Article

Tennessee Nurse Practitioner Practice: Complete 2026 Regulatory Guide

Tennessee is a restricted-practice state requiring all Nurse Practitioners to hold a Certificate of Fitness from the Tennessee Board of Nursing and maintain a written Collaborative Management Agreement with a licensed physician under Tenn. Code Ann. § 63-7-123. Collaborating physicians must personally review at least 20% of NP charts every 30 days and visit remote sites at least every 30 days. Written protocols reviewed every two years. NPs prescribe Schedule II-V within formulary scope using personal DEA number. Fair Price: $649/month median.

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tennessee collaborating physician
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Quick answer

Tennessee NPs operate under required Certificates of Fitness and written Collaborative Management Agreements with licensed physicians. Collaborating physicians must personally review minimum 20% of charts monthly and visit remote practice sites monthly. All CMAs reviewed and re-signed at least every two years. NPs prescribe Schedules II-V within formulary scope using personal DEA registration and Tennessee Controlled Substance Registration. Preprinted prescription pads must display both NP and physician names. Telehealth permitted but CMA must cover it; remote-site physician visits still required. Fair Price median: $649/month.

Quick Answer: Yes. Tennessee is a restricted-practice state requiring all Nurse Practitioners to hold a Certificate of Fitness from the Tennessee Board of Nursing and maintain a written Collaborative Management Agreement with a licensed physician under Tenn. Code Ann. § 63-7-123. The collaborating physician must personally review at least 20% of your charts every 30 days and visit any remote practice site at least once every 30 days per Tenn. Comp. R. & Regs. 0880-06-.02 (Board of Medical Examiners). Written protocols must be reviewed and signed by both parties at least every two years. NPs may prescribe Schedule II-V medications within their formulary scope using their personal DEA registration and Tennessee Controlled Substance Registration. For pricing, the Tennessee Fair Price median is $649/month.

Tennessee operates under a collaborative practice model where Nurse Practitioners practice within a structured framework with a licensed collaborating physician. Your practice agreement must clearly define scope, consultation workflow, chart review process, and remote-site oversight responsibilities. Controlled-substance prescribing requires federal DEA registration in addition to state compliance.

Find a Collaborating Physician in Tennessee

14 verified physicians ready to collaborate · Fees $499–$1,049/mo

Gilbert Si, MD Psychiatrist
Mental Health

Dr. Gilbert S. is a board-certified psychiatrist in both General Psychiatry and Addiction Psychiatry with more than 18 years of clinical experience across inpatient, outpatient, and telepsychiatry settings. He has held senior leadership roles including Chief Executive Officer of a national telepsychiatry program, Director of Medical Services for addiction treatment programs, and Medical Director for specialized behavioral health services. Dr. Gilbert S. completed his residency in General Psychiatry at Vanderbilt University Medical Center and a fellowship in Addiction Psychiatry at Oregon Health & Science University. He also holds an MBA in Healthcare Management from Oregon Health & Science University, equipping him with both clinical expertise and operational leadership skills within complex behavioral health systems. Throughout his career, Dr. Gilbert S. has focused on expanding access to psychiatric care through telepsychiatry and innovative care delivery models. His work includes developing and scaling nationwide telepsychiatry programs, directing medication-assisted treatment programs for substance use disorders, and leading multidisciplinary teams across hospital systems and outpatient behavioral health programs. He maintains active medical licenses in multiple states and has extensive experience supporting psychiatric services across diverse clinical environments. Areas of Expertise • Addiction Psychiatry & Substance Use Disorder Treatment • Co-Occurring Psychiatric and Substance Use Disorders • Medication-Assisted Treatment (MAT) for Opioid & Alcohol Use Disorders • Telepsychiatry Program Development & Implementation • Psychiatric Program Operations & Strategic Leadership • Multidisciplinary Behavioral Health Team Management • Inpatient and Outpatient Psychiatric Care • Crisis Evaluation & Acute Psychiatric Stabilization • Clinical Protocol Development & Evidence-Based Practice • Healthcare Systems Design & Program Scaling • Telehealth Infrastructure & Virtual Care Delivery • Physician Leadership & Behavioral Health Program Management Philosophy of Collaboration: Dr. Gilbert S. views physician–nurse practitioner collaboration as a highly effective and necessary model for expanding access to mental health care while maintaining strong clinical oversight and evidence-based practice. Throughout his career directing addiction treatment programs and nationwide telepsychiatry services, he has worked closely with psychiatric nurse practitioners in both supervisory and collaborative roles. His approach emphasizes open communication, shared clinical decision-making, and supportive consultation for complex diagnostic or treatment questions. Dr. Gilbert S. believes that NPs should feel empowered to manage their patient panels independently while having reliable access to physician guidance for challenging cases, medication strategy, or diagnostic clarification. As a physician leader, he has structured workflows and care models that allow NP-led practices to function efficiently while maintaining high clinical standards, strong documentation practices, and appropriate physician oversight. He is particularly enthusiastic about supporting NP-led behavioral health practices, recognizing their critical role in addressing workforce shortages and improving access to psychiatric services. Dr. Gilbert S. believes that combining physician collaboration, multidisciplinary teamwork, and modern telehealth infrastructure creates scalable systems capable of delivering high-quality psychiatric care to underserved communities while maintaining ethical and evidence-based treatment standards. ADD $50 FOR NY and OH. ADD $100 FOR MO ADD $100 FOR TN ADD $150 FOR CA NONE OF THESE STATES CAN BE USED AS ADD-ON STATES AND ARE NOT AVAILABLE FOR MULTI-NP DISCOUNT.

