Article

HAWAII NURSE PRACTITIONER COLLABORATING PHYSICIAN REQUIREMENTS

Hawaii is a full practice authority state where APRNs practice independently without a required collaborating physician. Under HRS §457-8.6, APRNs with APRN-Rx credentials prescribe legend drugs and Schedule II–V controlled substances independently. Obtaining APRN-Rx requires 30 contact hours of advanced pharmacology education. Licenses renew biennially by June 30 of odd-numbered years, requiring 30 CE hours including eight in pharmacology.

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Hawaii APRN collaborative agreement
Hawaii nurse practitioner collaborating physician
HI APRN practice authority
Quick answer

No. Hawaii is a full practice authority state. APRNs practice independently under HRS Chapter 457, with no collaborative agreement or physician supervision required by state law. APRNs holding APRN-Rx credentials prescribe legend drugs and Schedule II–V controlled substances independently after completing 30 contact hours of advanced pharmacology. Some employers or insurance panels may request voluntary collaborative arrangements for credentialing purposes, but these are not state-mandated. APRN licenses renew biennially by June 30 of odd-numbered years through the Hawaii Board of Nursing.

No — not by state law. Hawaii is a full practice authority state. APRNs practice independently without a required collaborating physician under HRS Chapter 457 and Hawaii Administrative Rules Chapter 16-89. APRNs with APRN-Rx credentials independently prescribe legend drugs and Schedule II–V controlled substances under HRS §457-8.6. If you prescribe controlled substances, you also need to satisfy both Hawaii law (HRS Chapter 329) and the DEA rules in 21 C.F.R. Part 1306.

Find a Collaborating Physician in Hawaii

33 verified physicians ready to collaborate · Fees $449–$849/mo

James D, MD
Primary Care
Medical Aesthetics
Medical Weight Loss
+5 more

Dr. James D. is a board-certified Internal Medicine physician with broad experience across inpatient, outpatient, and telehealth practice settings. He currently serves as Staff Internist at US Naval Hospital Guam, where he also holds leadership roles including Department Head of Internal Medicine and Chief Medical Information Officer. His clinical focus centers on adult primary care, chronic disease management, and the care of medically complex patients. Dr. James D. earned his Bachelor of Science from the University of Notre Dame and his Doctor of Medicine from Loyola University Chicago Stritch School of Medicine. He completed his Internal Medicine residency at Naval Medical Center San Diego and has served in diverse operational and clinical roles. His global health work includes participation in Pacific Partnership missions aboard the USNS Mercy and service in resource-limited international settings. In addition to his clinical responsibilities, Dr. James D. has held leadership positions in antibiotic stewardship, inpatient services, and medical informatics. He is actively engaged in healthcare systems improvement and clinical education, and is a member of multiple professional organizations including the American College of Physicians and the American Medical Informatics Association. Areas of Expertise • Adult Primary Care • Chronic Disease Management (Diabetes, Hypertension, Cardiovascular Disease) • Medically Complex Patient Care • Inpatient and Hospital Medicine • Telehealth and Remote Cross-Coverage • Preventive Medicine and Global Health • Antibiotic Stewardship and Quality Improvement • Clinical Informatics and Health Systems Optimization • Military and Operational Medicine • Risk Stratification and Care Coordination • Evidence-Based Internal Medicine Philosophy of Collaboration: Dr. James D. values collaborative, respectful partnerships with nurse practitioners and strongly supports NPs practicing at the top of their license. His approach emphasizes accessibility, structured communication, and thoughtful case review when clinically appropriate. He believes collaboration should enhance both patient safety and provider autonomy. He prioritizes clear expectations, shared clinical reasoning, and timely availability for consultation—particularly in the management of medically complex or high-risk patients. Dr. James D. views collaboration as a professional partnership built on mutual trust and clinical rigor, contributing to safe, high-quality, patient-centered care across inpatient, outpatient, and telehealth environments.

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$499
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Brandi G, MD
Medical Aesthetics
Medical Weight Loss
IV Infusion
+2 more

Emergency Medicine | Virtual Urgent Care Leader | NP-Centered Collaboration About Dr. Brandi G Dr. Brandi G is a board-certified emergency medicine physician with 15+ years of frontline and telehealth experience. She has led virtual urgent care programs and helped build NP-friendly workflows for rapid triage, evidence-based treatment, and smooth handoffs. As a collaborating physician, she’s accessible, practical, and team-first. Dr. G prioritizes clear protocols, quick turnaround on chart reviews, and right-sized oversight that protects NP autonomy while mitigating risk—especially in fast-moving urgent care and telemedicine environments. Areas of Expertise • Urgent Care & ED Triage (adult & adolescent) • Telemedicine & Virtual Urgent Care program design and oversight • Protocols for minor injuries, infections, and cardiac/arrhythmia evaluation • Stabilization & safe disposition (including behavioral health presentations) • Point-of-care diagnostics and risk stratification in resource-variable settings • Collaborative supervision of NPs in high-volume clinics and virtual hubs If you’re seeking a responsive collaborator who understands urgent care realities and telehealth operations, Dr. Brandi G offers a steady partner focused on efficiency, safety, and NP empowerment. ADD $100 FOR CALIFORNIA. NO MULTIPLE NP DISCOUNT FOR CA. CA CANNOT BE USED AS AN ADD-ON STATE REQUIRES REVIEW OF NP'S CV AND PROTOCOLS BEFORE DECIDING TO TAKE THE INTRO MEETING.

Licensed to collaborate with Hawaii nurse practitioners

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$499
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Michael M, MD Psychiatrist
Mental Health
Tele

Board-Certified Psychiatrist | Addiction Medicine & Behavioral Health Specialist | Experienced NP Collaborator About Dr. Michael M. Dr. Michael M. is a highly experienced psychiatrist and addiction medicine specialist with nearly 30 years of expertise across inpatient, outpatient, residential, and community mental health settings. His career began in 1995, collaborating with Advanced Nurse Practitioners in rural mental health clinics in Hawaii, and he has since dedicated his work to improving behavioral health care, chronic pain management, and substance use disorder treatment. Currently, Dr. Michael M. serves as the Medical Director of Behavioral Health Services for Ohana Health Plan, overseeing care for thousands of Medicaid-eligible adults with severe mental illness (SMI/SPMI). He is also the Founder and Medical Director of Recovery Enhanced Medicine Institute (REMI) and Virtual Pain Recovery, offering innovative, multimodal intensive outpatient programs (IOP) for individuals struggling with chronic pain and substance use disorders. Areas of Expertise • Addiction Psychiatry & Substance Use Disorders • Chronic Pain Management & “Pain Recovery” Approach • Dual Diagnosis & Mental Health Disorders • Medication-Assisted Treatment (MAT) & Buprenorphine Therapy • Telehealth & Virtual Behavioral Health Programs • First Responders & Military Mental Health Collaboration with Nurse Practitioners Dr. Michael M. has extensive experience mentoring, supervising, and collaborating with Nurse Practitioners in various behavioral health, addiction, and pain management settings. His leadership in residential treatment centers, telehealth IOPs, and community health programs provides NPs with valuable guidance in managing complex psychiatric and addiction cases. He takes a supportive, educational approach, ensuring that NPs receive the knowledge and confidence needed to establish safe and effective provider-patient relationships. His work as a clinical instructor for the University of Hawaii and University of Washington PA Program further demonstrates his commitment to training the next generation of mental health providers. Leadership & Innovation • Medical Director at Ohana Addiction Treatment Center & Stepstone Connect (National Telehealth IOP) • Consulting Psychiatrist & Addiction Medicine Specialist for the FAA in Hawaii • Assistant Clinical Professor, Department of Psychiatry, University of Hawaii, John A. Burns School of Medicine • Developer of Buprenorphine Treatment Protocols for Chronic Pain & Addiction • Author of Chronic Pain Recovery Workbook for Kaiser Leadership Passion for Expanding Access to Care Dr. Michael M. is dedicated to expanding access to integrated mental health and addiction treatment, particularly through telehealth and rural healthcare collaborations. He actively works with Federally Qualified Health Centers (FQHCs) to bring evidence-based addiction treatment and chronic pain management solutions to underserved communities. With a patient-centered, interdisciplinary approach, Dr. Michael M. is eager to collaborate with Nurse Practitioners and support high-quality, innovative behavioral health and addiction treatment practices.

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See all 33 collaborating physicians in Hawaii
Viktor C, MD
Primary Care
Medical Aesthetics
Medical Weight Loss
+3 more

Dr. Viktor C. is a board-certified Family Medicine physician with more than 15 years of experience in comprehensive outpatient and inpatient medical care. His clinical expertise spans acute, chronic, and preventive care across diverse patient populations, supported by a strong foundation in evidence-based practice and patient-centered medicine. Dr. Viktor C. currently serves as a full-time Hospitalist, where he manages complex medical conditions, coordinates multidisciplinary treatment plans, and provides high-acuity care within fast-paced clinical environments. His extensive inpatient experience is complemented by a decade of telemedicine practice, through which he has delivered accessible, high-quality virtual care to patients across multiple states. In addition to his hospitalist and outpatient work, Dr. Viktor C. is the Founder, CEO, and Cosmetic Injector of a medical spa, where he specializes in aesthetic procedures and non-surgical cosmetic treatments. His leadership in this setting reflects his commitment to innovation, patient safety, and high-quality clinical outcomes. His dual background in medical and aesthetic care uniquely positions him to integrate wellness, chronic disease management, and aesthetic health into a unified patient experience. Dr. Viktor C. has more than 10 years of experience serving as a Collaborating and Supervising Physician for Advanced Practice Providers (APPs). He has worked with Nurse Practitioners and Physician Assistants in outpatient, inpatient, and telehealth environments, providing guidance in clinical decision-making, regulatory compliance, and high-quality patient management. His approach to collaboration emphasizes clear communication, timely support, and adaptable supervision tailored to the APP’s experience and practice needs. With a strong record of clinical leadership, multidisciplinary teamwork, and patient-focused care delivery, Dr. Viktor C. brings deep expertise and a collaborative mindset to every practice setting. He remains committed to advancing high-quality, efficient, and compassionate care across both traditional and innovative models of healthcare. $99 add-on fee applies to any controlled substances

