Everything Louisiana nurse practitioners need to know about collaborative practice agreements, prescriptive authority, compliance requirements, market rates, and finding a collaborating physician. Updated for 2026.
Louisiana doesn't give nurse practitioners an independent path — at least not for prescribing.
Louisiana is a restricted (collaborative) practice state. If you want to prescribe medications — whether you're running a brick-and-mortar clinic or a telehealth practice — you need a collaborating physician and a valid Collaborative Practice Agreement (CPA) filed with the Louisiana State Board of Nursing (LSBN) before you write your first prescription.
That's not changing in 2026. For Louisiana nurse practitioners trying to launch, grow, or keep a practice compliant, that means understanding the CPA rules, prescriptive authority limits, controlled-substance requirements, physician ratio limits, geographic and telemedicine flexibility, typical collaboration costs, how to find the right physician, and what ongoing compliance with the LSBN requires.
For most Louisiana NPs, the challenge isn't understanding the rule. It's filing correctly, finding a physician who actually fits their practice, and doing it without overpaying, disrupting operations, or creating licensing and legal risk. This guide covers all of it.
Find a Collaborating Physician in Louisiana
17 verified physicians ready to collaborate · Fees $498–$799/mo

Dr. Tuvia B. is a board-certified psychiatrist with subspecialty board certification in Child and Adolescent Psychiatry. With more than 15 years of clinical experience, he provides comprehensive psychiatric care to children, adolescents, and adults across a variety of practice settings, including private practice, telepsychiatry, outpatient behavioral health, correctional psychiatry, and community mental health. Following the completion of his psychiatry residency and Child & Adolescent Psychiatry fellowship at Hofstra Northwell School of Medicine, Dr. Tuvia B. has built an extensive career caring for patients with a wide range of psychiatric conditions. He currently practices through his private practice and multiple national telepsychiatry organizations, providing accessible, high-quality psychiatric care to patients across numerous states. His broad multi-state licensure and extensive telemedicine experience allow him to effectively support patients and healthcare providers in diverse clinical environments. Throughout his career, Dr. Tuvia B. has worked in community mental health centers, correctional healthcare, hospital-based services, and outpatient psychiatry, giving him experience managing both routine and complex psychiatric presentations across the lifespan. His clinical approach emphasizes accurate diagnosis, evidence-based psychopharmacology, individualized treatment planning, and compassionate, patient-centered care. Areas of Expertise • General Adult Psychiatry • Child & Adolescent Psychiatry • Telepsychiatry • Outpatient Psychiatry • Community Mental Health • Correctional Psychiatry • Psychopharmacology & Medication Management • Mood Disorders • Anxiety Disorders • Attention-Deficit/Hyperactivity Disorder (ADHD) • Autism Spectrum Disorder • Behavioral Disorders in Children & Adolescents • Trauma-Related Disorders • Psychotic Disorders • Psychiatric Evaluation & Diagnostic Assessment • Collaborative Psychiatric Care Philosophy of Collaboration Dr. Tuvia B. believes that successful physician–NP collaboration is built on trust, open communication, and a shared commitment to providing high-quality psychiatric care. He values Nurse Practitioners as important members of the mental healthcare team and believes collaborative relationships should support both excellent patient outcomes and continued professional development. His collaborative approach emphasizes accessibility, timely communication, and thoughtful clinical consultation. He encourages open discussion of complex cases, evidence-based treatment planning, and shared clinical decision-making while respecting each provider's experience, autonomy, and clinical judgment. With extensive experience practicing across multiple healthcare settings and delivering telepsychiatry services nationwide, Dr. Tuvia B. understands the importance of being responsive and dependable in collaborative practice. His goal is to build long-term partnerships where Nurse Practitioners feel supported, confident, and equipped to provide compassionate, evidence-based psychiatric care while maintaining the highest standards of clinical excellence.
Licensed to collaborate with Louisiana nurse practitioners

Board-Certified Internal Medicine Physician | Primary Care & Utilization Review Specialist About Dr. Kendria HR Dr. Kendria HR is a board-certified internal medicine physician with over 16 years of experience providing comprehensive, compassionate care in both primary care and hospital settings. She is deeply committed to building strong, collaborative relationships with her patients and healthcare colleagues, always striving to empower patients in reaching their health goals. Her expertise extends beyond primary care, with additional experience in utilization review, disability exams, and DOT exams, allowing her to bring a well-rounded perspective to patient care and clinical oversight. Areas of Expertise • Primary Care & Chronic Disease Management • Type 2 Diabetes, Hypertension & Osteomyelitis • Utilization Review & Disability Exams • DOT Examinations & Preventative Medicine • Geriatric Care & Patient Education Collaboration with Nurse Practitioners Dr. Kendria HR has a long-standing dedication to mentoring and collaborating with Nurse Practitioners, beginning early in her career when she was mentored by an NP after residency. She currently collaborates with three NPs in her primary care practice, ranging from new graduates to seasoned professionals with over 25 years of experience. Her approach is supportive, adaptable, and tailored to each NP’s career stage, ensuring they feel confident, autonomous, and well-supported in delivering high-quality patient care. Personal Philosophy & Interests Dr. Kendria HR believes in partnering with patients to make informed healthcare decisions, valuing the relationships built over time—especially with her senior patients. Outside of medicine, she enjoys reading medical literature, collaborating with colleagues, attending conferences, and most importantly, spending quality time with her husband and five children. For NPs seeking an approachable, knowledgeable, and experienced collaborative physician, Dr. Kendria HR is ready to support your success while enhancing patient care together. Practices in Louisiana
Licensed to collaborate with Louisiana nurse practitioners