Licensed to collaborate with Tennessee nurse practitioners

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$499
per month
Una R, MD
Mental Health
Primary Care
Medical Aesthetics
+7 more

Board-Certified Pediatrician | Preventive Care Advocate | Pediatric & Family Wellness Dr. Una R. is a board-certified pediatrician with over 15 years of clinical experience across both primary care and urgent care settings. She has treated a wide range of pediatric patients and has also developed focused expertise in medical weight loss, hormone replacement therapy (HRT), and mental health care. Known for her patient-centered approach, Dr. R. emphasizes prevention, clear communication, and family engagement to achieve better outcomes. She is currently practicing in Georgia and has a strong track record of collaboration with nurse practitioners across multiple care models. Areas of Expertise • General Pediatrics & Preventive Care • Urgent Care for Pediatric Populations • Medical Weight Loss Counseling • Hormone Replacement Therapy (HRT) • Pediatric & Adolescent Mental Health • Patient & Family Education • Supportive, NP-empowering Clinical Collaboration Why NPs Choose to Work With Dr. R. Dr. R. brings a proactive and supportive style to every collaboration. With her diverse clinical experience and approachable demeanor, she helps nurse practitioners feel confident managing a wide spectrum of conditions. Whether you're delivering pediatric primary care or expanding into wellness and hormone therapies, Dr. R. offers reliable oversight and a shared commitment to patient-centered care. ADD $100 FOR GA AND CA. GA AND CA MAY NOT BE USED AS ADD-ON STATES. NO MULTIPLE NP DISCOUNT FOR GA AND CA. ADD $75 FOR TN. ADD $50 FOR TX.

Licensed to collaborate with Tennessee nurse practitioners

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$499
per month
Arsany A, DO
Primary Care
Tele
Medical Weight Loss
+1 more

Dr. Arsany A. is a Board-Eligible Family Medicine physician with a strong foundation in comprehensive primary care, preventive medicine, and patient-centered healthcare delivery. With training grounded in evidence-based medicine and whole-person care, Dr. Arsany A. is committed to helping patients achieve long-term health outcomes through compassionate, accessible, and collaborative care. Dr. Arsany A. brings experience working with diverse patient populations and managing a wide range of acute and chronic medical conditions across outpatient and clinical care settings. His clinical approach emphasizes preventive care, chronic disease management, lifestyle optimization, and continuity of care while maintaining high standards of professionalism, efficiency, and patient safety. Known for his approachable communication style and team-oriented mindset, Dr. Arsany A. values strong interdisciplinary collaboration and believes that healthcare works best when providers support one another in delivering coordinated, high-quality care. He is passionate about mentorship, education, and creating positive clinical environments that allow both patients and providers to thrive. Areas of Expertise • Family Medicine • Preventive Care & Wellness • Chronic Disease Management • Primary Care • Acute Care Management • Lifestyle & Preventive Medicine • Patient Education • Care Coordination • Evidence-Based Medicine • Collaborative Clinical Practice Philosophy of Collaboration Dr. Arsany A. believes that successful collaboration is built on mutual respect, open communication, and shared clinical decision-making. He values creating supportive partnerships with Nurse Practitioners and healthcare teams that encourage autonomy while maintaining accessibility for guidance and consultation when needed. His collaborative approach focuses on delivering safe, efficient, and patient-centered care while fostering professional growth, clinical confidence, and long-term success for the providers he works with.