Licensed to collaborate with Hawaii nurse practitioners

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$548
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Veneta S, MD Psychiatrist
Mental Health

Dr. Veneta S. is a board-certified consulting psychiatrist with nearly two decades of clinical experience across outpatient, partial hospitalization (PHP), and residential treatment settings. She specializes in the multidisciplinary diagnosis and treatment of complex psychiatric conditions, including eating disorders in both youth and adults, anxiety and mood disorders, somatoform disorders, and ADHD. Her work reflects a commitment to evidence-based, patient-centered care that considers biological, psychological, and social determinants of mental health. Dr. Veneta S. has collaborated with nurse practitioners in varied clinical environments, including Monte Nido and Queens North Hawaii Primary Care Clinic, helping develop integrated treatment models that expand access to high-quality mental health care. She is passionate about supporting NP-led practices and believes that collaborative care models are essential to meeting the growing demand for mental health services, particularly for underserved populations. Areas of Expertise • Comprehensive Psychiatric Assessment • Eating Disorders (Adolescents and Adults) • Anxiety Disorders (Generalized, Social, Phobic) • Mood Disorders (Depression, Bipolar Spectrum) • Somatoform and Related Disorders • ADHD Across the Lifespan • Partial Hospitalization and Residential Psychiatric Care • Outpatient Psychiatry and Continuity of Care • Multidisciplinary Treatment Planning • Evidence-Based Psychopharmacology • Integrated Behavioral and Supportive Therapies • Collaborative Care with NP and Interdisciplinary Teams • Clinical Consultation and Case Review Philosophy of Collaboration: Dr. Veneta S. believes that optimal mental health outcomes are achieved through strong, respectful collaboration among clinicians, with shared commitment to learning, communication, and patient-centered decision-making. She values the unique contributions of nurse practitioners and advanced practice providers, seeing collaboration not as supervision but as a professional partnership where expertise is shared and amplified. Her approach emphasizes openness, mutual respect, and joint problem-solving, ensuring that every clinician feels supported in delivering safe, effective, and holistic care. Dr. Veneta S. prioritizes clear communication, ongoing education, and structured clinical dialogue, fostering an environment where collaborative teams can thrive and patients receive comprehensive, high-quality treatment. FOR CA ADD $75 NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.

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$574
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Vance W, DO
Primary Care
Medical Aesthetics
Hormone Optimization
+7 more

Hello, I’m a board-certified family physician (DO) with additional degrees in law (JD) and business (MBA). My residency training was completed at Ventura County Medical Center, consistently ranked among the top five family medicine programs in the country. With a multidisciplinary background, I bring a unique perspective to healthcare delivery, emphasizing practical, evidence-based medicine and clear, efficient communication. I’m passionate about collaborating with nurse practitioners, supporting their clinical autonomy, and expanding healthcare accessibility through innovative models such as telehealth.

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$599
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Carolyn B, MD
Primary Care
Tele
Urgent Care
+2 more

Dr. Carolyn B. is a board-certified Internal Medicine physician with extensive experience in general internal medicine, geriatrics, and post-acute long-term care. She brings decades of clinical, academic, and executive leadership experience across hospital, post-acute, occupational health, and telehealth settings. Licensed in more than 30 states, Dr. Carolyn B. is highly skilled in multistate practice and regulatory compliance, making her a strong partner for organizations operating across diverse care environments. Dr. Carolyn B. has held senior leadership roles in large healthcare systems and innovative health technology startups, including serving as Chief Medical Officer for a post-acute care platform and Senior Vice President for one of the nation’s largest skilled nursing operators. Her clinical background includes over a decade as a hospitalist and clinical faculty member at a major teaching hospital, where she provided comprehensive inpatient care while mentoring medical trainees. Currently, Dr. Carolyn B. serves as a Collaborating Physician supporting advanced practice providers in a remote setting and continues to provide occupational and primary care services through locum tenens assignments. Her career reflects a deep commitment to high-quality, coordinated care for aging and medically complex populations, supported by strong technical proficiency in modern healthcare systems and electronic medical records. Areas of Expertise • General Internal Medicine • Geriatrics and Complex Care Management • Post-Acute and Long-Term Care Medicine • Hospital Medicine and Inpatient Services • Occupational Health and Workplace Medicine • Telehealth and Remote Care Delivery • Advanced Practice Provider Supervision • Multistate Medical Practice and Compliance • Skilled Nursing Facility Medical Oversight • Value-Based and Fee-for-Service Care Models • Clinical Operations and Healthcare Leadership • Electronic Health Records (Epic, Cerner, Athenahealth, PointClickCare) • Quality Improvement and Clinical Governance • Chronic Disease Management • Continuing Medical Education and Clinical Training Philosophy of Collaboration: Dr. Carolyn B. believes that strong clinical partnerships are built on mutual respect, accountability, and shared commitment to patient-centered care. She values open communication, clearly defined clinical roles, and consistent adherence to regulatory and quality standards. In her collaborative work with advanced practice providers and multidisciplinary teams, she emphasizes mentorship, accessibility, and continuous improvement. Her approach focuses on aligning clinical excellence with operational efficiency, ensuring that patients receive coordinated, evidence-based care while organizations maintain compliance, scalability, and long-term sustainability.

Licensed to collaborate with Hawaii nurse practitioners

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$449
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David K, MD
Primary Care
Medical Weight Loss
Mens Health TRT
+4 more

Dr. David K. is a dual board-certified physician in Addiction Medicine and Anesthesiology, with extensive experience spanning addiction treatment, pain management, anesthesiology, and clinical education. He currently serves as the Medical Director of Addiction Medicine at Meridian Behavioral Healthcare in Gainesville and Lake City, Florida, where he leads multidisciplinary teams providing care for individuals with substance use disorders. In this role, he supervises several APRNs, overseeing patient management in detoxification, medication-assisted treatment (MAT), primary care integration, and crisis stabilization programs. In addition, Dr. David K. serves as the Medical Director of KED Plasma Center in Gainesville, Florida, where he supervises nurses and medical specialists, ensuring adherence to FDA standards, quality assurance protocols, and patient safety. His prior experience includes serving as a Pain Management Physician and Assistant Professor of Anesthesiology at the Malcom Randall VA Medical Center, where he trained residents in advanced anesthetic procedures, regional blocks, and perioperative care. Areas of Expertise: • Addiction Medicine • Pain Management • Anesthesiology • Behavioral Health Integration • Detoxification & MAT Programs • Laboratory & Quality Management • Clinical Supervision • Medical Education Philosophy of Collaboration: Dr. David K. approach to collaboration centers on communication, mutual respect, and evidence-based decision-making. He believes that strong partnerships between physicians, nurse practitioners, and allied health professionals lead to improved patient outcomes and more cohesive clinical environments. By fostering mentorship, professional growth, and a shared commitment to compassionate care, Dr. David K. strives to build collaborative teams that deliver safe, effective, and patient-centered treatment across all care settings.

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$488
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Shannon H, DO
Mental Health
Primary Care
Tele
+2 more

Dr. Shannon H. is a physician executive and board-certified Pediatrician with extensive experience across pediatric urgent care, pediatric emergency medicine, general pediatrics, and academic medicine. She brings a unique combination of clinical expertise and operational leadership, with a strong focus on scaling healthcare delivery. Her career reflects a commitment to integrating evidence-based medicine with efficient, technology-enabled care models that improve both patient outcomes and provider performance. Dr. Shannon H. earned her Doctor of Osteopathic Medicine from the New York College of Osteopathic Medicine, along with a Master of Biomedical Sciences from the University of Medicine and Dentistry of New Jersey and a Bachelors of Science from Indiana University. Her clinical background includes serving as a pediatric emergency medicine attending at Mount Sinai South Nassau, a medical director at PM Pediatrics, and as a general pediatric attending, where she developed a strong foundation in both acute and longitudinal pediatric care. In addition, she has experience in Pediatric Telehealth, expanding her ability to deliver timely, accessible care across a variety of clinical settings. She has also held academic appointments, contributing to the education of medical students and trainees with a focus on evidence-based practice and clinical excellence. Currently serving as physician executive in c-suite roles, Dr. Shannon H. leads operational strategy for a pediatric telehealth organization, overseeing clinical infrastructure, workforce development, and multi-state compliance. When she previously served as Medical Director at PM Pediatrics, she built and managed a national telemedicine network of over 350 providers, supporting large-scale expansion, accreditation, and quality initiatives. Her leadership experience includes implementing KPI-driven performance systems, optimizing provider productivity, and integrating digital platforms to streamline care delivery. She is licensed in over 40 U.S. states and is experienced in navigating complex regulatory environments, including HIPAA and multi-state telehealth compliance. Areas of Expertise: • Pediatric Medicine & Urgent Care • Emergency Medicine & Acute Care • Telemedicine & Digital Health Operations • Healthcare Operations & Clinical Leadership • Multi-State Regulatory Compliance & Licensure • KPI Development & Performance Management • Provider Workforce Scaling & Productivity Optimization • Clinical Quality Improvement & Accreditation (URAC, CLIA) • Evidence-Based Medicine & Clinical Education • Technology Integration in Healthcare Delivery Philosophy of Collaboration: Dr. Shannon H. believes that effective collaboration is essential to delivering scalable, high-quality healthcare in today’s evolving clinical landscape. She values a team-based approach that empowers Nurse Practitioners and multidisciplinary providers through clear communication, shared accountability, and access to the tools and systems needed for success. As a physician leader, she is deeply committed to mentorship, education, and professional development, fostering an environment where providers can grow clinically while maintaining autonomy. She emphasizes the importance of aligning clinical excellence with operational efficiency, ensuring that care delivery remains both patient-centered and sustainable. Dr. Shannon H.’s collaborative approach is grounded in building high-performing teams, leveraging data-driven insights, and creating systems that support consistency, quality, and innovation across all levels of care. FOR CA ADD $100, NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.

