

$500$600

Estimate for one Nurse Practitioner. Standard-tier state.

About Colorado's rules

Colorado is a full-practice-authority state for all five APRN roles (NP/PMHNP/CRNA/CNM/CNS) — no physician agreement is ever required to practice. APRNs instead face a 750-hour prescribing mentorship (not necessarily physician-led) before 'full' (vs. 'provisional') prescriptive authority — a credentialing gate, not a supervision relationship. PAs moved from physician 'supervision' to an hours-gated 'collaborative agreement' under SB23-083 (2023) — not 'HB23-1214,' which could not be located and appears to be a misattribution. Colorado licenses estheticians; it has not deregulated the profession.

Other clinicians in Colorado: see the state overview.