Licensed to collaborate with Tennessee nurse practitioners

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$549
per month
See all 14 collaborating physicians in Tennessee
Tuvia B, DO Psychiatrist
Mental Health
Pediatrics

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. CA- Add $100

Licensed to collaborate with Tennessee nurse practitioners

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$599
per month
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.

Licensed to collaborate with Tennessee nurse practitioners

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$599
per month
Oleksandr O,​ MD Psychiatrist
Mental Health

Dr. Oleksandr O. is a board-certified psychiatrist with more than four decades of clinical experience, providing compassionate and comprehensive care for diverse patient populations. He is dually trained in medicine and neurology, having completed his medical education in Europe before pursuing psychiatric residency training in the United States. Dr. Oleksandr O. operates a well-established psychiatric practice in Lebanon, Tennessee, and also provides care at Western State Hospital in Kentucky and a clinic in Sunrise, Florida. His practice offers both in-person and telemedicine services, with a focus on accessibility for patients across multiple states. With expertise in treating a wide range of mental health conditions Dr. Oleksandr O. is particularly experienced in the management of depression, bipolar disorder, seasonal affective disorder, and other complex psychiatric conditions. He is fluent in English, Russian, and Ukrainian, allowing him to effectively serve patients from varied cultural and linguistic backgrounds. Areas of Expertise: • Adult Psychiatry • Mood Disorders (Depression, Bipolar Disorder, Seasonal Affective Disorder) • General & Complex Psychiatric Care • Telemedicine & Multistate Practice • Neurology & Psychiatry Integration • Multilingual Care (English, Russian, Ukrainian) Philosophy of Collaboration: Dr. Oleksandr O. values open communication, cultural sensitivity, and patient-centered care. He is committed to supporting Nurse Practitioners with clinical guidance and mentorship, ensuring providers have the tools and confidence to deliver exceptional psychiatric care. TENNESSEE: DUE TO TENNESSEE'S ELEVATED CHART REVIEW REQUIREMENTS (20% OF ALL CHARTS AND 100% OF CONTROLLED SUBSTANCE CHARTS), COLLABORATION FEES WILL ADJUST BASED ON CHART VOLUME. THE FIRST 30 CHARTS REQUIRING REVIEW ARE INCLUDED IN THE MONTHLY FEE. IF THE NUMBER OF CHARTS TO BE REVIEWED EXCEEDS 30, THE MONTHLY FEE WILL INCREASE BY $250 FOR EACH ADDITIONAL BLOCK OF UP TO 30 CHARTS.

Licensed to collaborate with Tennessee nurse practitioners

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$649
per month
Prince E, MD
Mental Health
Primary Care
Medical Aesthetics
+7 more

