Physician duties · NP · Montana

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

No agreement is required, so the terms are whatever you both negotiate. Nurse Practitioners practice independently in Montana, so any agreement is voluntary.

Practice authorityIndependent practice
Written agreementNo agreement required
What Montana calls itNo instrument required
Governing boardMontana Board of Nursing and the Montana Board of Pharmacy
Research date2026-09-03 · clauses 2026-09-03

Montana's Nurse Practice Act does not condition NP practice on a supervising-physician or collaborative-practice agreement — NPs are widely classified (AANP and others) as full-practice-authority. Prescriptive authority is granted directly by the Board of Nursing (§ 37-8-202, MCA) rather than delegated by a collaborating physician. See state-level notes on HB 810 (2023).

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 physician proximity/availability requirement is codified for NP practice in Montana.

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

Requires individual DEA registration.

Written agreement

Not required

Unconditional under current statute as researched — no collaborative or supervisory agreement is required for NP practice in Montana.

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Professional Corporation (Title 35, ch. 4, MCA) or comparable professional entity — shares/membership limited to persons licensed in the service rendered; an NP may independently own a nursing-services entity under this framework.

Legal sources for these rules (5)

What physicians charge for this role

Typical monthly compensation in Montana

$500$600

Estimate for one Nurse Practitioner. Standard-tier state.

About Montana's rules

House Bill 810 (2023) would have imposed a 2-year physician/NP-collaboration requirement on APRNs; it was referred to committee and this research could not confirm it became law — current APRN statute text found shows no such requirement, so NP/CRNA/CNM/CNS are coded as independent, but verify this hasn't changed before relying on it. Montana repealed its corporate-practice-of-medicine statute in 1995; CPOM entries below reflect residual board rule, not a clear statutory line.

Other clinicians in Montana: see the state overview.