Registered Nurse Cheat Sheet for Maryland
Requirements for Supervising Physician agreements in Maryland, plus a free agreement builder tailored to Maryland law.
Provider supervision requirements in Maryland
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.
Maryland's APRN categories are not uniform: CRNPs and CNMs gained full practice authority in 2015 (after an 18-month new-graduate mentorship), CRNAs remain fully supervised with no prescriptive authority at all (Maryland is one of about 11 states granting CRNAs none), and only the psychiatric-mental-health population focus of CNS practice is independent. Maryland does not recognize PLLCs; professional entities use physician-only professional corporations, so multi-disciplinary ownership questions remain open.
Registered Nurse
RNs (general licensure, not an APRN) are not subject to a physician-supervision or collaborative-practice-agreement requirement in Maryland. RNs practice under a physician's orders, standing orders, or delegation, consistent with the Maryland Nurse Practice Act — categorically different from the APRN-specific collaboration frameworks above.
Proximity
Not codified — left to the practice agreement
Chart review
Not codified — left to the practice agreement
Prescriptive authority
Covered by practice agreement · no controlled-substance authority
RNs do not have independent prescriptive authority in Maryland; they administer medications pursuant to the orders of a licensed prescriber.Practice ownership (CPOM)
Non-licensee ownership permitted — General RN licensure; the physician-only professional-corporation regime does not apply to non-clinical businesses an RN might own
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Not required
Unconditional — general RN licensure has never been subject to a physician collaboration/supervision agreement in Maryland.Legal sources
Md. Health Occupations Code Title 8 — Nurses (RN scope)
$400–$600/mo
Estimated RN supervision cost in Maryland
Available Supervising Physicians in Maryland
Browse supervising physicians open to new collaborations near you.