Dr. Prince E. is a highly accomplished occupational medicine physician and healthcare leader with extensive experience in clinical practice, public health, and medical administration. He currently serves as Medical Director of Occupational Medicine Services at Self Regional Healthcare in Greenwood, South Carolina, where he oversees departmental operations, clinical quality, regulatory compliance, and workforce health programs. His background reflects a strong commitment to preventive medicine, workplace safety, and patient-centered care across diverse clinical environments. Dr. Prince E. completed ACGME-accredited residency training in Occupational Medicine at Meharry Medical College, where he also earned a Master’s degree in Public Health and served as Chief Resident. He additionally completed a preliminary year in Internal Medicine and brings broad clinical experience from urgent care, correctional health, community medicine, and international healthcare settings. As an Urgent Care Physician with Medicare Urgent Care, he provides comprehensive evaluation and treatment for acute conditions in high-volume settings, including minor procedures and diagnostic interpretation. Earlier in his career, he served as Chief Medical Officer during his National Youth Service Corps in Nigeria, delivering primary and emergency care to large underserved populations while contributing to public health surveillance and disease prevention initiatives. With multi-state licensure and certifications including Medical Review Officer and Certified Independent Medical Examiner, Dr. Prince E. is recognized for his expertise in occupational injury management, regulatory compliance, and evidence-based workforce health practices. His academic background includes teaching appointments in anatomy and physiology, national conference presentations, and ongoing scholarly research in pain management and neuromodulation. Throughout his career, he has demonstrated a strong dedication to service, leadership, and community engagement. Areas of Expertise • Occupational and Environmental Medicine • Workplace Injury Prevention and Management • Employee Health and Return-to-Work Programs • Medical Leadership and Department Administration • Regulatory Compliance and Accreditation Standards • Independent Medical Examinations (CIME) • Medical Review Officer Services and Drug Testing Compliance • Musculoskeletal Injury Evaluation and Treatment • Interventional and Non-Interventional Pain Management • Urgent Care and Acute Illness Management • Public Health Program Development • Policy and Protocol Implementation • Correctional Healthcare Services • Clinical Education and Staff Training • Multidisciplinary Care Coordination Philosophy of Collaboration: Dr. Prince E. believes that high-quality healthcare is built on strong, transparent, and respectful collaboration among physicians, nurses, advanced practice providers, administrators, employers, and regulatory partners. He approaches clinical leadership with an emphasis on shared accountability, open communication, and continuous learning. In both clinical and administrative roles, he prioritizes alignment between medical teams, organizational goals, and community needs. He values the contributions of every team member and fosters environments where interdisciplinary perspectives inform decision-making and enhance patient and workforce outcomes. By integrating public health principles with frontline clinical practice, Dr. Prince E. supports collaborative models that promote safety, efficiency, and long-term sustainability. His philosophy centers on partnership, education, and mutual trust—ensuring that providers, staff, and stakeholders work together to deliver consistent, ethical, and high-impact care across occupational, urgent, and community health settings.

Licensed to collaborate with Tennessee nurse practitioners

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$699
per month
Timothy D, MD
Mental Health
Primary Care
Hormone Optimization
+7 more

Board-Certified Internal Medicine | Primary Care, Metabolic & Hormone Care | Experienced NP Collaborator About Dr. Timothy D Dr. Timothy D is an internist with 20+ years of comprehensive primary care experience and a strong focus on prevention, metabolic health, and evidence-based hormone therapy. He has practiced at St. Thomas Medical Group since 2004 and has led multiple programs, including Medical Director roles for a hospital-affiliated weight-management service and, currently, Healr Medical Clinic. His background spans MDVIP concierge care, functional medicine, urgent/telehealth settings, and volunteer academic teaching. For the past five years, Dr. D has actively collaborated with nurse practitioners—supporting primary care panels as well as HRT/TRT, weight-loss, and peptide-focused practices. His style is collegial and responsive: high-yield case consults, streamlined chart reviews, clear protocols, and practical risk-mitigation that respects NP autonomy while elevating outcomes. Areas of Expertise • Adult Primary Care & Prevention (hypertension, diabetes, dyslipidemia, thyroid) • Medical Weight Loss (HMR background, nutrition/behavioral plans, GLP-1s, safety monitoring) • Hormone Care (HRT/TRT) with labs, contraindication screening, and longitudinal follow-up • Functional & Lifestyle Medicine (sleep, stress, fitness, cardiometabolic risk reduction) • Telehealth & Urgent Concerns (minor acute issues, care coordination) • NP Collaboration (protocol design, documentation & QA, brief case reviews, rapid consults) If you’re seeking a steady, safety-minded collaborator who keeps admin light and support strong, Dr. D offers a reliable partnership tailored to NP-led care.

Licensed to collaborate with Tennessee nurse practitioners

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$999
per month
Hope B, MD Psychiatrist
Mental Health
Tele