Licensed to collaborate with Hawaii nurse practitioners

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$494
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Feras H, MD
Mental Health
Primary Care
Medical Weight Loss
+7 more

Board-Certified Family Medicine Physician | Multi-State Telemedicine & Urgent Care Leader Dr. Feras H is a dynamic, board-certified Family Medicine physician with extensive experience spanning urgent care, telemedicine, primary care, psychiatry, and weight management. Licensed in 32 states, he has successfully managed high-volume patient care both in-person and virtually, delivering acute, chronic, and preventive care to diverse populations. With a strong track record of supervising advanced practice providers, Dr. H fosters collaborative, team-based care models that prioritize communication, trust, and shared clinical decision-making. His experience includes mentoring nurse practitioners in both urgent care and primary care environments, ensuring they have the support and guidance needed to deliver safe, high-quality care. Dr. H is also skilled in addressing mental health concerns, integrating psychiatric evaluation and medication management into his family medicine practice. This includes supporting patients with depression, anxiety, ADHD, and other behavioral health conditions through a holistic and individualized approach. Areas of Expertise: • Urgent Care & Emergency Triage • Telemedicine & Multi-State Virtual Care • Primary Care & Chronic Disease Management • Mental Health Assessment & Treatment (Depression, Anxiety, ADHD) • Lifestyle Medicine & Weight Management • Clinical Leadership & NP Supervision • Preventive Medicine & Patient Education

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$498
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Ryan G, MD Psychiatrist
Mental Health

Dr. Ryan G. is a board-certified general psychiatrist with extensive experience practicing across a wide range of clinical and cultural settings. Her background includes work in inpatient psychiatry, emergency and consult-liaison psychiatry, outpatient psychiatry, and telepsychiatry, providing her with a comprehensive understanding of psychiatric care across the full continuum of treatment. Throughout her career, Dr. Ryan G. has cared for diverse patient populations, including individuals in remote and underserved communities, tribal populations, and patients with complex psychiatric and medical needs. Her clinical expertise is particularly focused on the treatment of psychosis, severe and persistent mental illness, and psychiatric symptoms arising from underlying medical conditions. This breadth of experience has equipped her to manage challenging diagnostic presentations and complex treatment scenarios while maintaining a patient-centered, evidence-based approach. Dr. Ryan G. values thoughtful clinical decision-making, individualized treatment planning, and collaborative care models that support both patient outcomes and provider development. Her experience across multiple practice settings allows her to provide practical guidance and support for clinicians working with a broad range of psychiatric conditions. Areas of Expertise • General Adult Psychiatry • Psychosis & Schizophrenia Spectrum Disorders • Severe & Persistent Mental Illness (SPMI) • Consult-Liaison Psychiatry • Emergency Psychiatry • Inpatient Psychiatry • Outpatient Psychiatry • Telepsychiatry • Psychiatric Manifestations of Medical Conditions • Complex Diagnostic Assessment • Underserved & Rural Mental Health Populations • Collaborative Psychiatric Care Philosophy of Collaboration Dr. Ryan G. believes that successful physician–NP collaboration is built on a balance of independence, accountability, and mutual respect. She values creating an environment where advanced practice providers can exercise clinical autonomy while knowing they have reliable support and oversight when needed. Her collaborative approach emphasizes open communication and the importance of recognizing when consultation can enhance patient care. She appreciates clinicians who are thoughtful, self-aware, and willing to seek guidance on challenging cases. At the same time, she supports independent clinical judgment and encourages professional growth through shared learning and discussion. Dr. Ryan G. believes that if a treatment plan is safe, clinically sound, evidence-based, and within accepted standards of care, it deserves consideration and support—even when approaches may differ from her own personal experience. She views collaboration as an opportunity for continuous learning on both sides and strives to foster professional relationships built on trust, clinical rigor, and a shared commitment to providing high-quality psychiatric care. FOR CA NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.

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Jane S, MD
Primary Care

Dr. Jane S. is a board-certified Family Medicine physician with over 30 years of continuous outpatient clinical practice, primarily serving vulnerable and medically underserved populations. She is also board certified in Obesity Medicine and maintains multi-state licensure, allowing her to support care delivery across diverse geographic regions. Dr. Jane S. has held leadership roles including Medical Director, Chief Medical Officer, practice founder, and co-owner. She currently leads an advanced primary care model delivering virtual preventive services, chronic disease management, and acute care, with strong emphasis on quality metrics, behavioral health integration, and equitable access. She played a pivotal role in achieving NCQA Patient-Centered Medical Home recognition for a fully virtual practice and has extensive experience in workflow development, regulatory compliance, and interdisciplinary team leadership. Throughout her career, Dr. Jane S. has remained committed to evidence-based medicine guided by published clinical standards. Her professional mission centers on expanding healthcare access, improving care coordination, and delivering patient-centered services across both in-person and telehealth platforms. Areas of Expertise • Comprehensive Outpatient Family Medicine • Chronic Disease Management • Preventive Health and Evidence-Based Care • Obesity Medicine and Metabolic Health • Care for Vulnerable and Underserved Populations • Telehealth and Virtual Primary Care Delivery • Quality Improvement and Performance Metrics • NCQA Patient-Centered Medical Home Development • Behavioral Health Integration • Workflow Design and Clinical Operations • Medical Directorship and Regulatory Oversight • Interdisciplinary Team Leadership Philosophy of Collaboration: Dr. Jane S. values collaborative, respectful partnerships with Advanced Practice Clinicians and has worked alongside APCs throughout her career. She enjoys mentoring, teaching, and uplifting the work of nurse practitioners and physician assistants, helping them practice confidently and effectively within evidence-based frameworks. Her collaborative approach emphasizes clear communication, guideline-driven care, and coordinated team-based decision-making. She supports APCs practicing at the top of their license while maintaining shared accountability for patient safety, quality metrics, and continuity of care. Dr. Jane S. believes collaboration strengthens both access and outcomes—especially for vulnerable populations. By fostering supportive professional relationships and structured clinical oversight, she helps build sustainable care models that prioritize health equity, operational efficiency, and compassionate, patient-centered medicine. ADD $100 FOR CA AND MO. CA AND MO MAY NOT BE USED AS ADD-ON STATES AND NOT ELIGIBLE FOR MULTI-NP DISCOUNTS.

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$499
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Swara A, MD
Medical Weight Loss
IV Infusion
Hormone Optimization
+1 more

Dr. Swara A. is a board-certified Internal Medicine physician with over a decade of clinical experience spanning hospital medicine, telemedicine, subacute rehabilitation, and mobile concierge care. She specializes in metabolic health, hormonal optimization, and regenerative longevity, integrating traditional internal medicine with advanced functional and preventive strategies. Dr. Swara A. completed her Internal Medicine residency at the University of Tennessee Medical Center in Knoxville and has practiced in high-acuity academic and community settings, including Monmouth Medical Center and Princeton Medical Center. Her experience ranges from complex inpatient hospitalist care to long-term chronic disease management and telehealth-based primary care delivery. She holds advanced certifications through the American Academy of Anti-Aging Medicine (A4M) in peptide therapy and GLP-1–based weight management protocols, with focused expertise in women’s hormonal health. Her clinical approach addresses perimenopause and menopause transitions proactively—optimizing mood, sleep, metabolic performance, and cognitive clarity before conventional medicine typically intervenes. She currently serves in medical directorship and multi-state collaborative roles, supporting NP-led and telemedicine-based care models across multiple jurisdictions. Dr. Swara A. combines clinical depth with systems-level leadership and multi-state practice capability, making her uniquely positioned for longevity-focused and advanced metabolic care platforms. Areas of Expertise • Metabolic Health Optimization • GLP-1 Protocols and Weight Management • Peptide Therapy and Regenerative Medicine • Perimenopause and Menopause Optimization • Hormonal Calibration and Women’s Health • Longevity and Preventive Medicine • Inpatient and Hospital Medicine • Subacute and Rehabilitation Care • Telemedicine and Multi-State Practice • Chronic Disease Management • Medical Directorship and Clinical Protocol Development • Multidisciplinary Care Coordination Philosophy of Collaboration: Dr. Swara A. values disciplined, structured, and respectful collaboration with nurse practitioners and advanced practice providers. Having served as a multi-state collaborative physician, she emphasizes clear communication, defined clinical protocols, and thoughtful case review—particularly when managing hormonal therapies, peptide protocols, and metabolic interventions that require precision and monitoring. She supports NP-led practices by remaining accessible for consultation, ensuring regulatory compliance, and reinforcing evidence-based decision-making within innovative longevity models. Her collaborative philosophy balances autonomy with oversight, empowering advanced practice providers to deliver high-quality, patient-centered care while maintaining safety, consistency, and clinical rigor. Dr. Swara A. views collaboration as a strategic partnership—one that strengthens patient outcomes, promotes long-term health optimization, and upholds the highest standards of modern internal and regenerative medicine. ADD $100 FOR MISSOURI. MO MAY NOT BE USED AS AN ADD-ON STATE AND IS NOT ELIGIBLE FOR A MULTIPLE NP DISCOUNT. Schedule III - $200

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Troy R, MD
Mental Health
Primary Care
Womens Health
+1 more

Dr. Russell is a board-certified physician in both Family Medicine and Obesity Medicine, with extensive experience in primary care and a focused expertise in obesity management. Since 2016, he has been practicing as an attending physician, delivering high-quality adult acute care, chronic disease management, and preventive services. With a strong foundation in evidence-based medicine and a commitment to the USPSTF guidelines, Dr. Russell approaches patient care through a lens of clinical rigor and personalized treatment. His scope of practice emphasizes the management of complex chronic conditions, with a particular focus on metabolic health and long-term weight management strategies. Dr. Russell has worked in both academic and community health center settings, gaining valuable experience in diverse clinical environments before transitioning into full-time telemedicine. Currently serving in a senior leadership role, Dr. Russell balances clinical excellence with strategic oversight, offering asynchronous flexibility and availability during late afternoons, evenings, and weekends. Throughout their career, Dr. Russell has collaborated closely with nurse practitioners and physician assistants, supporting team-based care through one-on-one mentorship, chart reviews, and real-time clinical consults.

