Nurse Practitioner 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.
Nurse Practitioner
Michigan is not a full-practice-authority state — NP specialty certification alone does not grant autonomous practice (MCL 333.17201). NPs perform clinical acts, tasks, and functions DELEGATED by a physician under a written authorization; there is no experience-based pathway out of that delegation relationship.
Proximity
Available remotely (no on-site requirement)
Michigan does not impose a geographic proximity requirement — the physician must be continuously available by telecommunications for consultation but need not be physically co-located with the NP.Chart review
Not codified — left to the practice agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
A physician may delegate prescribing of Schedule II-V controlled substances to an NP (excluding nurse anesthetists) via a written authorization kept at the primary practice site, with a signed copy given to the NP and reviewed/updated at least annually (Mich. Admin. Code R 338.2411). Requires the NP's own DEA registration.Practice ownership (CPOM)
Licensee-only ownership required — No statute sets out an NP practice-entity ownership pathway; Michigan generally prohibits nonphysician-owned entities from practicing medicine
This ownership question is legally distinct from the clinical delegation agreement above.Supervision ratio
Not codified — left to the practice agreement
Meeting cadence
Annually
The delegating physician must review and update the written authorization/collaborative practice agreement on an annual basis after the original or amended date; the agreement itself must provide for 'systematic formal planning and evaluation meetings' between physician and NP, with no fixed interim cadence codified beyond that annual review.Written agreement
Required
Unconditional — a written delegation/collaborative practice agreement with a physician is required for as long as the NP practices; the delegating physician must review and update it at least annually (Mich. Admin. Code R 338.2411).$600–$900/mo
Estimated NP supervision cost in Michigan
Available Supervising Physicians in Michigan
Browse supervising physicians open to new collaborations near you.