CRNA · Nevada
Collaborative Practice Agreement for Certified Registered Nurse Anesthetists in Nevada
Yes, a written physician agreement is required. Nevada does not name a specific instrument.
Unlike NP/CNM/CNS, Nevada explicitly requires CRNAs to practice under physician supervision — NRS 632.2397 requires supervision by a physician (Ch. 630 or 633) to order, prescribe, possess, or administer controlled substances, poisons, dangerous drugs, and devices. Nevada is not among the states permitting independent CRNA practice.
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
Not codified — left to the agreement
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
Separate prescribing terms required · controlled substances permitted
May order, prescribe, possess, or administer controlled substances only under physician supervision (§ 632.2397); requires a separate Board of Pharmacy controlled-substance registration.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional entity under NRS Ch. 89, owned only by licensees of the profession rendered (§ 89.070). Unlike full-practice-authority NPs, CRNAs were not identified in this research pass as an eligible independent-owner category given the supervision requirement above.
Legal sources for these rules (3)
- Nev. Rev. Stat. § 632.2397 — Certified Registered Nurse Anesthetist; Authorized Practice; Prohibited Acts
- Nevada Legislature — Regulation R060-23 (2023 CRNA terminology/registration update)
- AANA — Nevada state practice pagesecondary
What a collaborating physician costs here
Typical monthly cost in Nevada
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. This state's proximity rules add a small premium.
About Nevada's rules
Nevada has an active corporate-practice-of-medicine doctrine (NRS 89.070) limiting professional-entity ownership to the licensed profession rendering the service — a full-practice-authority NP may independently own a med-spa-type entity, but PAs are not enumerated as eligible owners. NPs/CNMs/CNSs share a 2,000-hour APRN practice-authority threshold (NRS 632.237); CRNAs are separately and explicitly supervised (NRS 632.2397).
Other clinicians in Nevada: see the state overview.