Dr. Hope B. is a board-certified psychiatrist with more than 25 years of clinical experience across diverse settings, including general adult psychiatry, inpatient psychiatry, community mental health, geriatric psychiatry, addictions treatment, and correctional psychiatry. She is highly skilled in the evaluation and medication management of major depression, anxiety disorders, bipolar disorder, PTSD, OCD, schizoaffective disorder, schizophrenia, and substance use disorders. In recent years, Dr. Hope B. has focused on consultation-liaison psychiatry within major hospitals across the United States, as well as providing psychiatric care in emergency departments and crisis stabilization units. She also has extensive experience with telepsychiatry, enabling her to deliver accessible, evidence-based care to diverse patient populations nationwide. Areas of Expertise • Consultation-Liaison Psychiatry & Emergency Psychiatry • Inpatient Psychiatry & Crisis Stabilization • Geriatric Psychiatry & Complex Comorbidity Management • Addiction Psychiatry & Suboxone Treatment • Telepsychiatry & Remote Care Models • Corrections Psychiatry & Forensic Psychiatry • Major Depression, Anxiety, Bipolar Disorder, PTSD, OCD, Schizophrenia • Supervision and Collaboration with NPs and PAs Philosophy of Care: Dr. Hope B. brings a compassionate, whole-patient approach to psychiatry, integrating her broad experience in both inpatient and outpatient care. She believes in collaborative treatment models that prioritize safe, effective care while fostering the growth and independence of nurse practitioners and physician assistants.

Licensed to collaborate with Tennessee nurse practitioners

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$1,049
per month
Alfredo S, MD Psychiatrist
Mental Health
Tele
Pediatrics

Board-Certified Psychiatrist | Child, Adolescent & Adult Psychiatry | Medical Director | 20+ Years of Experience About Dr. Alfredo S. Dr. Alfredo S. is a board-certified psychiatrist with more than 20 years of experience across a wide range of clinical, administrative, and telehealth settings. He is dual board-certified in Adult Psychiatry and Child & Adolescent Psychiatry and has served as a medical director in multiple behavioral health organizations. Known for his collaborative leadership style and dedication to underserved communities, Dr. S. has worked in both rural and urban systems, providing compassionate care and program development across the full spectrum of psychiatric services. Fluent in English, Spanish, and conversational French, Dr. S. brings a culturally sensitive approach to his practice and has extensive experience supervising nurse practitioners, case managers, peer support specialists, and interdisciplinary care teams. His career includes work in crisis centers, wraparound care programs, subacute units, and outpatient clinics, often leveraging telepsychiatry to increase access to care. He is actively licensed in over 20 states and remains committed to improving care through education, systems design, and quality assurance initiatives. Areas of Expertise • Child and Adolescent Psychiatry • Adult Psychiatry and Severe Mental Illness (SMI) • Borderline Personality Disorder and Dual Diagnosis • Autism spectrum disorder • Geropsychiatric • Substance Use and Alcohol Use Disorders • Community Mental Health and Assertive Community Treatment (ACT) • Wraparound Programs and Early Psychosis Care Dr. Alfredo S. is deeply passionate about building systems of care that prioritize patient dignity, clinical rigor, and access to treatment. With a hands-on, supportive approach to collaboration, he enjoys working alongside nurse practitioners to solve complex cases and ensure high-quality, person-centered care. ADD $100 FOR MICHIGAN AND $125 FOR MISSOURI. MICHIGAN AND MISSOURI MAY NOT BE USED AS AN ADD-ON STATE AND ARE NOT ELIGIBLE FOR MULTIPLE NP DISCOUNT.

Licensed to collaborate with Tennessee nurse practitioners

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$524
per month
Etienne R, MD
Mental Health
Primary Care
Urgent Care
+1 more

