NP · Nebraska
Collaborative Practice Agreement for Nurse Practitioners in Nebraska
Yes, a written physician agreement is required. Nebraska calls it a Transition-to-Practice Arrangement.
LB 107 (2015) replaced an ongoing collaborating-physician relationship with this one-time 2,000-hour threshold (§ 38-2317). The supervising provider during transition may be a physician or another NP with ≥10,000 hours of NP practice. After the threshold, no ongoing agreement is required.
Independent practice requires: ≥2,000 hours of practice under a transition-to-practice, collaborative, integrated, or independent-practice arrangement (or combination), completed in Nebraska or another state.
What the collaboration must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
during the 2,000-hour transition-to-practice period: Available remotely (no on-site requirement)
Supervising provider must be 'readily available for consultation and direction' — no on-site or mile/minute radius standard is codified.
after completing the 2,000-hour threshold: No proximity requirement
No ongoing proximity/availability requirement once independent.
Supervision ratio
Not codified — no cap on file
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Covered by the practice agreement · controlled substances permitted
Requires a federal DEA registration; Nebraska does not issue a separate state controlled-substance registration.
Written agreement
Required
Required only during the pre-threshold transition-to-practice period — an NP who has completed 2,000 qualifying hours needs no ongoing agreement.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional limited liability company under Neb. Rev. Stat. § 21-190 — an NP may independently own a single-discipline nursing-services PLLC; § 21-190 bars multi-discipline ownership (e.g., a physician and NP co-owning one entity across disciplines).
Legal sources for these rules (4)
- Neb. Rev. Stat. § 38-2317 — Nurse Practitioner; Licensure; Requirementssecondary
- Nebraska LB 107 (2015) — Advanced Practice Registered Nurse reformsecondary
- Nebraska DHHS — Statutes Relating to Nurse Practitioner Practice Act
- Neb. Rev. Stat. § 21-190 — Professional Limited Liability Companies (single-discipline restriction)
What a collaborating physician costs here
Typical monthly cost in Nebraska
$500 – $600
Estimate for one Nurse Practitioner. Standard-tier state.
About Nebraska's rules
LB 107 (2015) replaced ongoing APRN physician collaboration with a one-time 2,000-hour transition-to-practice period for nurse practitioners; whether CRNAs and CNSs follow the identical threshold (vs. a different or no threshold) could not be fully confirmed against primary statute text in this pass — verify before relying on those two entries. CNMs remain the most restricted category, unaffected by that reform.
Other clinicians in Nebraska: see the state overview.