Registered Nurse 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.

Registered Nurse

Independent practice

RNs (general licensure, not an APRN) are not subject to a physician-supervision or collaborative-practice-agreement requirement in Michigan. RNs practice under a physician's orders, standing orders, or delegation, consistent with the Michigan Public Health Code's nursing part — categorically different from the APRN delegation 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 Michigan; they administer medications pursuant to the orders of a licensed prescriber.

Practice ownership (CPOM)

Non-licensee ownership permitted — General RN licensure; the physician-only PSC/PLLC 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 Michigan.

Free Supervising Physician Agreement for Michigan

A Michigan-specific Supervising Physician agreement, authored in minutes.

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$400–$600/mo

Estimated RN supervision cost in Michigan

Medium supervisor liability complexity

Available Supervising Physicians in Michigan

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