Clinical Nurse Specialist Cheat Sheet for Michigan
Requirements for Supervising Physician agreements in Michigan, plus a free agreement builder tailored to Michigan law.
Provider supervision requirements in Michigan
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.
Michigan has no independent-practice pathway for NPs, CNMs, CNSs, or PAs — specialty certification alone never grants autonomous practice, and delegated authority is renewable/revocable rather than a one-time threshold. CRNAs may deliver anesthesia care independently within the perioperative period but must still maintain a collaborating physician/dentist/podiatrist relationship. A PA-only PLLC has been prohibited since 2010.
Clinical Nurse Specialist
Same R 338.2411 delegation framework as NPs and CNMs (excluding CRNAs); no independent-practice pathway for CNSs.
Proximity
Available remotely (no on-site requirement)
Same standard as general NPs.Chart review
Not codified — left to the practice agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
Same Schedule II-V delegation framework as general NPs (Mich. Admin. Code R 338.2411); requires DEA registration.Practice ownership (CPOM)
Licensee-only ownership required — As for NPs: no ownership pathway set out; Michigan generally prohibits nonphysician-owned medical-practice entities
Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Annually
Same annual delegation-review requirement as general NPs (Mich. Admin. Code R 338.2411).Written agreement
Required
Unconditional — same annually-reviewed written delegation/authorization requirement as general NPs/CNMs.$550–$850/mo
Estimated CNS supervision cost in Michigan
Available Supervising Physicians in Michigan
Browse supervising physicians open to new collaborations near you.