Physician duties · PA · Nevada
Signing for a Physician Assistant in Nevada: what the physician takes on
The agreement is mandatory for the clinician, which makes its duties mandatory for you. Nevada calls the instrument a Written Supervisory Agreement.
No independent-practice pathway exists for PAs in Nevada — an active supervising-physician relationship is required for as long as the PA practices (NRS Ch. 630/633).
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)
NAC 630.26865 addresses the 'manner of supervision'; secondary sources describe Nevada as allowing in-person, electronic, or telephonic supervision rather than mandating on-site presence — this project could not confirm the rule's exact current text, so verify before relying on it for a compliance decision.
Supervision ratio
Up to 3 at a time (combined across provider types)
A physician may not simultaneously supervise more than 3 PAs, collaborate with more than 3 APRNs, or supervise/collaborate with a combination of more than 3 PAs and APRNs together (NAC 630.495) — this is a genuinely combined cap across both provider types, not two independent caps. The Board may grant an exception on petition showing special circumstances.
Chart review
Percentage set by agreement
Supervising physician must 'review and initial selected charts' of the PA's patients — a review obligation exists, but no percentage or fixed frequency is codified (NAC Ch. 630). Treat this as 'percentage and cadence set by practice/rule, not a fixed number' rather than 0%.
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
Requires a separate Board registration certificate (NRS 639.1373) and passage of a Board examination on pharmacy law before possessing/administering/prescribing/dispensing controlled substances; the Board sets maximum amounts and storage/security/recordkeeping rules by regulation. No schedule-specific day-supply cap was found in this research pass.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Nevada actively enforces corporate practice of medicine — professional entities under NRS 89.070 must be owned only by individuals licensed to provide the service offered. PAs are not enumerated among the professionals Nevada secondary sources describe as eligible independent owners (contrast NPs, below) — a PA-owned clinical entity is likely not viable without physician ownership, though this wasn't confirmed against a PA-specific statutory holding.
Treat PA independent-ownership eligibility as an open item rather than a settled fact.
Legal sources for these rules (4)
- Nev. Admin. Code § 630.495 — Restrictions on Simultaneous Supervision of Physician Assistants and Collaboration with APRNssecondary
- Nev. Rev. Stat. § 639.1373 — Physician Assistant Authority Regarding Controlled Substances, Poisons, Dangerous Drugs and Devicessecondary
- Nev. Rev. Stat. § 630.271 — Authorized Servicessecondary
- Nev. Rev. Stat. § 89.070 — Professional Entities; Ownership Restricted to Licensees
What physicians charge for this role
Typical monthly compensation in Nevada
$500 – $800
Estimate for one Physician Assistant. This state's proximity rules add a small premium.
About Nevada's rules
Nevada has an active corporate-practice-of-medicine doctrine (NRS 89.070) limiting professional-entity ownership to the licensed profession rendering the service — a full-practice-authority NP may independently own a med-spa-type entity, but PAs are not enumerated as eligible owners. NPs/CNMs/CNSs share a 2,000-hour APRN practice-authority threshold (NRS 632.237); CRNAs are separately and explicitly supervised (NRS 632.2397).
Other clinicians in Nevada: see the state overview.