Board-Certified Psychiatrist | Child, Adolescent & Adult Psychiatry | Medical Director | 20+ Years of Clinical Experience About Dr. Oladapo F. Dr. Oladapo F. is a board-certified psychiatrist with over 20 years of experience providing compassionate, evidence-based mental health care across diverse populations. Based in Alexandria, Louisiana, he is known for his calm, approachable demeanor and his commitment to delivering personalized care rooted in clinical excellence and innovation. Dr. Oladapo F. completed his medical education at the University of Lagos, followed by psychiatry residency training at Harlem Hospital Center in New York. He is dual board-certified in General Psychiatry and Child & Adolescent Psychiatry and currently serves as the Medical Director of Compass Behavioral Center of Alexandria. He also maintains active staff affiliations with Longleaf Hospital and Savoy Medical Center and has treated patients in both inpatient and outpatient settings, as well as in emergency departments and behavioral health units. He was the first physician in Louisiana certified to provide Transcranial Magnetic Stimulation (TMS)—a reflection of his forward-thinking approach and dedication to integrating advanced treatment modalities for mood and depressive disorders. CREDENTIALED WITH LOUISIANA BLUE Areas of Expertise • Child and Adolescent Psychiatry • Adult and Geriatric Psychiatry • Inpatient and Emergency Psychiatry • Treatment-Resistant Depression • Substance Use and Co-Occurring Disorders • Transcranial Magnetic Stimulation (TMS) • DBQ examinations for service members (active & veterans) • Multidisciplinary Behavioral Health Integration Dr. Oladapo F. is a strong advocate of team-based care and has extensive experience working alongside nurse practitioners, psychologists, social workers, and medical staff. As a collaborator, he is supportive, responsive, and grounded in clinical mentorship, particularly for nurse practitioners practicing in complex or acute psychiatric environments. His professionalism, accessibility, and commitment to high standards make him a trusted and respected partner in any behavioral health setting.
Licensed to collaborate with Louisiana nurse practitioners
See all 17 collaborating physicians in Louisiana

I am board certified in Internal Medicine and currently operate a MedSpa. I have experience with aesthetics, medical weight loss, hormone replacement, primary care, and psychiatry. Practices in Louisiana
Licensed to collaborate with Louisiana nurse practitioners

Board-Certified Urgent Care & Emergency Medicine Physician | Experienced NP Collaborator About Dr. Derrick D. Dr. Derrick D. is a highly experienced physician specializing in emergency and urgent care medicine. A New Orleans native and third-generation physician, he has dedicated over 20 years to treating acute and chronic conditions, with expertise in emergency medicine, urgent care, weight loss management, and testosterone replacement therapy. After earning his medical degree from the Philadelphia College of Osteopathic Medicine, Dr. Derrick D. completed his internship at Mercy Suburban Hospital in Pennsylvania and his residency in Emergency Medicine at the University of Medicine and Dentistry of New Jersey. He has since practiced emergency medicine for over 14 years and has spent the past six years focusing on urgent care and wellness medicine. Currently, he serves as the Medical Director for KedsPlasma Clinic and Align Infusion Therapy Clinic, where he applies his expertise in patient care and clinical leadership. Areas of Expertise -Emergency & Urgent Care Medicine -Weight Loss Management & Metabolic Health -Testosterone Replacement Therapy & Men’s Health -Spinal & Musculoskeletal Pain Management -Occupational & Preventative Medicine Collaboration with Nurse Practitioners Dr. Derrick D. has extensive experience working alongside Nurse Practitioners in emergency departments and urgent care settings across Louisiana. As a collaborator, he provides guidance and support to NPs, helping them navigate complex cases and expand their clinical expertise. He is also licensed in New York, Ohio, and Michigan, broadening his ability to support NPs across multiple states. Certifications & Professional Credentials Board Certified in Urgent Care Medicine (ABUCM) National Registry of Certified Medical Examiners (NRCME) Certified Clinical Laboratory Improvement Amendments (CLIA) Certified Advanced Cardiac Life Support (ACLS) & Basic Life Support (BLS) Certified Advanced Trauma Life Support (ATLS) & Pediatric Advanced Life Support (PALS) Certified Louisiana State Medical License Dr. Derrick D. is committed to providing high-quality, evidence-based care while fostering strong collaborations with Nurse Practitioners. His hands-on approach, accessibility, and vast clinical experience make him a valuable resource for NPs looking to enhance their practice. Practices in Louisiana
Licensed to collaborate with Louisiana nurse practitioners

