CRNA · Tennessee
Collaborative Practice Agreement for Certified Registered Nurse Anesthetists in Tennessee
Yes, a written physician agreement is required. Tennessee does not name a specific instrument.
This research pass could not independently confirm TN's CMS Medicare opt-out status or the exact CRNA-specific supervision standard — treated conservatively as supervised given TN's generally strict physician-oversight posture toward mid-level providers elsewhere in this dataset, but this is an inference, not a confirmed finding. Verify directly with AANA/CMS before relying on this.
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 · no controlled-substance authority
This research pass could not confirm whether TN CRNAs hold independent prescriptive/DEA authority (as opposed to administering anesthesia-related drugs under facility protocol) — set to False as the conservative default rather than assumed; verify with the Board of Nursing before relying on this.
Written agreement
Required
Whether TN requires a specific written document for CRNA supervision (as opposed to a facility-based anesthesia protocol) was not confirmed in this research pass.
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Same general framework as the `pa`/`np` entries — not independently confirmed for CRNA-specific nursing PCs in this pass.
Legal sources for these rules (1)
What a collaborating physician costs here
Typical monthly cost in Tennessee
$500 – $600
Estimate for one Certified Registered Nurse Anesthetist. This state's proximity rules add a small premium.
About Tennessee's rules
TN is a restricted-practice state for NPs — no independence pathway exists. Physicians must personally review ≥20% of an APRN's charts every 30 days (100% of controlled-substance charts) and visit remote practice sites in person every 30 days. TN has an explicit, unambiguous corporate-practice-of-medicine ban (statute, case law, and AG opinions; TCA § 63-6-204) — a professional corporation may practice only a single profession.
Other clinicians in Tennessee: see the state overview.