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$499
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Fahad A, MD
Primary Care
Medical Weight Loss
Tele
+1 more

Dr. Fahad A. is a board-certified Family Medicine physician with over 11 years of clinical experience providing comprehensive care across a wide variety of healthcare settings, including primary care, urgent care, inpatient medicine, rehabilitation facilities, nursing homes, and telemedicine. He earned his medical degree from the Temple University School of Medicine in 2012 and completed his Family Medicine residency at Chestnut Hill Hospital. Throughout his career, Dr. Fahad A. has built a well-rounded clinical foundation caring for diverse patient populations in both acute and longitudinal care environments. Over the past three years, Dr. Fahad A. has focused primarily on telemedicine, providing accessible, patient-centered care in urgent care medicine, hormone replacement therapy (HRT), men’s health, weight management, and primary care services. His experience in virtual care has allowed him to develop efficient, practical, and highly adaptable care models that prioritize both clinical quality and patient convenience. Dr. Fahad A. values balanced, sustainable healthcare delivery and understands the importance of maintaining both professional excellence and personal well-being. His collaborative experience with nurse practitioners throughout his career has reinforced his belief that team-based care is essential to improving healthcare access and patient outcomes. Areas of Expertise • Telemedicine and virtual care delivery • Urgent care and acute outpatient management • Primary care and preventive medicine • Men’s health and hormone replacement therapy (HRT) • Weight loss and metabolic health management • Chronic disease management • Rehabilitation and post-acute care • Nursing facility and geriatric care • Outpatient family medicine • Clinical workflow efficiency and patient-centered care • Collaborative practice with nurse practitioners and multidisciplinary teams Philosophy of Collaboration Dr. Fahad A. believes the best healthcare outcomes are achieved through respectful, team-based collaboration built on communication, trust, and shared clinical responsibility. Having worked alongside nurse practitioners across multiple care settings throughout his career, he values the important role NPs play in expanding access to high-quality healthcare. His collaboration style is approachable, practical, and supportive. He prioritizes accessibility, timely communication, and clear clinical guidance while respecting NP autonomy and individual clinical judgment. Dr. Fahad A. aims to foster partnerships that feel collaborative rather than restrictive, creating an environment where providers feel supported and confident in delivering patient care. With experience across inpatient, outpatient, urgent care, rehabilitation, nursing home, and telemedicine settings, Dr. Fahad A. brings a flexible and well-rounded perspective to collaborative practice. His goal is to help NP-led practices operate efficiently, safely, and compliantly while maintaining a strong focus on patient-centered care and sustainable clinical workflows. FOR CA AND MO ADD $75 NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.

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Jerry C, DO
Medical Aesthetics
Medical Weight Loss
Mens Health TRT
+5 more

Dr. Jerry C. is a highly experienced, multi-state licensed physician with nearly three decades of clinical expertise in emergency medicine, telemedicine, and integrative care. He is licensed in all 50 states and Washington, DC, and brings extensive regulatory knowledge and operational leadership to every collaboration. After spending almost 25 years in high-volume emergency departments across the country, Dr. Jerry C. transitioned into telemedicine and wellness-focused medicine, where he now serves as a Medical Director for multiple national organizations. His career reflects a strong commitment to clinical excellence, compliance, and patient-centered innovation. Dr. Jerry C. currently provides telemedicine services across multiple platforms, focusing on men’s health, hormone optimization, medical cannabis, weight management, alternative therapies, and acute care. He has held leadership roles in both rural and urban settings, including Site Medical Director and long-term nocturnal attending positions at major hospital systems. In addition to his clinical practice, he has an extensive background in medical education, EMS leadership, and protocol development at regional and state levels. With licensure in all U.S. states and multiple DEA registrations, Dr. Jerry C. is well-versed in regulatory standards and interstate medical practice. He is known for his ability to onboard partners efficiently, support operational growth, and ensure ongoing compliance in evolving telehealth and wellness environments. Areas of Expertise • Emergency Medicine (25+ Years of High-Volume Clinical Practice) • Telemedicine and Multistate Medical Operations • Medical Direction and Clinical Governance • Hormone Replacement Therapy (HRT/TRT) • Peptide and Integrative Medicine • GLP-1 and Medical Weight Management • Men’s Health and Performance Optimization • Medical Cannabis Certification and Management • Acute Care and Urgent Telehealth Services • Long COVID and Vaccine Injury Management • Regulatory Compliance and Risk Management • EMS Medical Oversight and Protocol Development • Physician Education and Clinical Preceptorship Philosophy of Collaboration: Dr. Jerry C. believes that successful healthcare partnerships are built on transparency, regulatory integrity, and mutual accountability. He values proactive communication, clear operational structures, and adherence to federal and state regulations, including evolving telemedicine standards. His collaborative approach emphasizes protecting patient safety, supporting business scalability, and maintaining long-term compliance. As a seasoned medical director, he works closely with organizations to streamline onboarding, optimize clinical workflows, and foster sustainable growth. Dr. Jerry C. views collaboration as a strategic partnership—one grounded in trust, clinical excellence, and shared responsibility for delivering high-quality, ethical care. ADD $100 FOR CA AND GA. CA AND GA MAY NOT BE USED AS ADD-ON STATES AND ARE NOT ELIGIBLE FOR A MULTIPLE NP DISCOUNT.

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$524
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Markus P, MD Psychiatrist
Mental Health

Board-Certified Psychiatrist | Forensic, Brain Injury & Addiction Specialist Dr. Markus P is a highly credentialed psychiatrist with extensive clinical, academic, and leadership experience in psychiatry, forensic psychiatry, brain injury medicine, integrative medicine, and addiction medicine. Licensed across multiple U.S. states and Canada, he brings an exceptional breadth of expertise to collaborative practice. He currently serves as a Staff Psychiatrist for the State of California and holds leadership roles as Medical Director and Chief Innovation Officer with private clinics, while also teaching as an Assistant Clinical Professor at UC Riverside. His career has spanned high-acuity forensic psychiatry, correctional psychiatry, community mental health, and integrative approaches to psychiatric care. Dr. P has published widely on psychiatry, pain medicine, integrative health, neuromodulation, and the intersection of law and medicine, reflecting his rare combination of medical and legal expertise. He is also a member of the New York and DC Bar, bringing an additional dimension of insight into medico-legal and forensic considerations. Areas of Expertise • Psychiatry (General, Forensic, Correctional, Integrative) • Brain Injury Medicine & Neuropsychiatry • Addiction Medicine & Co-Occurring Disorders • Forensic Psychiatry (court evaluations, medico-legal consultation) • Pain Medicine & Integrative Mental Health Approaches • Academic Leadership & Teaching (UC Riverside, UBC) • Nurse Practitioner Collaboration & Telepsychiatry

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$548
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Lance D, MD Psychiatrist
Mental Health

Dr. Lance D. is a triple board-certified psychiatrist in General Psychiatry, Child and Adolescent Psychiatry, and Addiction Medicine, with over a decade of clinical experience across inpatient, outpatient, community, and military healthcare settings. He brings a comprehensive and patient-centered approach to mental health care, managing a wide spectrum of psychiatric conditions across diverse populations. Dr. Lance D. currently serves as a Medical Director in multiple clinical environments, where he provides clinical leadership, ensures high standards of care, and supports multidisciplinary teams in delivering evidence-based treatment. Throughout his career, Dr. Lance D. has developed extensive experience in telehealth and multi-state practice, holding active medical licenses in 27 states and DEA registrations in 11 states. His clinical work is complemented by a strong commitment to education and mentorship, having supervised and guided numerous nurse practitioners and advanced practice providers. His background also includes service as a psychiatrist in the U.S. Army Reserve, which has strengthened his leadership, adaptability, and ability to perform effectively in high-pressure and dynamic environments. Dr. Lance D. is known for his approachable and collaborative practice style, prioritizing clear communication, accessibility, and timely support for both patients and colleagues. He fosters a clinical environment that balances autonomy with accountability, ensuring safe, high-quality psychiatric care while empowering providers to grow professionally. Areas of Expertise • General Psychiatry Across the Lifespan • Child & Adolescent Psychiatry • Addiction Medicine & Substance Use Disorders • Telepsychiatry & Multi-State Practice • Medication Management & Psychopharmacology • Collaborative Care with Nurse Practitioners • Inpatient, Outpatient & Community Mental Health • Military & High-Stakes Clinical Environments • Clinical Leadership & Medical Directorship • Mentorship & Advanced Practice Provider Supervision Philosophy of Collaboration: Dr. Lance D. views collaboration as the foundation of effective psychiatric care and long-term professional success. He is deeply committed to building supportive, collegial relationships with nurse practitioners and other healthcare providers, emphasizing open communication, mutual respect, and shared clinical responsibility. His approach ensures that providers feel both empowered in their autonomy and supported in complex clinical decision-making. With extensive experience supervising and mentoring advanced practice providers, Dr. Lance D. prioritizes timely availability, responsiveness, and practical guidance. He encourages continuous learning, evidence-based discussions, and thoughtful clinical reasoning to enhance both patient outcomes and provider confidence. His military background further reinforces his reliability, teamwork, and commitment to supporting colleagues in demanding environments, making him a dependable and collaborative partner in any clinical setting. FOR CA ADD $100, NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.

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Jeffrey E, MD
Medical Aesthetics
Medical Weight Loss
Mens Health TRT

Dr. Jeffrey E. earned his medical degree from the University of California, Davis and completed residency training at the University of California, San Francisco (UCSF), where he later served on faculty as Assistant and Associate Professor in Laboratory Medicine and Pharmaceutical Chemistry. His early career included extensive biomedical research, with over forty peer-reviewed publications in leading scientific journals and multiple patents in molecular biology and gene expression technology. Over the past 15 years, Dr. Jeffrey E. has focused on weight loss medicine, hormone replacement therapy (HRT/BHRT), regenerative and anti-aging protocols, and aesthetic medicine. He completed fellowship training in Anti-Aging and Regenerative Medicine through the American Academy of Anti-Aging and Regenerative Medicine (A4M). An early adopter of GLP-1 therapy, he has treated more than a thousand patients with GLP-1–based weight management protocols and remains actively engaged in metabolic optimization strategies. His career also includes ten years in community clinic medicine serving underserved populations, as well as multiple Medical Director roles overseeing compliance, staff training, and clinical protocol development in integrative and aesthetic practices across multiple states. Areas of Expertise • GLP-1–Based Weight Loss Therapy • Hormone Replacement Therapy (HRT/BHRT) • Metabolic Optimization and Age Management • Integrative and Functional Medicine • Peptide and Regenerative Medicine Approaches • Aesthetic Medicine and Neuromodulator Oversight • Erectile Dysfunction and Men’s Health Optimization • Complex Chronic Illness and Fatigue Syndromes • Community-Based Primary Care • Medical Directorship and Regulatory Compliance • Clinical Protocol Development and Staff Training Philosophy of Collaboration: Dr. Jeffrey E. values structured, clinically sound collaboration rooted in education, mentorship, and patient safety. Having served as a clinical preceptor for nurse practitioner programs and as Medical Director for multiple integrated practices, he emphasizes training, thoughtful oversight, and clear clinical protocols—particularly in areas such as hormone optimization and GLP-1 prescribing where nuance and monitoring are critical. He supports nurse practitioners practicing at the top of their license and believes collaboration should enhance both provider confidence and patient outcomes. His approach balances autonomy with accountability, ensuring that treatment strategies are evidence-informed, metabolically sound, and aligned with long-term health goals. Dr. Jeffrey E. views collaboration as an ongoing professional partnership—one that strengthens clinical decision-making, advances best practices in longevity medicine, and delivers disciplined, high-quality, patient-centered care. FOR CA ADD $25 NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.