Dr. Jon S attended Clemson University as an undergraduate before pursuing his medical education at the Medical University of South Carolina in Charleston, SC. Remaining at MUSC, he completed a residency in psychiatry, where he was selected as chief resident in his final year. Following this, in 2013 he became the inaugural graduate of the United States' first fellowship in brain stimulation for treatment-resistant depression and brain stimulation focusing on ECT, TMS, DBS, VNS, and ketamine treatments. Over the ensuing decade, Dr. Snipes practiced psychiatry while serving as the Medical Director at a 136 bed inpatient hospital and program director of their Brain Stimulation Service. Concurrently, he oversaw a 36-bed inpatient chemical dependency unit, outpatient CDIOP/PHP, and an outpatient MAT service, and in 2024 he completed a board certification in Addiction Medicine via the American Board of Preventative Medicine. He now works extensively in multiple administrative roles and is heavily involved in collaboration and education.
Licensed to collaborate with Louisiana nurse practitioners

Dr. Adeeb R. is a board-certified Family Medicine physician and experienced Medical Director of multiple clinics with comprehensive clinical experience spanning primary care, mental health, urgent care, addiction-related care, holistic/functional medicine, hormone replacement/regenerative medicine, and chronic disease management. His practice background includes both outpatient and inpatient medicine, high-volume urgent care settings, multidisciplinary primary care environments, and extensive telemedicine work. In addition to his clinical roles, Dr. Adeeb R. has served as a Medical Director, providing leadership in clinical oversight, quality assurance, workflow optimization, and provider performance management. His work reflects a commitment to whole-person, evidence-based care with additional specialization in obesity medicine, hormone therapy, functional medicine, and integrative approaches to long-term health. Throughout his career, Dr. Adeeb R. has been deeply engaged in collaborative, team-based models of care. He has worked closely with nurse practitioners across diverse settings—ranging from structured training environments to independent clinical practice—offering mentorship, supervision, and clinical guidance. His leadership emphasizes clear communication, shared decision-making, and practical support of NP-led workflows through his background in program development and quality improvement. Dr. Adeeb R. is dedicated to empowering advanced practice providers and strengthening interdisciplinary care models to ensure safe, high-quality, patient-centered care. Areas of Expertise • Primary Care & Chronic Disease Management • Urgent Care & Acute Illness Management • Mental Health & Behavioral Medicine • Obesity Medicine & Weight Management • Hormone Therapy & Functional Medicine • Addiction Medicine & Substance Use Care • Integrative & Preventive Health Approaches • Telemedicine & Remote Care Delivery • Clinical Leadership, Quality Assurance & Program Development Philosophy of Collaboration: Dr. Adeeb R. believes that strong physician–NP collaboration is essential to delivering efficient, high-quality care. His approach centers on evidence-based shared decision-making, open communication, and reliable access for clinical support. He is committed to fostering the autonomy and confidence of nurse practitioners while providing structured clinical oversight that enhances patient safety and practice standards. With a leadership style grounded in mentorship and systems improvement, Dr. Adeeb R. strives to build collaborative environments where NP-driven practices thrive and patients receive comprehensive, patient-centered care. ADD $200 FOR CA
Licensed to collaborate with Louisiana nurse practitioners

Dr. Brian H. is an Emergency Medicine physician with six years of experience practicing in high-acuity, high-risk clinical environments. He currently serves as a full-time Emergency Physician with Vituity at Bon Secours Mercy Health in Greenville, South Carolina, following prior roles within major Louisiana health systems. His background reflects consistent experience in fast-paced emergency departments where rapid diagnostic clarity, patient safety, and decisive leadership are essential. Dr. Brian H. completed his Emergency Medicine residency at Inspira Health Network in New Jersey after earning his Doctor of Osteopathic Medicine degree from Lake Erie College of Osteopathic Medicine. He also holds a Master of Science in Cellular and Molecular Biology from Tulane University, providing a strong scientific foundation for evidence-based clinical decision-making. In addition to his emergency medicine practice, Dr. Brian H. is actively engaged in telemedicine and remote care models. He has pursued additional training in multi-state practice, compliance, and technology-enabled clinical workflows. With supplemental education in longevity and metabolic health, he offers informed guidance on patient selection, laboratory evaluation, and treatment planning within wellness-focused care models. Areas of Expertise • High-Acuity Emergency Medicine and Resuscitation • Complex and Undifferentiated Case Evaluation • Risk Stratification and Patient Safety • Diagnostic Reasoning and Clinical Decision-Making • Clear and Defensible Medical Documentation • Protocol and Workflow Development • Telemedicine and Remote Care Models • Multi-State Compliance and Regulatory Awareness • Longevity and Metabolic Health Support • Laboratory Evaluation and Treatment Planning • Scope Alignment and Clinical Oversight Philosophy of Collaboration: Dr. Brian H. values a supportive, team-based approach to collaboration with nurse practitioners and advanced practice providers. He prioritizes clear communication, structured case review, and appropriate scope alignment to ensure high standards of care are consistently maintained. Drawing from his emergency medicine background, he brings strength in evaluating complex or unclear cases, helping refine clinical judgment, and ensuring documentation supports sound medical decision-making. He believes collaboration should enhance both patient safety and provider confidence—creating an environment where clinical questions are welcomed and addressed thoughtfully. His goal is to serve as a reliable and approachable physician partner who strengthens patient outcomes, promotes efficient and consistent workflows, and supports NP-led practices with practical, evidence-based guidance. ADD $100 FOR CA NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE
Licensed to collaborate with Louisiana nurse practitioners

