Physician duties · CNS · New Hampshire
Signing for a Clinical Nurse Specialist in New Hampshire: what the physician takes on
No agreement is required, so the terms are whatever you both negotiate. Clinical Nurse Specialists practice independently in New Hampshire, so any agreement is voluntary.
A CNS licensed as an APRN population focus under RSA 326-B:11 shares the same plenary-authority grant as other APRNs, with no supervising-physician requirement. NH's CNS-specific scope details (as distinct from the general APRN statute) were not independently confirmed in this research pass — flagged as an open item, not a certainty.
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 under the general APRN grant (RSA 326-B:11); no CNS-specific proximity rule was independently confirmed.
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. Whether NH's CNS licensees in practice hold and exercise controlled-substance prescriptive authority to the same extent as NPs was not independently confirmed — this is stated as the statute reads, not as verified real-world practice.
Written agreement
Not required
Unconditional based on the general APRN grant — but see the notes above on CNS-specific scope detail not being independently confirmed.
Practice ownership (corporate practice of medicine)
Non-licensee ownership permitted — Same framework as the general `np` entry — no independent CPOM doctrine in NH; a CNS may alternatively organize as a Professional Corporation under RSA 294-A, restricted to 'qualified persons.'
Legal sources for these rules (1)
What physicians charge for this role
Typical monthly compensation in New Hampshire
$500 – $600
Estimate for one Clinical Nurse Specialist. 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.