Physician duties · NP · Mississippi
Signing for a Nurse Practitioner in Mississippi: what the physician takes on
The agreement is mandatory for the clinician, which makes its duties mandatory for you. Mississippi calls the instrument a Board-Approved Protocol or Standing Order.
No independent-practice pathway exists in current law (§ 73-15-20) — a collaborative relationship plus Board-approved protocol is required permanently, not conditioned on any hours/years threshold. A one-time 1,000-2,000-hour 'monitored practice' onboarding period (see prescriptive authority notes) does not end the collaborative requirement.
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
Available remotely (no on-site requirement)
No mileage/radius requirement is codified for NPs (unlike PA's 30-mile rule) — statute/rule require only that the APRN 'be able to communicate reliably' with the collaborating physician (§ 73-15-20(7)(b); Admin. Code Part 2840, Rule 1.4C).
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
Before practicing at a site without a qualifying provider physically on premises, a new APRN must complete 2,000 monitored practice hours (if <1 year RN experience pre-APRN) or 1,000 hours (if ≥1 year) with a qualifying provider on-site (Part 2840, Rule 1.3) — a one-time site-specific onboarding step, not a pathway to eventual independence; the collaborative agreement itself never ends.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same as the `pa` entry — Miss. Code Ann. § 79-10-31 restricts PC shareholders in medical-service corporations to licensed physicians; no NP co-ownership of medical PCs/PLLCs.
Legal sources for these rules (2)
- Miss. Code Ann. § 73-15-20 — Advanced Practice Registered Nurses
- Mississippi Admin. Code Title 30, Part 2840, Ch. 1 — APRN practice
What physicians charge for this role
Typical monthly compensation in Mississippi
$650 – $950
Estimate for one Nurse Practitioner. This state's rules add a restrictive-tier premium.
About Mississippi's rules
Mississippi has no independent-practice pathway for NPs/APRNs — a collaborative relationship plus Board-approved written protocol is required for the life of the license. Multiple 2025-2026 NP full-practice-authority bills (H.B. 813, H.B. 98, S.B. 2178) remain unconfirmed as enacted — re-verify § 73-15-20 each session.
Other clinicians in Mississippi: see the state overview.