Dr. Amy M – Board-Certified Pulmonary, Critical Care, and Sleep Medicine Specialist Expert in Sleep Medicine, Pulmonary Disease, and Critical Care About Dr. Amy M Dr. Amy M is a double board-certified physician in Critical Care and Sleep Medicine, with more than 25 years of experience in complex respiratory and sleep disorders. She earned her medical degree and completed her residency and fellowships at the University of Missouri–Kansas City, where she also trained extensively in critical care and pulmonary physiology. Over the course of her career, Dr. Amy M has served as Medical Director for multiple accredited Sleep Disorders Centers across the U.S., including Ochsner Health System, Penn State Hershey, and PeaceHealth. She currently leads Own Sleep Medicine and continues to oversee operations and patient care at the Sleep Disorders Institute, where she has practiced for two decades. A recognized leader in the field, Dr. Amy M has held numerous committee and leadership positions with the American Academy of Sleep Medicine, American College of Chest Physicians, and the National Sleep Foundation. Her publications and research have advanced understanding in sleep-disordered breathing, perioperative airway management, and the nonprescription treatment of insomnia. Areas of Expertise • Sleep Medicine and Sleep-Disordered Breathing • Pulmonary and Critical Care Medicine • Insomnia, Restless Leg Syndrome, and Narcolepsy • CPAP Therapy and Perioperative Airway Management • Clinical Research and Policy Development • Supervision and Mentorship of Nurse Practitioners Collaboration Philosophy Dr. Amy M brings a collaborative, evidence-based approach to practice. Her years of experience leading interdisciplinary teams make her a supportive, highly responsive partner for nurse practitioners. She focuses on fostering autonomy and clinical confidence while ensuring that patient safety and outcomes remain paramount. Professional Highlights • Medical Director, Own Sleep Medicine (2019–Present) • Department Chair, Ochsner Health System (2020–2023) • Medical Director, PeaceHealth (2013–2020) • Fellow, American College of Chest Physicians • Chair, Clinical Practice Review Committee, American Academy of Sleep Medicine • Author of multiple peer-reviewed publications on sleep and pulmonary medicine ADD $100 FOR CA AND GA. CA AND GA MAY NOT BE USED AS AN ADD-ON STATE. NO MULTIPLE NP DISCOUNTS FOR CA AND GA.
Licensed to collaborate with Louisiana nurse practitioners

Dr. Vincent J. is a board-certified internist with extensive clinical, executive, and supervisory experience spanning primary care, public health, managed care, complex patient populations, and functional, integrative anti-aging and rejuvenative medicine. He has practiced internal medicine for over two decades and has held numerous senior leadership roles, including Medical Director and Chief Medical Officer positions within major health systems, insurance organizations, and community health centers. His background reflects a deep commitment to health policy, population health, and the delivery of high-quality, patient-centered care across diverse clinical environments. In addition to direct patient care, Dr. Vincent J. finds NP and PA supervision to be one of the most professionally rewarding aspects of his medical and healing practice. He brings a broad and integrative scope of experience, blending traditional internal medicine with preventive, public health–driven, and innovative therapeutic approaches. His work spans medically complex populations, HIV/AIDS care, substance use treatment programs, special populations, and underserved communities. As a mentor and collaborator, Dr. Vincent J. is approachable, supportive, and deeply invested in helping advanced practice providers grow with confidence while maintaining strong clinical standards. Areas of Expertise • Internal Medicine and Primary Care • Population Health and Health Policy • Medical Leadership and Clinical Governance • Managed Care and Utilization Management • HIV/AIDS Medicine and Immunology • Substance Use and Special Populations Care • Preventive, Integrative, and Anti-Aging Medicine • Public Health Systems and Community-Based Care • Quality Improvement and Clinical Oversight • NP and PA Supervision and Clinical Mentorship • Anti-aging and Rejuvinative Medicine Philosophy of Collaboration: Dr. Vincent J. believes that collaborative practice is foundational to effective, ethical, and sustainable healthcare delivery. He views NP and PA supervision as a partnership rooted in mutual respect, open communication, and shared accountability for patient outcomes. His supervisory style emphasizes accessibility, clinical insight, and practical guidance, drawing on a wide-ranging background in both conventional medicine and advanced therapeutic approaches. By fostering autonomy while offering dependable support, Dr. Vincent J. empowers advanced practice providers to deliver compassionate, evidence-based care while continually expanding their clinical skills and professional confidence.
Licensed to collaborate with Louisiana nurse practitioners