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Jonathan H, DO
Primary Care
Medical Aesthetics
Medical Weight Loss
+6 more

Dr. Jonathan H. is a board-certified Maternal-Fetal Medicine specialist with over 30 years of clinical and leadership experience in women’s health, aesthetics, and regenerative medicine. He currently serves as the Medical Director of RNR Aesthetics & Potomac Performance in Bethesda, Maryland, where he leads a multidisciplinary team delivering advanced wellness and regenerative therapies including hormone optimization, peptide therapy, weight management, IV therapy, and aesthetic procedures. Dr. Jonathan H. also serves as the Medical Director at Richmond Maternal-Fetal Medicine, overseeing strategic operations, patient safety, and performance initiatives. Prior to his current roles, Dr. Jonathan H. served as Assistant Medical Director at Maryland Perinatal Associates, where he co-led eight physicians across multiple sites, supported high-volume patient operations, and advanced quality and compliance standards in maternal-fetal medicine. His leadership and clinical expertise reflect a deep commitment to improving both patient outcomes and organizational efficiency. Areas of Expertise: • Maternal-Fetal Medicine and Obstetrics • Regenerative and Integrative Health Therapies • Bio-Identical Hormone Replacement Therapy (BHRT) • Peptide Therapy and Weight Management • Aesthetic and Anti-Aging Medicine • Medical Operations and Clinical Leadership • Quality Improvement and Regulatory Compliance Philosophy of Collaboration: Dr. Jonathan H. believes in the power of physician-led collaboration to elevate patient care and professional growth. His approach centers on mutual respect, open communication, and evidence-based practice, fostering a supportive environment where both physicians and advanced practice providers can thrive. He values partnerships that align innovation with patient-centered wellness, ensuring care that is both comprehensive and compassionate. ADD $50 FOR CA. NO MULTIPLE NP DISCOUNT FOR CA and CANNOT BE ADDED AS AN ADD-ON STATE. ADD $50 FOR SCHEDULE III

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Stephen P, MD
Primary Care
Medical Weight Loss
Mens Health TRT
+5 more

MD, MBA – Emergency Medicine Leader | NP/PA Advocate | Military-Trained Collaborator Dr. Stephen P. is a board-certified emergency medicine physician with over 20 years of clinical experience and an extensive track record of NP and PA collaboration in high-volume, high-acuity settings. He currently serves as Chief of Emergency Medicine at a 75,000-visit hospital in San Antonio, leading a service line that includes more than 50 advanced practice providers. Dr. P.’s background includes military training through the USAF and an academic role at the Brook Army Medical Center, where he helped train the next generation of military NPs and PAs. He has served as an emergency department and inpatient medical director, and his leadership roles have spanned both hospital systems and urgent care networks. Dr. P. is known for his approachable, team-first leadership style and his ability to balance clinical excellence with operational efficiency. He is deeply committed to helping NPs thrive in their independent practices and believes in supporting collaboration that mitigates risk and fosters professional growth. Areas of Expertise • Emergency Medicine & Trauma Care • Military and Civilian NP/PA Collaboration • Leadership in High-Volume EDs & Urgent Care • Process Optimization & Risk Mitigation • NP Mentorship & Team-Based Care Dr. Stephen P. enjoys working with nurse practitioners and brings a relaxed, collaborative energy to every interaction. He values trust, transparency, and having fun while doing meaningful work together.

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Nauman R, MD
Mental Health
Primary Care
Medical Weight Loss
+5 more

Board-Certified in Emergency Medicine | Experienced Medical Director | NP Mentor in Acute, Telemedicine & ICU Settings Dr. Nauman R. is a board-certified emergency medicine physician with over a decade of experience across emergency departments, hospitalist medicine, ICU, and telemedicine. He completed his Emergency Medicine residency at Lincoln Medical and Mental Health Center (Weill Cornell) in New York, where he served as Chief Academic Resident. He also completed Internal Medicine training at Good Samaritan Hospital in Cincinnati. Dr. R. has held leadership roles including ED Medical Director and Director of Research at a major residency program. His background spans diverse environments—from high-volume trauma centers to virtual care and ICU medicine—where he has consistently worked alongside nurse practitioners, offering support, supervision, and mentorship. Known for his team-based approach, Dr. R. values collaboration, clear communication, and clinical excellence. He is actively involved in medical education and professional societies including ACEP and SAEM. Areas of Expertise • Emergency & Acute Care Medicine • Hospitalist & ICU Management • Telemedicine & Virtual Primary Care • Clinical Supervision & NP Collaboration • Research, Teaching & Academic Leadership • Mental Health & Crisis Intervention • Advanced Trauma Life Support (ATLS) Instruction Dr. Nauman R. brings seasoned clinical judgment and a commitment to collaborative care that supports nurse practitioners in delivering high-quality, evidence-based treatment.

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Emill L, MD
Mental Health
Primary Care
Medical Aesthetics
+9 more

Dual Board-Certified in Internal Medicine & Obesity Medicine | Experienced Medical Director | Telehealth & Mental Health Expertise About Dr. Emill L. Dr. Emill L. is a dual board-certified physician in Internal Medicine and Obesity Medicine with over 15 years of experience across hospital medicine, telehealth, and outpatient care. Originally from Santo Domingo, Dominican Republic, Dr. L. graduated summa cum laude from Iberoamerican University and completed his residency at Lincoln Medical Center in New York, affiliated with Weill Cornell Medical College. Dr. L. has held numerous leadership roles including Chief of Medicine and Director of Hospital Medicine at AdventHealth Heartland Division, where he also served as faculty for both Internal Medicine and Family Medicine residency programs. His clinical work includes experience in adult mental health, particularly managing anxiety, depression, and complex chronic disease with behavioral health components. He is certified as a Healthcare Executive Leadership Fellow and formerly board-certified in Health Care Quality and Management with a subspecialty in Physician Advising. Currently licensed in all 50 states, Washington D.C., and Puerto Rico, Dr. L. offers highly accessible telehealth collaboration. Fluent in both English and Spanish, he brings a multicultural, patient-centered approach to care and collaboration. Areas of Expertise • Internal Medicine & Chronic Disease Management • Obesity Medicine & Lifestyle Interventions • Adult Mental Health (Depression, Anxiety, Insomnia) • Hospitalist & Acute Care Experience • Telemedicine & Multi-State Clinical Oversight • NP Supervision & Interdisciplinary Collaboration • Bilingual Care (English & Spanish) • Training & Mentorship for Clinical Teams Dr. L. is known for his collaborative style, clinical thoroughness, and dedication to expanding access to high-quality care—making him a trusted partner for nurse practitioners in diverse practice settings. ADD $100 FOR CALIFORNIA. CA CAN NOT BE AN ADD-ON STATE. IF PRESCRIBING ANY CONTROLLED SUBSTANCED, ADD $99 TO THE MONTHLY FEE (NOT JUST SCHEDULE II)

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$598
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Avni P, MD
Primary Care
Tele

Dr. Avni P. is a board-certified Family Medicine physician with extensive multidisciplinary experience spanning emergency and urgent care, psychiatry, utilization review, telemedicine, and occupational health. With a broad clinical scope and a career that includes both frontline patient care and systems-level medical decision-making, Dr. Avni P. brings a highly versatile and adaptive approach to modern healthcare delivery. She completed her Family Medicine residency at Augusta University Medical Center and has additional clinical training in psychiatry and radiology. Over the years, she has served in diverse roles including Medical Director positions within veteran healthcare systems, physician roles in state psychiatric hospitals, and medical officer assignments with both the U.S. Navy and U.S. Coast Guard. Her experience also includes extensive telemedicine practice and utilization review work across multiple organizations, where she has applied evidence-based criteria such as Milliman and ACOEM guidelines to determine appropriate levels of care and medical necessity. Dr. Avni P. holds active medical licenses across numerous U.S. states, reflecting her significant involvement in nationwide telehealth and utilization review services. Areas of Expertise • Emergency & Urgent Care Medicine • Family Medicine (Board Certified) • Psychiatry & Behavioral Health Integration • Utilization Review & Medical Necessity Determination • Workman’s Compensation & Occupational Health • Telemedicine & Virtual Care Delivery • Skilled Nursing Facility (SNF) Patient Management • Evidence-Based Care Guidelines (Milliman, ACOEM) • Peer-to-Peer Physician Consultation • Veterans Health & Military Medicine • Clinical Decision Support & Level of Care Determination • Multistate Telehealth Practice & Compliance Philosophy of Collaboration: Dr. Avni P. brings a pragmatic and highly communicative approach to collaboration, shaped by years of working across emergency settings, telemedicine platforms, utilization review organizations, and multidisciplinary care teams. She has extensive experience conducting peer-to-peer consultations, working closely with physicians, nurse practitioners, and other healthcare professionals to arrive at clinically sound and mutually aligned care decisions. Her collaboration style emphasizes clarity, efficiency, and evidence-based reasoning—particularly when determining medical necessity, level of care, or treatment pathways. She values open dialogue and believes that effective collaboration is rooted in shared clinical understanding, respect for each provider’s role, and a commitment to patient-centered outcomes. Having worked extensively with advanced practice providers in both direct care and review-based roles, Dr. Avni P. supports a team-based care model where nurse practitioners and physician assistants are empowered to deliver high-quality care, with physician collaboration serving as a resource for complex decision-making, regulatory guidance, and quality assurance. Her goal in collaborative settings is to streamline care delivery, reduce unnecessary variation, and ensure that patients receive appropriate, timely, and evidence-based treatment across all care environments.

