Physician duties · PA · Wisconsin

Signing for a Physician Assistant in Wisconsin: what the physician takes on

The agreement is mandatory for the clinician, which makes its duties mandatory for you. Wisconsin calls the instrument a Written Collaborative Agreement.

Practice authoritySupervision required
Written agreementAgreement required
What Wisconsin calls itWritten Collaborative Agreement
Governing boardWisconsin Medical Examining Board and the Wisconsin Pharmacy Examining Board
Agreement familyCollaborative Practice
Research date2026-09-03 · clauses 2026-09-03

Wisconsin has no experience/hours-based independent-practice pathway for PAs — a written collaborative agreement with a physician (or, for nonsurgical services, a podiatrist) under Wis. Stat. § 448.975(2) is required for the PA's entire career, unaffected by the APRN Modernization Act (which applies only to nursing, not PAs).

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)

The collaborating physician must be 'primarily responsible for the overall direction and management' of the PA's activities and ensure services are medically appropriate; no on-site or mile/minute standard is codified.

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

Separate prescribing terms required · controlled substances permitted

Prescriptive scope is set by the collaborative agreement under § 448.975; no schedule-specific numeric limit was located in statute for PAs specifically.

Written agreement

Required

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Service Corporation under Wis. Stat. ch. 180, subch. XIX (§§ 180.1901-180.1921) — Wisconsin's corporate-practice-of-medicine doctrine requires physicians to practice through a Service Corporation (not an ordinary LLC/LLP); shareholders/directors/officers must be licensed in the same field or be a 'health care professional' generally, which appears to permit multi-discipline ownership including PAs alongside physicians.

A non-physician/non-nurse-anesthetist shareholder with authority to provide services NOT under physician/CRNA direction must independently carry malpractice coverage meeting § 655.23(4) minimums (§ 180.1911) — relevant if a PA holds shares while practicing more autonomously.

Legal sources for these rules (3)
The document: Written Collaborative Agreement
What a Wisconsin Written Collaborative Agreement must contain, who governs it and who signs: read the Written Collaborative Agreement page on practiceagreement.com.

What physicians charge for this role

Typical monthly compensation in Wisconsin

$500$600

Estimate for one Physician Assistant. This state's proximity rules add a small premium.

About Wisconsin's rules

The APRN Modernization Act (2025 Act 17) took effect September 1, 2026 — days before this data's last-verified date — replacing permanent NP/CRNA/CNS collaborative arrangements with a 3,840-hour/24-month transition to independent practice; CNMs are auto-licensed with NO such threshold. Given how recent this is, verify current DSPS/Board of Nursing implementation guidance before relying on transition-period details below.

Other clinicians in Wisconsin: see the state overview.