Registered Nurse Cheat Sheet for Pennsylvania
Requirements for Supervising Physician agreements in Pennsylvania, plus a free agreement builder tailored to Pennsylvania law.
Provider supervision requirements in Pennsylvania
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.
Pennsylvania has no independent-practice pathway for CRNPs — SB 25-style full-practice-authority bills have been introduced every session without passing. PA (physician assistant) reform via Acts 78/79 of 2021 removed prior Board pre-approval of written agreements and the flat 100%-countersignature rule after the first year, but a written agreement and supervision remain mandatory. PA is a CPOM state: only licensed physicians may own a medical professional corporation.
Registered Nurse
RNs (general licensure, not an APRN) are not subject to physician-supervision or collaborative-agreement requirements in Pennsylvania under the Professional Nursing Law — RN practice is independent within the scope of professional nursing, distinct from the CRNP/CNM/CNS collaborative-agreement regimes 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 Pennsylvania; they administer medications only as ordered by an authorized prescriber.Practice ownership (CPOM)
Licensee-only ownership required — Same physician-only ownership regime governs any clinical PC an RN might practice through, but non-clinical businesses (staffing, home health) fall outside that regime entirely and carry no ownership restriction.
For medical-aesthetics (med-spa) businesses, an RN performs delegated laser/injectable procedures under physician delegation (a Medical Director) rather than independent RN authority — ownership and clinical-delegation authority are separate questions.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 is never subject to physician supervision or a collaborative agreement, unlike the APRN/PA categories above.Legal sources
63 P.S. § 211 et seq. — Professional Nursing Law
$400–$600/mo
Estimated RN supervision cost in Pennsylvania
Available Supervising Physicians in Pennsylvania
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