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Christian J, MD
IV Infusion
Medical Weight Loss
Tele
+1 more

Dr. Christian J. is a highly experienced board-certified gastroenterologist with nearly two decades of clinical, academic, and leadership experience. He currently serves as Chief of Gastroenterology at the VA Loma Linda Healthcare System in California, where he has led transformative initiatives in patient care, program development, and physician education. During his tenure, Dr. Christian J. has expanded clinical services, increased procedural and outpatient productivity, and established multiple specialized programs in areas such as small bowel disease, pancreatobiliary disorders, motility, inflammatory bowel disease, and gastrointestinal bleeding. He is also an affiliate faculty member with the University of California, Riverside and Loma Linda University Gastroenterology Fellowship programs, contributing to the education and mentorship of future gastroenterologists. Dr. Christian J. has extensive experience working alongside nurse practitioners and other advanced practice providers, both in one-on-one supervision and in group settings. He has designed and implemented multiple clinical training and practice programs for nurse practitioners, combining evidence-based medical standards with hands-on procedural learning. His collaborative approach has helped build cohesive, high-performing clinical teams focused on patient-centered outcomes. Areas of Expertise: • Gastroenterology & Digestive Health • Hospital-Based Medicine & Urgent Care • Weight Management & Nutritional Therapy • Intravenous Fluid, Iron, and Nutrition Management • Clinical Program Development & Leadership • Advanced Endoscopy & GI Procedures • Academic Teaching & Mentorship Philosophy of Collaboration: Dr. Christian J. believes in mutual respect, shared knowledge, and interdisciplinary teamwork as the foundation for optimal patient care. He views nurse practitioners as essential partners in delivering high-quality, accessible medicine and emphasizes a collegial, educational, and empowering environment where all team members can excel. His philosophy centers on building trust, enhancing skills, and fostering growth—ensuring that collaborative care remains effective, rewarding, and patient-focused.

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$599
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Yokesh B, MD Psychiatrist
Mental Health

Dr. Yokesh B. is a general psychiatrist with over 10 years of clinical experience in treating patients with a wide range of mental health conditions. His practice spans inpatient, outpatient, and telepsychiatry settings, where he has managed complex psychiatric presentations and delivered patient-centered care. In addition to his clinical expertise, Dr. Yokesh B. has more than 3 years of experience supervising and collaborating with Nurse Practitioners. His leadership emphasizes structured support, clinical teaching, and fostering independent practice while ensuring high standards of quality and safety in care. Areas of Expertise • Adult Psychiatry & Psychotherapy • Mood & Anxiety Disorders • Schizophrenia & Severe Mental Illness • Substance Use & Addiction Psychiatry • Inpatient, Outpatient & Telepsychiatry Care • Collaborative Supervision & NP/PA Mentorship Philosophy of Collaboration: Dr. Yokesh B. values open communication and teamwork, offering clear guidance, evidence-based treatment approaches, and ongoing mentorship. He works closely with Nurse Practitioners and other clinicians to strengthen decision-making, enhance confidence in managing complex cases, and achieve positive outcomes for patients. ADD $50 FOR CA and GA. NO MULTIPLE NP DISCOUNT FOR CA and GA. CA and GA CANNOT BE ADDED AS AN ADD-ON STATE

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$599
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Kenneth R, MD
Mental Health
Primary Care
Medical Aesthetics
+7 more

Dr. Kenneth R. is a board-certified Emergency Medicine (specialty physician) with over 25 years of clinical and leadership experience spanning emergency medicine, urgent care, telemedicine, and physician supervision. A graduate of Eastern Virginia Medical School, Dr. Kenneth R. completed his Emergency Medicine residency at Michigan State University’s Butterworth Hospital/Corewell Health, where he also served as an AeroMed Flight Physician. He is the founder and former owner of PrimeCare Urgent Care, an independent urgent care center he successfully led for fourteen years before its acquisition by Piedmont Urgent Care, one of the largest urgent care networks in the United States. Dr. Kenneth R. continued to serve as Site Medical Director following the acquisition, ensuring continuity of quality and operational excellence. Currently, Dr. Kenneth R. provides telemedicine consultations, APP supervision, and business advisory services across multiple states. He also co-founded UrgentCareByPhone.com, an online urgent care platform launched in 2024, reflecting his ongoing commitment to innovation and accessible, patient-centered healthcare. Dr. Kenneth R. holds 48 active state medical licenses plus D.C., along with an Interstate Medical Licensure Compact certification, enabling him to collaborate and practice nationwide. His professional background includes academic appointments, such as serving as a Clinical Assistant Professor of Emergency Medicine at the Medical College of Georgia, and active involvement in national quality improvement initiatives, including the CRUSADE Registry for cardiac care outcomes. Areas of Expertise • Emergency Medicine & Urgent Care Medicine • Telemedicine & Virtual Healthcare Delivery • Occupational & Primary Care Medicine • APP (NP/PA) Supervision & Clinical Leadership • Medical Business Development & Operations • Quality Improvement & Patient Safety Philosophy of Collaboration: Dr. Kenneth R. approaches collaboration with accessibility, mentorship, and mutual respect at the forefront. Having supervised numerous advanced practice providers throughout his career, he values open communication and supports NPs and PAs in delivering high-quality, evidence-based care with confidence. His philosophy emphasizes teamwork and structured oversight that enhances professional autonomy while ensuring patient safety and operational excellence. FOR ALABAMA AND TENNESSEE, ADD $50.

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Ralph C, MD Psychiatrist
Mental Health
Pediatrics

Board-Certified Psychiatrist & Child & Adolescent Psychiatrist | Medical Director | Experienced NP Collaborator About Dr. Ralph C. Dr. Ralph C. is a board-certified psychiatrist and child & adolescent psychiatrist with over 20 years of experience in comprehensive psychiatric care. He has served in various leadership roles, including Medical Director and Consultant, and has a deep background in psychoanalysis, emergency psychiatry, and consultation-liaison psychiatry. Known for his thoughtful, patient-centered approach, Dr. Ralph C. combines clinical expertise with a strong foundation in academic and community mental health, offering a wide range of psychiatric services across the lifespan. He holds degrees from Boston University (Medical Sciences) and Tulane University, and brings years of experience managing complex cases in both public and private sectors. Areas of Expertise • General Psychiatry & Child & Adolescent Psychiatry • Consultation-Liaison & Emergency Psychiatry • Psychoanalysis & Advanced Psychotherapy Approaches • Clinical Supervision & Program Development • Public Psychiatry & Teaching Collaboration with Nurse Practitioners Dr. Ralph C. has a strong track record of collaboration with PMHNPs, having served as a consulting psychiatrist and collaborating physician for Central Virginia Health Services and other practices. His style is supportive, collaborative, and empowering, and he is deeply committed to the professional growth and clinical success of NPs. He brings not only psychiatric knowledge but also leadership and mentorship, offering guidance in assessment, diagnosis, treatment planning, and patient management. NPs can expect an engaged, thoughtful partner who values team-based care and clear communication. Leadership & Teaching In his roles as Medical Director, Dr. Ralph C. has led initiatives that improve clinical quality, patient outcomes, and provider collaboration. He is a seasoned public speaker and teacher, passionate about education, mentorship, and building strong care teams in both outpatient and integrated care settings. If you're seeking a respected, responsive, and experienced psychiatric collaborator, Dr. Ralph C. is ready to help support your practice, your patients, and your continued professional growth.

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$648
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Michael U, MD
Primary Care
Medical Aesthetics
Medical Weight Loss
+5 more

Dr. Michael U. is a board-certified Emergency Medicine physician and Medical Director with extensive expertise in hormone replacement therapy (HRT), peptide therapy, telemedicine, urgent care, and IV infusion therapy. He trained in Emergency Medicine at Cook County Hospital in Chicago after earning his medical degree from the University of Miami Miller School of Medicine. Dr. Michael U. has practiced as an attending physician in multiple high-volume emergency departments, including Jackson Memorial Health System, Holy Cross Hospital, and HCA Mercy Hospital. Over the years, he has transitioned his practice to integrative and aesthetic medicine, where he currently serves as Medical Director for several clinics and wellness centers across Miami and South Florida. His roles have included oversight of functional medicine, aesthetics, IV therapies, wellness protocols, and patient safety standards. In addition to emergency medicine, Dr. Michael U. has developed a strong focus on regenerative and performance-based therapies. His experience in hormone and peptide therapeutics emphasizes restoring balance, cellular repair, anti-aging interventions, and personalized health optimization. He is also highly skilled in IV infusion therapy for hydration, nutrient replenishment, and wellness enhancement. Areas of Expertise • Emergency Medicine & Urgent Care • Hormone Replacement & Peptide Therapy • Aesthetic & Functional Medicine • IV Infusion Therapy & Wellness Optimization • Telemedicine & Remote Care Delivery • NP/PA Supervision & Collaborative Practice Philosophy of Collaboration: Dr. Michael U. believes in cultivating respectful, empowering partnerships with Nurse Practitioners and Physician Assistants. He values open dialogue, shared learning, and mutual trust, ensuring that providers maintain both autonomy and support in their clinical roles. His approach emphasizes mentorship, evidence-based decision-making, and patient safety, while championing the growth and success of NP-led practices. PLEASE NOTE THAT THE "SCHEDULE II FEE" APPLIES TO ANY SCHEDULED MEDICATIONS THAT ARE PRESCRIBED, NOT JUST SCHEDULE II

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$699
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Mitchell S, MD
Mental Health
Primary Care
Medical Aesthetics
+6 more

Dr. Stotland Board is certified in the subspecialty of Occupational Medicine under the American Board of Preventive Medicine and licensed in all 50 states and Washington D.C. with a Master's in Public Health. He prioritizes holistic health and focuses on evidence-based medical guidelines approaches to minimize and reduce hospitalizations, complications of disease and improve overall life expectancy, mortality and quality of live. He has developed a niche in services of holistic and alternative health including nutrition therapy, chronic care management, non invasive pain reduction and wellness therapies. He is an expert in the field of collaboration and telemedicine with many years of executive leadership on a national level for medical directorship, mid level oversight and chief medical officer.