Dr. Rumen S. is a dual board-certified psychiatrist in General Psychiatry and Child & Adolescent Psychiatry with over 25 years of experience delivering comprehensive mental health care across the full lifespan—from infancy through adulthood. With a rare combination of clinical depth and breadth, he is recognized for his ability to manage complex psychiatric conditions while adapting care to diverse patient populations and practice environments. Dr. Rumen S. completed specialized training in Infant Psychiatry at Tulane University School of Medicine, placing him among a select group of psychiatrists nationwide with advanced expertise in early childhood mental health and development. This unique background allows him to approach psychiatric care with a deep understanding of developmental, psychological, and family dynamics from the earliest stages of life. Throughout his career, Dr. Rumen S. has practiced in a wide range of clinical settings, including community mental health centers, hospital-based outpatient clinics, private practice, integrated behavioral health programs, emergency psychiatric services, and telepsychiatry. He has extensive experience serving underserved and rural populations, including nearly a decade providing psychiatric care in Alaska. His leadership experience includes serving as Medical Director for a behavioral health organization, where he oversaw clinical operations and telepsychiatry services. An early adopter of telepsychiatry since 2014, Dr. Rumen S. is highly experienced in multi-state practice and holds active medical licenses across more than 30 U.S. jurisdictions through the Interstate Medical Licensure Compact (IMLC) and individual state licensure. He is well-versed in supporting scalable, compliant psychiatric care delivery across state lines. Dr. Rumen S.’s clinical expertise spans a broad range of psychiatric conditions, including ADHD, anxiety, depression, PTSD, trauma-related disorders, substance use disorders, psychotic disorders, and complex diagnostic presentations. He is also highly experienced in psychopharmacology, including the management of controlled substances such as stimulants, benzodiazepines, mood stabilizers, and antipsychotic medications. Areas of Expertise: • General & Child/Adolescent Psychiatry (Full Lifespan Care) • Infant & Early Childhood Mental Health • ADHD, Anxiety, Depression & Trauma-Related Disorders • Psychotic Disorders & Complex Diagnostic Cases • Psychopharmacology & Controlled Substance Management (Schedules II–V) • Substance Use Disorders & Co-Occurring Conditions • Telepsychiatry & Multi-State Practice (30+ Jurisdictions) • Emergency Psychiatry & Integrated Behavioral Health • Clinical Leadership & Medical Directorship • NP Supervision, Teaching & Mentorship Philosophy of Collaboration: Dr. Rumen S. believes that effective collaboration is grounded in mutual respect, accessibility, and a shared commitment to delivering high-quality patient care. He values a hands-on, responsive approach, offering timely clinical guidance, regular chart reviews, and meaningful case discussions to support Nurse Practitioners at all stages of their careers. He emphasizes open communication and practical, real-world support—ensuring that providers have access to expert input when managing complex cases, prescribing decisions, or diagnostic challenges. While providing structured oversight, he respects the autonomy and clinical judgment of Nurse Practitioners, adapting his level of involvement to meet the needs of each individual provider. Passionate about teaching and mentorship, Dr. Rumen S. views collaboration as an opportunity for shared learning and professional growth. His goal is to foster a supportive, reliable partnership that enhances clinical confidence, ensures compliance, and ultimately improves patient outcomes across all care settings. ADD $100 FOR ALABAMA ADD$ 25 FOR LOUISIANA ADD $50 FOR OHIO
Licensed to collaborate with Louisiana nurse practitioners

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.
Licensed to collaborate with Louisiana nurse practitioners

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
Licensed to collaborate with Louisiana nurse practitioners

I am board-certified in Internal Medicine and spent 10 years practicing as a primary care physician. Additionally, I have completed training in Functional Medicine and now run my own practice as a Functional Medicine specialist. My areas of focus include GI health, autoimmune conditions, hormone therapy, anti-aging, longevity, and peptide therapy. Since the beginning of my career as an attending physician, I have had the privilege of collaborating with Nurse Practitioners and deeply value the relationships built through these partnerships. I am passionate about teaching and supporting others in delivering high-quality care to their patients. Resident of South Carolina
Licensed to collaborate with Louisiana nurse practitioners

Dr. Daniel Olivero is a highly accomplished physician with a diverse background in addiction medicine and pediatrics. With over 10 years of post-residency experience as a clinical physician, I bring a wealth of expertise and dedication to delivering exceptional patient care. In addition to my extensive clinical background, I have established myself as a leading expert in the fields of aesthetics, IV hydration, hormone replacement therapy, Ketamine infusion therapy, weight loss, pediatrics, addiction medicine, and primary care to name a few. With over 5 years of procedural experience and over 7 years of serving as a medical director, I have honed my skills in a wide range of specialized cosmetic procedures. Throughout my career, I have taken on leadership roles as a medical director for more than 10 practices across the USA. In these capacities, I provide strategic guidance and oversight, ensuring the highest standards of patient care and safety. Moreover, I collaborate with over 10 Nurse Practitioners throughout the USA, fostering a collaborative environment that enhances the quality of care delivered to patients.
Licensed to collaborate with Louisiana nurse practitioners

Hi Potential Collaborators! My name is Dr. Nicole Nettey and I am a board certified Family Medicine physician. I am licensed in Georgia (where I am located) and Texas. I received my bachelor's degree from Georgia State University in Atlanta, Georgia where I met husband who is also a board certified Family Medicine physician. We both went on to receive our medical degrees from Meharry Medical College in Nashville Tennessee and completed our residency training at the Joan C. Edwards School Of Medicine at Marshall University in Huntington, West Virginia. We have two amazing kiddos, Kennedy and Anderson and one fur baby named Peaches. I have over eight years of experience with working along side advanced practitioners in addition to acting as a supervisory/collaborative physician. I have experience in both traditional outpatient office settings and remote collaborations. I am passionate about medicine and are very happy to potentially work with you and help your reach your entrepreneurial goals. I value communication and would want anyone that I work with to feel comfortable in reaching out to me with any questions or concerns because the safety of the patients that entrust us with their care is the number one priority. Thank you for your consideration and I hope to hear from you soon! Kind regards, Dr. Nettey
Licensed to collaborate with Louisiana nurse practitioners

