Physician duties · NP · West Virginia
Signing for a Nurse Practitioner in West Virginia: what the physician takes on
The agreement is mandatory for the clinician, which makes its duties mandatory for you. West Virginia calls the instrument a Written Collaborative Agreement.
West Virginia is a 'reduced practice' (not 'restricted') state: NPs may diagnose and treat independently from licensure, but a written collaborative agreement is required specifically to prescribe until the 3-year threshold is met and the Board approves independent prescriptive authority.
Independent practice requires: for prescribing specifically: ≥3 years in a documented collaborative relationship with granted prescriptive authority, then Board of Nursing approval to prescribe without an ongoing collaborative agreement.
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
below the 3-year independent-prescriptive-authority threshold: Available remotely (no on-site requirement)
No codified mile/minute radius or on-site requirement located; the collaborative agreement need only set out mutually agreed written guidelines/protocols and periodic joint evaluation.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
below the 3-year independent-prescriptive-authority threshold: As needed
WV Board of Nursing's Collaborative Agreement form requires 'periodic joint evaluation of prescriptive practice' and 'periodic joint review and updating' of the guidelines/protocols — no fixed numeric cadence (e.g. monthly/quarterly) was located, so this is coded as AS_NEEDED rather than a specific interval.
Prescriptive authority
below the 3-year independent-prescriptive-authority threshold: Separate prescribing terms required · controlled substances permitted
Schedule II-V from a limited formulary set by the collaborative agreement; Schedule II narcotics capped at a 3-day supply.
after Board approval of independent prescriptive authority (≥3 years): Covered by the practice agreement · controlled substances permitted
Whether the 3-day Schedule II cap persists after independent-prescriptive-authority approval was not confirmed in this research pass — flag as an open item rather than assuming it lifts.
Written agreement
Required
Required for prescriptive authority, not for diagnosis/treatment — WV's collaborative-agreement requirement is scoped to prescribing specifically, unlike most other states on file where the agreement gates the whole scope of practice.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — West Virginia's Authorized Medical Corporation statute (§ 30-3-15) targets physician/podiatrist-delivered medical corporations specifically; whether NPs have an independent nursing-entity ownership pathway analogous to other states' APRN PLLC statutes was not confirmed in this research pass — treat as an open item.
Legal sources for these rules (3)
- WV Board of Registered Nurses — Collaborative Agreement Form and Instructions
- NursingLicensure.org — West Virginia NP Requirements [secondary source, used for the 3-day Schedule II detail and reduced-practice characterization]secondary
- NPCollaborator.com — West Virginia Nurse Practitioner Collaboration guide [secondary source]secondary
What physicians charge for this role
Typical monthly compensation in West Virginia
$500 – $600
Estimate for one Nurse Practitioner. Standard-tier state.
About West Virginia's rules
code.wvlegislature.gov would not serve statute text during this research pass (anomalous redirect, not followed) — sourcing below leans on WV Board of Nursing/Medicine/Pharmacy materials and secondary sources; confidence is lower than for states with direct statute access. SB 956 (2026), which would let PAs own practices and end mandatory collaboration, had NOT confirmed final passage/signature as of this research pass — treat PA entries below as the current, not the pending, law.
Other clinicians in West Virginia: see the state overview.