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$699
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Zaid F, MD
Mental Health
Primary Care
Medical Aesthetics
+9 more

I am a board-certified Family and Addiction Medicine physician with over 15 years of experience spanning primary care, occupational health, aerospace medicine, and behavioral health. Licensed in all 50 states, I currently serve as Chief Medical Officer at Better U and CEO of Bespoke Concierge MD, where I design patient-centered care models and manage multidisciplinary provider networks across both telehealth and in-person settings. My background includes extensive collaboration with nurse practitioners and physician assistants in hospital, ambulatory, and virtual environments, emphasizing mentorship, quality oversight, and supportive team dynamics. As a Flight Surgeon in the U.S. Air Force Reserve, I bring operational medicine expertise and a commitment to service, while my Harvard healthcare leadership training and active involvement in professional societies reflect my dedication to advancing both patient care and provider collaboration. I am passionate about building high-functioning clinical teams and fostering an environment where advanced practice providers can thrive. ADD $100 TO OVERALL FEES FOR TN AND GA

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Daniel O, MD
Mental Health
Primary Care
Medical Aesthetics
+6 more

Dr. Daniel O. is an accomplished physician with more than 10 years of post-residency clinical experience, specializing in Addiction Medicine and Pediatrics while providing comprehensive care across a broad range of medical and wellness services. Throughout his career, he has combined clinical expertise with strong physician leadership, delivering high-quality, patient-centered care in both traditional medical practices and innovative healthcare settings. In addition to his extensive clinical experience, Dr. Daniel O. has developed expertise in aesthetic medicine, IV hydration therapy, hormone replacement therapy (HRT), ketamine infusion therapy, medical weight loss, primary care, and addiction medicine. With more than five years of procedural experience, he has performed a wide variety of minimally invasive aesthetic and wellness procedures while maintaining a strong commitment to patient safety, evidence-based care, and exceptional clinical outcomes. Dr. Daniel O. has also served as Medical Director for more than 10 practices across the United States, providing clinical oversight, regulatory guidance, and quality assurance to multidisciplinary healthcare teams. His extensive experience collaborating with Nurse Practitioners has allowed him to build effective, supportive partnerships that promote clinical excellence, professional growth, and outstanding patient care. Areas of Expertise • Addiction Medicine • Pediatrics • Primary Care • Medical Weight Loss • Hormone Replacement Therapy (HRT) • Ketamine Infusion Therapy • Aesthetic Medicine • IV Hydration Therapy • Comprehensive Patient Evaluations • Preventive Medicine • Medication Management • Wellness & Lifestyle Medicine • Clinical Procedures • Medical Directorship & Practice Leadership • Nurse Practitioner Collaboration & Supervision Philosophy of Collaboration Dr. Daniel O. believes that successful physician–NP collaboration is built on mutual trust, accessibility, and a shared commitment to delivering exceptional patient care. Having collaborated with Nurse Practitioners across multiple practices throughout the United States, he values creating supportive professional relationships that encourage open communication, clinical excellence, and continuous learning. His collaborative approach is practical, responsive, and mentorship-focused. As an experienced Medical Director, he provides timely guidance, thoughtful clinical oversight, and evidence-based recommendations while respecting the autonomy and expertise of the Nurse Practitioners he collaborates with. He believes that empowering clinicians through education and teamwork leads to better decision-making and improved patient outcomes. Drawing on his broad experience in addiction medicine, pediatrics, wellness medicine, aesthetics, and healthcare leadership, Dr. Daniel O. is committed to fostering collaborative partnerships that prioritize patient safety, professional development, and high-quality, compassionate care. He strives to be an accessible physician partner who helps Nurse Practitioners build confidence while delivering outstanding care across a variety of clinical settings.

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Jana C, MD Psychiatrist
Mental Health
Tele

Dr. Jana C. is a board-certified psychiatrist with extensive training in psychiatry, internal medicine, and behavioral health. She is recognized for her commitment to patient-centered care, academic excellence, and mentorship of healthcare professionals. Dr. Jana C. earned her Doctor of Medicine from Ross University School of Medicine, graduating with high honors as a scholarship recipient. She also holds a Master of Science in Cell and Developmental Biology from Rutgers University/UMDNJ, where she was awarded a full scholarship, and pursued doctoral-level studies in physiology and biology before transitioning fully into medicine. She completed residency training in psychiatry at Community Health of South Florida, Inc., where she served as Chief Resident, following her initial training in internal medicine at Florida State University/Tallahassee Memorial Healthcare. Currently, Dr. Jana C. serves as Medical Director at Mava Behavioral Health and as Lead Psychiatrist with Orbit Health Telepsychiatry. She also provides outpatient telepsychiatry services through E-Psychiatry.com and has held leadership and clinical roles with multiple behavioral health organizations, including Success TMS and Pasithea Therapeutics. In addition, she is actively involved in teaching and mentoring, serving as a preceptor for psychiatric nurse practitioners and physician assistants through programs such as Brightside, LifeSource, and Signify Health. Areas of Expertise • Adult Psychiatry & Telepsychiatry • Mood & Anxiety Disorders • ADHD & Behavioral Health Interventions • Geriatric Psychiatry & Cognitive Disorders • Transcranial Magnetic Stimulation (TMS) Therapy • Integrated Care & Collaborative Mental Health • Clinical Research & Academic Mentorship • Provider Training & Supervision Philosophy of Collaboration: Dr. Jana C. values interdisciplinary teamwork, mentorship, and evidence-based practice. She is dedicated to supporting Nurse Practitioners and other healthcare providers through guidance, structured oversight, and collaborative care planning, ensuring the highest standards of psychiatric care for patients across diverse settings.

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$849
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Hawaii Requirements at a Glance

Topic

What the page says

Source

Practice authority

Hawaii is a full practice authority state — APRNs practice independently without physician supervision.

AANP — Hawaii; HRS Chapter 457

Collaborating physician

No collaborating physician is required by Hawaii state law. Some employers or insurance panels may request voluntary arrangements for credentialing.

HRS §457-8.6

APRN practice requirements

APRNs must establish collaborative, consultative, and referral networks with other health care professionals as a standard of practice.

HAR §16-89-81

Controlled substances

Controlled-substance prescribing requires APRN-Rx, DEA registration, and must fit both Hawaii law and DEA prescription rules.

HRS Chapter 329 and Hawaii APRN rules

Telehealth

Telehealth practice runs through Hawaii nursing law; the patient's physical location determines which state's license applies.

HRS Chapter 457 and HAR Chapter 16-89

Licensure and renewal

Use the Hawaii Board of Nursing APRN licensing and renewal page for qualification and maintenance steps. Licenses expire June 30 of odd-numbered years.

Hawaii Board of Nursing APRN renewal requirements

Understanding Hawaii APRN Practice Authority

Does a Hawaii nurse practitioner need a collaborating physician?

No. Hawaii is a full practice authority state. APRNs practice independently — diagnosing, treating, and prescribing — without a collaborative agreement or physician supervision required by state law. The legal framework is HRS Chapter 457 and HAR Chapter 16-89.

HAR §16-89-81(b)(6) requires APRNs to "establish collaborative, consultative, and referral networks as appropriate with other health care professionals." This is a standard clinical practice networking obligation — not a mandated collaborating physician agreement. If a patient requires care beyond the APRN's scope, the APRN must refer to an appropriate provider.

If you are evaluating whether Hawaii allows independent NP practice without a collaborating physician, start with the AANP Hawaii page and the Hawaii Board of Nursing's statutes-and-rules page.

Full Practice Authority – What It Means

Hawaii grants APRNs full practice authority under HRS §457-8.6, meaning:

✅ Independent diagnosis and treatment of patients
✅ No physician supervision required by state law
✅ Full prescriptive authority including controlled substances (with APRN-Rx)
✅ Ability to own and operate independent practices
✅ Authority to sign death certificates and disability forms

APRN-Rx: Hawaii's Prescriptive Authority Credential

To prescribe medications in Hawaii, APRNs must obtain APRN-Rx recognition from the Hawaii Board of Nursing. This requires:

✅ Active Hawaii APRN license
✅ National certification in APRN role and population focus
✅ Completion of at least 30 contact hours of advanced pharmacology education (including advanced pharmacotherapeutics) within the 3 years preceding application, per HAR §16-89-119
✅ Application and fee submission to Board of Nursing

With APRN-Rx, you can prescribe:

All legend (prescription) drugs

Schedule II-V controlled substances

Medical cannabis (if certified as qualifying provider through the Hawaii DOH Medical Cannabis Registry)

Why Hawaii APRNs May Still Choose Voluntary Physician Collaboration

Employer Requirements

Even though Hawaii law doesn't require collaboration, some healthcare employers do:

Hospitals and Health Systems:

Queens Health System, Kaiser Permanente, Adventist Health Castle — may require collaborative arrangements for APRN credentialing (verify current policies directly with each employer)

May be required for medical staff membership and hospital privileges

Part of credentialing and peer review processes

Liability Insurance:

Some malpractice carriers may offer adjusted premiums when a collaborative arrangement is in place (specific discounts vary by carrier and are not published industry-wide)

Some high-risk specialties (aesthetics, pain management) may require physician oversight for coverage

Insurance Panel Credentialing:

HMSA (Blue Cross Blue Shield of Hawaii), UnitedHealthcare, Humana — may request physician collaboration for panel participation (verify current policies directly)

Medicare and Medicaid credentialing may request collaborative relationships

Helps demonstrate quality oversight and risk management

Business and Risk Management Benefits

Even independent APRNs benefit from voluntary collaboration:

✅ Second opinion access for complex cases
✅ Reduced malpractice risk through chart review and consultation
✅ Credibility with patients and referring providers
✅ Consultation availability for specialty questions
✅ Mentorship for new practice owners

What to Include in a Hawaii Voluntary Collaborative Agreement

Since Hawaii does not legally require a collaborative agreement, any such arrangement is voluntary — entered for employment, credentialing, or risk management purposes. If you enter a voluntary collaborative agreement, it should include:

✅ Names and credentials of APRN and physician
✅ Purpose of collaboration (employment, credentialing, consultation)
✅ Scope of collaboration (full practice oversight vs. consultation-only)
✅ Practice setting and locations covered
✅ Prescriptive authority acknowledgment (APRN-Rx independence)
✅ Chart review procedures (if any) - frequency and method
✅ Consultation protocols - when and how to consult
✅ Quality assurance measures
✅ Communication methods (phone, email, telehealth)
✅ Compensation (if applicable)
✅ Termination clause and notice period
✅ Signatures and effective dates

Key Distinction: Hawaii voluntary collaborative agreements should clearly state that the APRN retains full independent practice authority and the physician relationship is for consultation and quality assurance, not supervision.