Dr. Etienne R. is a board-certified Family Medicine physician with 14 years of clinical experience providing comprehensive care across urgent care, primary care, and telemedicine. His diverse background has equipped him with the knowledge and flexibility to care for patients with a wide range of acute and chronic medical conditions while delivering efficient, evidence-based care in both in-person and virtual settings. Dr. Etienne R. began his career practicing in an urgent care setting, where he worked closely with and supervised a Nurse Practitioner, gaining valuable experience in collaborative practice and team-based care. He later transitioned to a primary care clinic, collaborating with multiple Physician Assistants to provide comprehensive preventive care, chronic disease management, and continuity of care for a diverse patient population. For the past 10 years, Dr. Etienne R. has practiced with a nationwide telemedicine organization, providing high-quality virtual urgent care services to patients across the country. His extensive telemedicine experience has led to licensure in multiple states, allowing him to effectively deliver accessible, patient-centered care while adapting to the evolving landscape of virtual healthcare. Areas of Expertise • Family Medicine • Primary Care • Urgent Care • Telemedicine & Virtual Care • Preventive Medicine • Acute Illness Evaluation & Treatment • Chronic Disease Management • Adult & Adolescent Primary Care • Evidence-Based Medicine • Virtual Urgent Care • Clinical Supervision & Collaborative Practice • Multistate Telehealth Care Dr. Etienne R. believes that strong physician–NP collaboration is built on trust, open communication, and mutual respect. Having supervised a Nurse Practitioner early in his career and collaborated closely with Physician Assistants in primary care, he understands the value of teamwork in delivering safe, efficient, and high-quality patient care. His collaborative approach is supportive and accessible, with a focus on providing timely consultation, practical clinical guidance, and respectful communication while encouraging advanced practice providers to work confidently within their scope of practice. He values creating collaborative relationships that promote independent clinical decision-making while ensuring reliable physician support is always available when needed. With extensive experience in both traditional clinical practice and nationwide telemedicine, Dr. Etienne R. appreciates the importance of responsive communication, efficient workflows, and dependable collaboration. His goal is to build long-term partnerships with Nurse Practitioners that foster professional growth, enhance patient outcomes, and support the delivery of compassionate, evidence-based care. Dr. Etienne R. is not comfortable collaborating with providers who prescribe scheduled drugs or any treatments pertaining to reproductive health (e.g. Viagra, birth control, emergency contraception) or gender-affirming care.

Licensed to collaborate with Tennessee nurse practitioners

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$548
per month
Lauro P, MD Psychiatrist
Mental Health

I’m a board-certified psychiatrist with more than 30 years of experience, with a clinical focus on treating adolescents and adults who present with complex psychiatric and neuropsychiatric conditions. My work centers on helping individuals with mood disorders, trauma-related symptoms, cognitive and behavioral challenges, especially when neurological or developmental factors complicate these. I prioritize evidence-based care that’s also deeply personal, culturally aware, and grounded in empathy. I regularly manage challenging cases that require careful diagnostic work and close collaboration across various disciplines. I utilize tools such as quantitative electroencephalography (qEEG), neuroimaging, and structured assessments to gain a better understanding of brain-behavior relationships and to guide treatment decisions. My practice encompasses medication management, psychotherapy, family support, and consultation in both clinical and forensic settings. I am known for providing thoughtful, individualized care that balances evidence-based treatment with deep empathy and cultural sensitivity. Frequently, I address complex cases that necessitate coordination among multiple specialties, including those related to traumatic brain injury, treatment-resistant depression, and functional impairments. I integrate tools like qEEG, neuroimaging, and structured psychiatric assessments to inform my clinical decision-making. Additionally, I offer ongoing psychotherapy, medication management, family guidance, and consultation in both clinical and legal contexts.

Licensed to collaborate with Tennessee nurse practitioners

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$574
per month
Nathaniel S, DO Psychiatrist
Mental Health

Dr. Nathaniel S. is a board-certified psychiatrist with broad clinical experience across inpatient psychiatry, outpatient psychiatry, consultation-liaison psychiatry, electroconvulsive therapy (ECT), and medical education. He is committed to providing thoughtful, evidence-based psychiatric care through comprehensive diagnostic assessment, safe medication management, and individualized treatment planning. Throughout his career, Dr. Nathaniel S. has cared for patients with a wide range of psychiatric conditions in both hospital and outpatient settings. His clinical approach emphasizes diagnostic accuracy, careful psychopharmacology, appropriate risk assessment, and clear clinical documentation to ensure the highest standards of patient care. In addition to his clinical work, Dr. Nathaniel S. has experience in medical education and enjoys supporting the professional development of healthcare providers through practical guidance, clinical discussion, and evidence-based decision-making. Areas of Expertise • General Adult Psychiatry • Inpatient Psychiatry • Outpatient Psychiatry • Consultation-Liaison Psychiatry • Electroconvulsive Therapy (ECT) • Comprehensive Psychiatric Evaluation • Psychopharmacology & Medication Management • Mood Disorders • Anxiety Disorders • Psychotic Disorders • Psychiatric Risk Assessment • Diagnostic Formulation • Evidence-Based Treatment Planning • Clinical Documentation & Quality Assurance • Medical Education & Clinical Mentorship Philosophy of Collaboration Dr. Nathaniel S. believes that physician–NP collaboration should be grounded in clinical excellence, mutual respect, and a shared commitment to delivering safe, evidence-based psychiatric care. His collaborative style is clinically rigorous, practical, and supportive, helping Nurse Practitioners strengthen their clinical reasoning while maintaining confidence and professional autonomy. He emphasizes thoughtful diagnostic formulation, safe prescribing practices, careful chart review, thorough documentation, and appropriate risk assessment as the foundation of high-quality psychiatric care. Through open communication and constructive clinical discussion, he works alongside Nurse Practitioners to support sound decision-making and continuous professional growth. Dr. Nathaniel S. particularly enjoys collaborating with psychiatric Nurse Practitioners who value careful documentation, evidence-based treatment planning, and high clinical standards. At this time, his collaborative practice is focused on clinicians whose practice does not include the prescribing or management of controlled substances, allowing him to maintain a collaboration model centered on safe, compliant, and high-quality psychiatric care.