Dr. Aneel Ursani is an experienced psychiatrist and entrepreneur on a mission to make a meaningful difference in patient outcomes amidst a mental health crisis. He is at the forefront of innovation and cutting edge technology with a focus on improving access to care, and delivering high quality measurement based care at scale. He has 46 state licenses and loves working with Nurse Practitioners and Physician Assistants eager to start their practices and make a positive difference in their communities. Dr. Ursani earned his dual bachelor’s degree from University of California, Berkeley in Cell Biology and Psychology before he completed medical school at St. George’s University and psychiatry residency training at Eastern Virginia Medical School. He is currently working on his executive MBA at UC Berkeley. He has served as a clinical advisor to several different mental health start ups, as well as engaged in physician leadership roles at numerous companies including Cerebral, Lifestance, Amwell, Klinic, and Revive Telehealth. He has developed clinical quality programs through cross-collaborative efforts with engineering, product, and data scientists, and has led hundreds of providers in delivering high quality evidence based care. He has a particular focus on treatment resistant and high risk patient populations.
Licensed to collaborate with Louisiana nurse practitioners
WHAT LOUISIANA REQUIRES AT A GLANCE
Requirement | Louisiana Rule |
|---|---|
Practice Authority | Restricted — collaborative practice required for prescribing |
Collaborative Practice Agreement (CPA) | ✅ Required — written, signed by both parties |
LSBN Filing | ✅ CPA must be filed with the Louisiana State Board of Nursing |
Prescriptive Authority (APRN-CPA) | ✅ Separate LSBN authorization required to prescribe |
Controlled Substances | ✅ Schedules II–V permitted with proper CDS + DEA registration |
Physician Qualifications | ✅ Louisiana-licensed M.D. or D.O. in a compatible specialty |
Physician Ratio Cap | ⚠️ Physician may collaborate with up to 3 APRNs (limited exceptions) |
Geographic Proximity Requirement | ✅ None statewide — physician availability must be maintained |
Telemedicine Collaboration | ✅ Permitted — CPA must address virtual oversight protocols |
THE COST OF GETTING THIS WRONG
Before we get into the requirements, let's be direct about what's at stake.
Practicing without a valid, filed CPA — or with one that doesn't meet Louisiana State Board of Nursing (LSBN) and Louisiana State Board of Medical Examiners (LSBME) standards — isn't a paperwork problem. It's a licensing problem. The LSBN has independent enforcement authority and can investigate, sanction, and suspend your ability to practice.
The most common compliance failures Louisiana NPs face:
Unfiled CPA — practicing before the agreement is filed and accepted by the LSBN
Lapsed or outdated CPA — practice scope changed but the filed agreement wasn't updated
Missing CDS/DEA registration — prescribing controlled substances without both Louisiana CDS and federal DEA numbers
Physician at capacity — collaborating with a physician already at the APRN limit
PMP non-compliance — failing to query the Louisiana Prescription Monitoring Program before controlled substance prescribing
Specialty mismatch — collaborating physician's scope doesn't align with the NP's practice area
Any one of these can trigger an LSBN investigation. A license suspension doesn't just pause your practice — it can end it.
THE COLLABORATIVE PRACTICE AGREEMENT (CPA) AND PRESCRIPTIVE AUTHORITY: WHAT IT MUST INCLUDE
The CPA is the legal document that defines your prescribing authority in Louisiana. It is an agreement between advanced practice registered nurses and a licensed physician. It must be written, signed by both parties, filed with the LSBN, and retained at your practice site — available for inspection at any time.
A valid Louisiana CPA must include:
Full identification of all parties, including the NP, the primary collaborating physician, and, if designated, an alternate collaborating physician or back-up physician, with license numbers
Practice settings and locations covering every site where you'll practice under the agreement
Scope of delegated prescriptive authority, including authorized drug classes and any conditions
Consultation and referral procedures, including escalation for cases outside your scope
Communication and availability protocols outlining how and when you'll reach your physician by telephone or direct telecommunications for consultation, medical emergencies, and patient referral, plus coverage of the health care needs of a patient during any absence of the APRN or collaborating physician
Quality assurance and review processes documenting how oversight will be conducted
Methods of management of the collaborative practice under the following provisions, including clinical practice guidelines
Signatures from both parties
The CPA must also be reviewed and signed at least annually by both the APRN and the collaborating physician.
One critical distinction: In Louisiana, the CPA is filed with the LSBN and the NP applies separately for prescriptive authority (the APRN-CPA credential). As part of that process, the APRN submits an application and Attestation of APRN Collaborative Practice to the Louisiana Board with a non-refundable fee. This differs from states where only the physician registers. The NP carries the responsibility for keeping the filed agreement current.
The CPA should be reviewed and updated any time your clinical practice scope changes — new specialties, new locations, or new prescribing needs — and refiled with the LSBN as required to help patients access care.
CONTROLLED SUBSTANCES: WHAT LOUISIANA NPS CAN AND CANNOT PRESCRIBE
With a valid CPA and prescriptive authority, a nurse practitioner engaged in advanced practice may prescribe drugs and, under the collaborative framework, prescribe Schedule II through V controlled drugs, including certain controlled drugs, subject to the limitations defined in the agreement and applicable controlled substance prescribing practices. A nurse practitioner must also complete at least 500 hours of practice with a collaborating physician immediately preceding the request for authority to prescribe controlled substances.
