Physician duties · NP · Rhode Island

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

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

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

R.I. Gen. Laws § 5-34-44: APRNs are 'licensed, independent practitioners' — no collaborative agreement with a physician is required to practice full scope, regardless of experience. RI has been a Full Practice Authority state for NPs since 2013.

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

Not codified — left to the agreement

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

§ 5-34-49: Certified Nurse Practitioners may prescribe legend medications and Schedule II–V controlled substances, and MAY BE SEPARATELY CERTIFIED to prescribe Schedule I — an unusually broad grant; confirm current Schedule I certification requirements with the Board before relying on this for a specific patient population.

Written agreement

Not required

Unconditional — § 5-34-44 defines APRN practice as independent from licensure; no collaborative agreement is required at any point.

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Professional Service Corporation under R.I. Gen. Laws § 7-5.1-1 et seq. — registered nurses (which includes APRNs practicing under an RN license with an advanced-practice endorsement) are listed among the eligible healing-arts licensees for a multi-service PSC.

Legal sources for these rules (3)

What physicians charge for this role

Typical monthly compensation in Rhode Island

$500$600

Estimate for one Nurse Practitioner. Standard-tier state.

About Rhode Island's rules

RI is a Full Practice Authority state for NP/CNM (R.I. Gen. Laws § 5-34-44) and, since a 2019 reform (§ 5-54-8), no longer requires PAs to have a written practice agreement — 'collaboration' with an always-accessible physician replaced supervision and hospital ratio caps. CRNAs are the exception: RI has NOT taken the Medicare physician-supervision opt-out, and CRNA scope is statutorily bounded to the perioperative period.

Other clinicians in Rhode Island: see the state overview.