Licensed to collaborate with Tennessee nurse practitioners

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$599
per month
Elizabeth N, MD
Mental Health
Primary Care
Medical Aesthetics
+5 more

Dr. Elizabeth N. is a physician with active clinical experience across multiple specialties, including Neurology, Psychiatry, Urgent Care, and Pediatrics. Her broad and multidisciplinary medical background allows her to provide well-rounded clinical support across a diverse range of patient populations and healthcare settings. Dr. Elizabeth N. routinely practices in both acute and longitudinal care environments and is experienced in evaluating and managing neurological, psychiatric, pediatric, and urgent medical conditions. Her versatility across specialties enables her to approach patient care with strong clinical adaptability, evidence-based decision-making, and a patient-centered focus. She is comfortable collaborating with Nurse Practitioners across a variety of practice models and values professional partnerships built on communication, accessibility, and mutual respect. Her approach emphasizes practical guidance, timely support, and fostering confidence in clinical decision-making while maintaining high standards of patient care and safety. Areas of Expertise • Neurology • Psychiatry & Behavioral Health • Pediatrics • Urgent Care Medicine • Acute & Chronic Disease Management • Patient-Centered Clinical Care • Collaborative Practice with Nurse Practitioners • Clinical Consultation & Support • Multidisciplinary Care Coordination Philosophy of Collaboration Dr. Elizabeth N. believes that effective collaboration is rooted in trust, communication, and shared commitment to high-quality patient care. She values creating supportive partnerships with Nurse Practitioners that encourage professional growth, independent clinical thinking, and accessible physician support when needed. Her collaborative style is approachable, responsive, and clinically grounded. She understands the importance of balancing autonomy with guidance and strives to provide practical clinical insight without unnecessary barriers or micromanagement. Whether discussing complex cases, reviewing treatment plans, or providing consultation, Dr. Elizabeth N. aims to foster an environment where providers feel respected, supported, and confident in their practice. Her goal as a collaborating physician is to help Nurse Practitioners deliver safe, effective, and compassionate care while building strong, sustainable clinical partnerships across diverse healthcare settings.

Licensed to collaborate with Tennessee nurse practitioners

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$599
per month

Tennessee at a Glance

Requirement

What this page covers

Source

Practice model

Tennessee is a restricted-practice state requiring a Certificate of Fitness and written Collaborative Management Agreement (CMA) with a physician.

Tenn. Code Ann. § 63-7-123

Certificate of Fitness

NPs must obtain a Certificate of Fitness from the Tennessee Board of Nursing to diagnose, develop plans of care, and prescribe.

Tennessee Board of Nursing

Prescriptive authority

NPs prescribe Schedule II-V medications within scope defined in the Certificate of Fitness formulary and CMA. Personal DEA registration and Tennessee Controlled Substance Registration required for controlled substances.

Tenn. Code Ann. § 63-7-123; 21 C.F.R. Part 1306

Chart review

Collaborating physician must personally review at least 20% of charts the NP writes or monitors every 30 days.

Tenn. Comp. R. & Regs. 0880-06-.02 (Board of Medical Examiners)

Remote-site visits

If NP practices at a remote site, collaborating physician must visit at least once every 30 days.

Tenn. Comp. R. & Regs. 0880-06-.02

Written protocols

CMA written protocols must be reviewed and signed by both parties at least every two years.

Tenn. Comp. R. & Regs. 1000-04-.04 (Board of Nursing APRN rules)

Prescriptions

All prescriptions must be written on preprinted pads displaying both the NP's name and collaborating physician's name.