For any controlled substance prescribing, you also need:
An active federal DEA registration number
A Louisiana Controlled Dangerous Substances (CDS) license (state-level, separate from the DEA)
Compliance with the Louisiana Prescription Monitoring Program (PMP), including querying before prescribing as required
Prescribing that stays within the drug classes and conditions authorized in your filed CPA, with an addendum to the collaborative practice agreement required for controlled substance prescribing if that authority is not already addressed in the filed agreement
Maintaining this authority also requires six annual pharmacology CE hours within the NP's specialty of practice.
Schedule II prescribing carries the tightest documentation expectations, so make sure your CPA explicitly addresses the classes you intend to prescribe.
PHYSICIAN RATIO LIMITS AND GEOGRAPHIC FLEXIBILITY
Collaboration Limits
Louisiana limits how many APRNs a single physician may collaborate with — generally up to three, with limited exceptions in specific settings. If your prospective collaborating physician is already at capacity, the agreement won't be valid, and licensed collaborating physicians must be legally authorized to practice without pending disciplinary proceedings when entering the relationship.
This matters more than most NPs realize. In high-demand specialties and metro areas like New Orleans and Baton Rouge, sought-after collaborating physicians fill up fast. Confirm available capacity before you invest time in the relationship.
No Statewide Geographic Distance Requirement
Louisiana does not impose a general mileage rule for the collaborating physician. Your physician can be located elsewhere in the state, provided consulting physicians remain available for consultation by telephone or direct telecommunications during your practice hours. This is a significant advantage for NPs in rural parishes and those building practices across the state. Even when the physician is not in the same institution, the arrangement works best when they have a practice comparable to your patient population and specialty focus.
ONGOING COMPLIANCE WITH LOUISIANA STATE BOARD: DOCUMENTATION, MEETINGS AND AVAILABILITY
Filing a CPA is the starting line, not the finish line. Louisiana expects active, documented collaboration throughout the relationship, and current practice expectations require active collaboration that can be properly documented in medical records.
Consultation and Chart Review
Your CPA should define how and how often the collaborating physician reviews care and is consulted for joint management of patient care, including treatment plans, therapeutic regimens, and diagnostic and laboratory requests where relevant. Maintain written records of:
Date of review or consultation
Charts reviewed (by identifier, HIPAA-compliant)
Physician comments or recommendations
Any follow-up actions required
Patient records and laboratory requests that are properly documented, since the Louisiana State Board of Nursing may conduct random audits of APRN records
Collaborative Meetings
Regular meetings — commonly monthly — should be documented, capturing the date and format (phone, video, in-person), topics discussed, and any changes to protocols or the CPA.
Continuous Availability
Your collaborating physician must remain reachable for consultation during your practice hours — not physically present, but available by phone or electronic communication. This is a patient safety requirement, not just paperwork. If the nurse practitioner cannot reach the collaborating physician, prescribing must stop until consultation is available.
Keeping the Filed CPA Current
Because Louisiana files the CPA with the LSBN, an outdated agreement on file is a compliance risk. Update and refile whenever your scope, sites, or prescribing needs change, and review and sign the agreement with the physician at least annually so it continues to reflect current practice. Before prescribing, the nurse practitioner must perform and document a history and physical examination and make the patient's diagnosis and medical diagnosis.
TELEMEDICINE COLLABORATIONS IN LOUISIANA
Louisiana law permits APRNs to prescribe via telemedicine, provided the prescription is issued for a legitimate medical purpose within a valid patient-practitioner relationship, including medical diagnosis and treatment plans within telemedicine clinical practice. The same CPA requirements apply, and your agreement should specifically address how consultation, chart reviews, and physician oversight will be conducted in a virtual environment.
Key considerations for telehealth NPs:
Your CPA must list your telehealth platform as a practice setting
Chart review protocols should account for virtual visit documentation
Collaborative meetings with your physician can be conducted virtually
Real-time escalation procedures for urgent clinical needs, including patient referral to other health care providers when care must be escalated remotely, must be defined in the agreement
All communication between you and your collaborating physician must occur by telephone or direct telecommunications on HIPAA-compliant systems used by health care providers
NPCollaborator's physician network includes physicians with active telemedicine experience across multiple states, many of whom are already set up for virtual collaboration workflows.
WHAT DOES A COLLABORATING PHYSICIAN COST IN LOUISIANA?
This is the question every Louisiana NP asks — and the answer varies more than most people expect.
The general market range in Louisiana falls between $500 and $1,100 per month, with an average around $800/month. Several factors drive that variation:
Specialty complexity — Mental health and aesthetics command higher rates due to controlled substance oversight and liability
Controlled substance authority — Broader Schedule II–V delegation increases costs
Physician experience and availability — Experienced physicians with open capacity are in higher demand
How you find them — Personal networking and cold outreach almost always cost more than a matching platform
Louisiana Market Average | NPCollaborator |
|---|---|
$800/mo | $449/mo |
via cold outreach or personal network | malpractice coverage & legal documents included |
💰 Save up to $4,200/year
2026 Market Rate Comparison
Specialty | Market Rate (Louisiana Average) | NPCollaborator Starting Rate |
|---|---|---|
Primary Care | $500 – $800/mo | From $449/mo |
Mental Health / Psychiatry | $700 – $1,100/mo | From $449/mo |
Medical Aesthetics | $600 – $1,000/mo | From $449/mo |
Medical Weight Loss | $600 – $900/mo | From $449/mo |
Telemedicine | $500 – $900/mo | From $449/mo |
Urgent Care | $500 – $800/mo | From $449/mo |
Women's Health | $500 – $900/mo | From $449/mo |
Hormone Optimization | $600 – $1,000/mo | From $449/mo |
NPCollaborator rates reflect current marketplace listings. Rates vary based on physician availability, specialty, and state-specific requirements.
The difference between finding a physician through cold outreach versus a matching platform isn't just convenience. It's often $200 to $350 per month, every month, indefinitely. Health care providers across Louisiana choose Medical Director Co. for secure physician collaboration in 12–24 hours. Over a year, that's $2,400 to $4,200 in unnecessary overhead.
HOW TO FIND A COLLABORATING PHYSICIAN IN LOUISIANA
There are three routes — and they're not equal.
Employer-assigned: Simple, but you have no control over physician fit, engagement, or what happens if they leave. Doesn't apply if you're building your own practice.
Personal networking and cold outreach: Can work, but slow, unpredictable, and typically above-market pricing. Weeks of searching with no guarantee of a specialty match, especially because mandatory CPA requirements can create bottlenecks for a nurse practitioner, particularly in rural areas where 30% of Louisianans live.
Matching platform: Pre-vetted physicians, transparent pricing, faster matching, and compliance infrastructure built in — including help with LSBN filing workflows. For most independent NPs, this is the fastest and most reliable path.
WHAT TO LOOK FOR IN A COLLABORATING PHYSICIAN (BEYOND THE CREDENTIAL CHECK)
Finding a physician who is licensed and available is the floor, not the ceiling.
The right collaborating physician understands your specialty, communicates reliably, and treats the relationship as a genuine clinical partnership built on a cooperative working relationship and mutual obligation in shared patient care — not a monthly transaction. If you've had a bad experience with a collaborating physician before, you already know the difference.
Before signing any agreement, ask:
Do they hold an active Louisiana license? Non-negotiable for your CPA to be valid, and they should be in good standing with the louisiana board or Louisiana Board of Medical Examiners without unresolved restrictions.
Does their specialty align with your practice? A family medicine physician on a psychiatric practice is a different dynamic than a psychiatrist doing the same, and the advanced nursing specialty counterpart should match your patient population and the provider performing medical diagnosis and prescribing in that setting.
What's their availability for real-time consultation? Louisiana requires ongoing availability, so make sure both parties can jointly contribute to timely consultation, including during medical emergencies.
Are they at their APRN collaboration limit? Confirm capacity before investing time in the relationship.
What's their communication style? Regular meetings are expected, so you need someone you can actually work with.
A strong fit also supports evidence based practice and advanced knowledge in nursing practice.
NPCollaborator's matching process is built around these questions — not just credential verification, but clinical and operational fit. Every physician in the marketplace has been vetted for specialty alignment, availability, and collaborative track record.
FREQUENTLY ASKED QUESTIONS
How much does a collaborating physician cost in Louisiana?
Market rates typically range from $500 to $1,100 per month depending on specialty and prescribing needs. NPCollaborator's marketplace starts at $449/month with malpractice coverage and legal documents included — below the Louisiana market average.
Do I need a collaborating physician in Louisiana?
Yes for the nurse practitioner rule addressed in this article. Louisiana is a restricted practice state. To prescribe, you must have a Collaborative Practice Agreement with a physician, filed with the LSBN. Certified Registered Nurse Anesthetists are not required to have a CPA to provide anesthesia care in licensed surgical facilities or hospitals.
What are the legal requirements for a Louisiana CPA?
A valid CPA must be written, signed by both parties, filed with the LSBN, and include the scope of prescriptive authority, consultation and referral procedures, communication protocols, and a quality assurance plan. It must be retained on-site and kept current.
Does the NP file the CPA with the state?
Yes. In Louisiana, the CPA is filed with the Louisiana State Board of Nursing, and the NP applies separately for prescriptive authority. This differs from states where only the physician registers.
Can I prescribe controlled substances in Louisiana?
Yes, Schedules II–V with a valid CPA, an active DEA registration, and a Louisiana CDS license, and in compliance with the PMP.
Does my collaborating physician need to be in the same city?
No. Louisiana has no general geographic proximity requirement. Your physician can be elsewhere in the state as long as they remain available for consultation.
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