Physician duties · CNM · New Hampshire
Signing for a Certified Nurse-Midwife in New Hampshire: what the physician takes on
No agreement is required, so the terms are whatever you both negotiate. Certified Nurse-Midwives practice independently in New Hampshire, so any agreement is voluntary.
A CNM licensed as an APRN under RSA 326-B:11 (certified by AMCB) practices under the same plenary-authority grant as any other APRN, independent of physician supervision since 1991. RSA 326-B:44 separately provides that 'certified midwifery' (a non-nurse midwife credential) is 'not the practice of nursing' — that is a distinct license, not the APRN-CNM covered here.
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 relationship required for APRN-CNM practice (RSA 326-B:11).
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
Covered by the same RSA 326-B:11 plenary-authority grant as other APRNs, including Schedule II–IV telemedicine prescribing. No midwifery-specific schedule restriction was found.
Written agreement
Not required
Unconditional — no supervising-physician or collaborative-agreement requirement applies to APRN-CNM practice in NH.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — Same framework as the general `np` entry — no independent CPOM doctrine in NH; a CNM may alternatively organize as a Professional Corporation under RSA 294-A, restricted to 'qualified persons.'
What physicians charge for this role
Typical monthly compensation in New Hampshire
$500 – $600
Estimate for one Certified Nurse-Midwife. Standard-tier state.
About New Hampshire's rules
RSA 326-B:11 gives all APRN categories (NP/CRNA/CNM/CNS) plenary, independent practice authority with no supervising-physician or collaborative-agreement requirement and no experience-based transition period — unlike NC/VA. PA title changes to 'physician associate' effective 1/1/2027 (not yet live). NH has no independent corporate-practice-of-medicine doctrine; secondary sources disagree on how far that extends — verify before relying on any CPOM entry below.
Other clinicians in New Hampshire: see the state overview.