Hawaii Controlled Substance Prescribing

Controlled substances: what Hawaii law and DEA rules both require

If your Hawaii practice includes controlled substances, two authorities apply at the same time. Hawaii law provides the state framework through HRS Chapter 329 and Hawaii APRN rules. Federal law governs the prescription itself through 21 C.F.R. Part 1306.

In practical terms, that means an APRN's controlled-substance prescribing must stay within Hawaii authority and also meet DEA requirements for a legitimate prescription issued in the usual course of professional practice. If the practice bills Medicare, remember that payment rules are a separate layer from state licensure rules.

What APRNs with APRN-Rx Can Prescribe

✅ Schedule II - Opioids (morphine, oxycodone, fentanyl), stimulants (Adderall, Ritalin, Vyvanse)
✅ Schedule III - Combination products with codeine, ketamine, testosterone
✅ Schedule IV - Benzodiazepines (Xanax, Ativan, Valium), Ambien, Tramadol
✅ Schedule V - Cough preparations with limited codeine, Lyrica

DEA Registration

Hawaii APRNs with APRN-Rx must obtain:

Federal DEA registration (renew every 3 years)

Hawaii-specific DEA registration number

Separate registration for each practice location (if applicable)

Hawaii Prescription Drug Monitoring Program (PDMP)

APRNs must:

Register with the Hawaii PDMP (managed by the Narcotics Enforcement Division under the Department of Law Enforcement)

Query the PDMP before prescribing opioids or benzodiazepines

Review patient prescription history for at-risk patterns

Document PDMP queries in patient records

Mandatory Query Situations:

First-time controlled substance prescription for any patient

Prescribing opioids for more than 7 consecutive days

Any time drug-seeking behavior is suspected

Opioid Prescribing Requirements

Hawaii has specific opioid prescribing rules under HRS §329-38:

Concurrent opioid and benzodiazepine prescriptions: Maximum 7-day supply for initial concurrent prescriptions, with exceptions for post-operative care, chronic pain, substance abuse treatment, cancer treatment, palliative care, and hospice care

Chronic pain: Requires pain management agreement and regular monitoring

Co-prescribing: Consider naloxone for high-risk patients

Finding a Collaborating Physician in Hawaii

How to find a collaborating physician in Hawaii

Start with fit, not just availability. In Hawaii, the best collaborating physician match is one who holds the right license, understands your specialty, and can support the communication and documentation workflow your practice actually uses.

Hawaii license status: Confirm the physician is properly licensed for the work you are planning.
Specialty alignment: The closer the physician's clinical background is to your patient population, the easier ongoing collaboration tends to be.
Response expectations: Set expectations for routine questions, urgent consults, and after-hours coverage before signing.
Telehealth workflow: If you practice across islands or remotely, make sure the collaborating physician is comfortable with phone and video communication and with documenting those contacts.
Documentation habits: Agree in advance on where signed agreements, updates, chart reviews, and meeting notes will be stored.
Controlled-substance comfort level: If your practice includes Schedule II-V prescribing, clarify consultation expectations up front.

Where Hawaii APRNs Search

❌ What Doesn't Work:

General mainland physician groups (don't understand Hawaii's unique market)

Hospital medical staff lists (physicians often unavailable for private arrangements)

Generic medical director services (no Hawaii presence)

✅ What Works:

Hawaii Nurses Association (HNA) networking

Hawaii Pacific Islands APRN Coalition

Specialty physician societies (Hawaii Medical Association chapters)

NPCollaborator - Pre-vetted Hawaii-licensed physicians

What to Look For

✅ Active Hawaii medical license
✅ Understanding of Hawaii's Full Practice Authority laws
✅ Specialty alignment with your practice
✅ Availability for consultation (especially across islands if needed)
✅ Telehealth capability for inter-island support
✅ Reasonable fees appropriate for consultation vs. supervision
✅ Credentialing support for insurance panels and hospital privileges

How Much Does a Collaborating Physician Cost in Hawaii?

Since Hawaii is a full practice authority state with no legal requirement for a collaborating physician, any physician collaboration arrangement is voluntary — typically entered for employer credentialing, insurance panel participation, or practice mentorship.

No published state-level pricing data exists for Hawaii. The national benchmarks for voluntary collaboration arrangements from the NP Collaborator Fair Price for Collaboration Report, Edition 1, 2026 are:

  • National Median: $549/month (all-in: physician fee, platform fee, physician malpractice insurance)

  • Fair Price Band: $499–$599/month

  • Based on: 2,000+ signed contracts across 20 states

Note: Individual marketplace listings may be higher or lower than the Fair Price benchmark depending on specialty, availability, and arrangement scope.

Telehealth and Remote Collaboration in Hawaii

Hawaii's full practice authority means telehealth does not require a collaborating physician. The legal starting point is HRS Chapter 457 and HAR Chapter 16-89.

As a matter of common telehealth practice, the patient's physical location at the time of the visit determines which state's license and which state's practice rules apply. That means remote care across islands may be operationally straightforward, but out-of-state telehealth raises a separate licensure question.

For APRNs who choose voluntary physician collaboration, telehealth tools can support the consultation workflow across islands.

Why NPCollaborator Is a Better Choice

Fair Price benchmark: Fair collaboration pricing starts at $499/month at the 25th percentile, with a national median of $549/month, based on 2,000+ actual contracts in the NP Collaborator Fair Price Report, Edition 1, 2026.

Current marketplace availability: The physician cards on this page show individual collaborating physician listings available right now on NP Collaborator. An individual physician's fee may be higher or lower than the Fair Price benchmark because listings answer a different question: who is available now and what they charge.

Hawaii APRN Compliance Checklist

Initial APRN-Rx Setup

☐ Apply for Hawaii APRN license with Board of Nursing
☐ Obtain national certification (ANCC, AANP, NCC, etc.)
☐ Complete at least 30 contact hours of advanced pharmacology within 3 years of application per HAR §16-89-119
☐ Submit APRN-Rx application to Hawaii Board of Nursing
☐ Apply for federal DEA registration after APRN-Rx approval
☐ Register with Hawaii PDMP (Department of Law Enforcement)
☐ Obtain malpractice insurance (minimum $1M/$3M recommended)
☐ If needed for employment/credentialing, secure voluntary collaborating physician agreement

Ongoing Compliance

☐ Renew APRN license biennially (expires June 30 of odd-numbered years) per HAR §16-89-87
☐ Complete 30 contact hours of CE per biennium (at least 8 hours in pharmacology) per Board of Nursing renewal requirements
☐ Renew DEA registration every 3 years
☐ Query Hawaii PDMP before prescribing controlled substances
☐ Maintain national certification in your APRN role
☐ Keep voluntary collaborative agreement current (if applicable)
☐ Update insurance credentialing as practice changes

For Independent Practice Owners

☐ Register business with Hawaii Department of Commerce and Consumer Affairs (DCCA)
☐ Obtain General Excise Tax (GET) license
☐ Secure appropriate business insurance (general liability, professional liability)
☐ Credential with insurance panels (HMSA, UHC, Kaiser, etc.)
☐ Obtain NPI number (individual and organizational if applicable)
☐ Set up HIPAA-compliant record-keeping and billing systems

Frequently Asked Questions

Do nurse practitioners need a collaborating physician in Hawaii?

No. Hawaii is a full practice authority state. APRNs practice independently under HRS Chapter 457 without a collaborative agreement or physician supervision required by law. Some employers or insurance panels may request voluntary arrangements for credentialing purposes.

Can nurse practitioners practice independently in Hawaii?

Yes. Hawaii grants APRNs full practice authority under HRS §457-8.6. APRNs independently diagnose, treat, and prescribe (including controlled substances with APRN-Rx) without physician oversight. Hawaii's legislative history — including Act 192 (2002), Act 110 (2011), and Act 046 (2014) — progressively established full independent practice and aligned with the NCSBN APRN Consensus Model.

Can a Hawaii collaborating physician work remotely?

For voluntary collaboration arrangements, telehealth and remote communication can support the consultation workflow across islands. The patient's physical location still matters for licensure and state-law compliance, but the collaboration itself can be conducted via phone, video, or other telehealth modalities.

What should be in a voluntary collaborating-physician arrangement?

At a minimum, identify the APRN and collaborating physician, the practice setting, the services covered, communication methods, chart review process, controlled-substance consultation workflow if applicable, and how updates are documented and stored. Clearly state that the APRN retains full independent practice authority and the physician relationship is for consultation, not supervision.

How much should NPs expect to pay a collaborating physician?

Hawaii does not yet have a published state Fair Price median in NP Collaborator's dataset. Since Hawaii law does not require a collaborating physician, any arrangement is voluntary. The current national benchmark is a $499/month Fair Price floor at the 25th percentile and a $549/month national median in total monthly fees including physician fees, platform fees, and physician malpractice insurance, based on the NP Collaborator Fair Price Report, Edition 1, 2026.

Can you make $500,000 as a nurse practitioner?

That question is separate from Hawaii collaboration law. This page focuses on Hawaii APRN practice rules, controlled-substance authority, telehealth, and the cost of a voluntary collaborating physician relationship rather than NP income projections.

Sources & References

Further guidance:

Disclaimer: This page summarizes NP Collaborator's interpretation of Hawaii statutes, Board of Nursing rules, and DEA regulations governing nurse practitioner practice as of the date shown above. It is provided for informational purposes only and does not constitute legal, regulatory, or clinical advice. Laws and rules change — always verify current requirements directly with the Hawaii Board of Nursing or a qualified healthcare attorney before making practice decisions.

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