Nurse Practitioner Cheat Sheet for Illinois
Requirements for Supervising Physician agreements in Illinois, plus a free agreement builder tailored to Illinois law.
Provider supervision requirements in Illinois
Updated 2026-09-03
Provided for educational and research purposes only — this is not legal advice. Laws and regulations change frequently, and this content may contain errors or omissions. Always confirm current requirements with a licensed attorney before relying on this for compliance decisions.
The 2017 Nurse Practice Act reform (P.A. 100-0513) lets NP/CNM/CNS attest to full practice authority after 4,000 hours under a written collaborative agreement plus 250 hours of CE — CRNAs are not included in that attestation pathway. The Medical Corporation Act (805 ILCS 15) restricts clinical-entity ownership to physicians; APRNs/PAs may still use a professional service corporation or PLLC of their own licensees.
Nurse Practitioner
Independent practice requires: ≥4,000 hours of clinical practice under a written collaborative agreement after first attaining national certification; ≥250 hours of continuing education/training; a notarized full-practice-authority attestation filed with IDFPR
Full practice authority pathway created by 2017's Public Act 100-0513 (225 ILCS 65/65-43). Until the attestation threshold is met, every NP in active clinical practice must maintain a written collaborative agreement with a physician, with limited exceptions for hospital/ambulatory-surgical settings.
Proximity
below full-practice-authority attestation: Available remotely (no on-site requirement)
No codified mile/minute radius or on-site requirement; the written collaborative agreement governs availability for consultation.Chart review
Not codified — left to the practice agreement
Prescriptive authority
below full-practice-authority attestation: Separate prescribing terms required · controlled substances permitted
Prescriptive scope, including controlled substances, must be set out in the written collaborative agreement (Ill. Admin. Code tit. 68, § 1300.430).at/after full-practice-authority attestation: Covered by practice agreement · controlled substances permitted
Independent prescriptive authority once the attestation is filed (Ill. Admin. Code tit. 68, § 1300.465).
Practice ownership (CPOM)
Licensee-only ownership required — NPs are excluded from the physician-only Medical Corporation Act (805 ILCS 15) — even a full-practice-authority NP cannot own that entity. NPs instead use a professional service corporation (805 ILCS 10) or PLLC (805 ILCS 185) held by nursing licensees.
Ownership is unaffected by whether the NP has reached full-practice-authority status — the attestation above governs clinical collaboration, not entity ownership.Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
Legal sources
225 ILCS 65/65-43 — Full Practice Authority (Nurse Practice Act)
$600–$900/mo
Estimated NP supervision cost in Illinois
Available Supervising Physicians in Illinois
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