Tennessee Board of Nursing

Fair Price

Tennessee Fair Price median: $649/month, Fair Price Band $555-$649/month.

NP Collaborator Fair Price Report, Edition 1 (2026)

How Nurse Practitioner Practice Works in Tennessee

Does a Tennessee NP need a collaborating physician?

Yes. Tennessee is a restricted-practice state requiring all nurse practitioners to maintain a Collaborative Management Agreement (CMA) with a collaborating physician as a condition of practice and prescriptive authority. This requirement is established in Tenn. Code Ann. § 63-7-123 and enforced by the Tennessee Board of Nursing and Tennessee Board of Medical Examiners.

Important distinction: NPs in Tennessee do NOT have independent practice authority. To diagnose, develop plans of care, or prescribe, an NP must first obtain a Certificate of Fitness from the Board of Nursing and maintain an active CMA with a licensed physician. The CMA explicitly defines the scope of services you may provide.

For readers comparing state models, Tennessee is classified as a restricted-practice state. See AANP Tennessee practice environment.

The Certificate of Fitness in Tennessee

What is a Certificate of Fitness and how do you get it?

A Certificate of Fitness is the Board-issued credential that authorizes a Tennessee NP to diagnose, develop plans of care, and prescribe medications. It is distinct from your nursing license and requires specific educational and clinical prerequisites.

Requirements for Certificate of Fitness per Tennessee Board of Nursing:

  • Current Tennessee RN license (unrestricted)

  • Master's degree (or higher) from an accredited institution in nursing or related field

  • National board certification from a Board-approved certifying body (AANP, ANCC, etc.) relevant to your population focus

  • Current DEA registration (if applying for controlled-substance authority)

  • Completion of required pharmacotherapeutics education

  • Application fee paid to the Board

Once issued, the Certificate of Fitness must be renewed according to Board requirements and remains valid as long as you hold a current Tennessee RN license, maintain national certification, and comply with continuing education requirements.

The Collaborative Management Agreement (CMA) in Tennessee

What is a CMA and what must it contain?

The Collaborative Management Agreement is a written legal contract between the NP and collaborating physician that governs your working relationship. Both parties must sign and date the agreement, and it must be reviewed and re-signed at least every two years per Tenn. Comp. R. & Regs. 1000-04-.04.

Required elements of a CMA:

  • Legal names, credentials, and license numbers of both the NP and collaborating physician

  • Practice setting(s) and locations where services will be provided

  • Scope of services the NP is authorized to provide

  • Drug formulary (list of medication categories the NP may prescribe)

  • Consultation procedures — how and when the NP reaches the physician

  • Chart review process — methodology, frequency (minimum 20% every 30 days), and documentation

  • Backup physician coverage if the primary physician is unavailable

  • Remote-site workflow if applicable (physician must visit at least every 30 days)

  • Contract term and renewal schedule (at least every two years)

The signed CMA must be maintained on-site at your primary practice location and made available to the Board upon request.

CMA Renewal Requirements

CMAs must be reviewed and re-signed by both parties at least every two years. The two-year renewal cycle is mandatory; allowing a CMA to lapse creates a practice violation. Many practices set renewal reminders 60–90 days before expiration to allow time for discussion and revision if needed.

Prescriptive Authority in Tennessee

What is prescriptive authority and how do NPs get it?

Prescriptive authority in Tennessee is NOT independent. It is a Board-issued privilege granted through the Certificate of Fitness, contingent on maintaining an active CMA.

Requirements for prescriptive authority:

  • Active Certificate of Fitness from the Tennessee Board of Nursing

  • Current Collaborative Management Agreement with a licensed physician

  • Active DEA registration (if prescribing controlled substances)

  • Tennessee Controlled Substance Registration (for controlled-substance prescribing)

  • Clinical documentation supporting prescriptive decisions

  • All prescriptions written on preprinted pads displaying both your name and your collaborating physician's name

Once granted, prescriptive authority is restricted to the drug categories and schedules listed in your Certificate of Fitness formulary and defined in your CMA. You cannot prescribe outside those categories without amending your Certificate and CMA.

Controlled Substance Prescribing Rules in Tennessee

Tennessee grants NPs authority to prescribe controlled substances within defined limits, subject to both state and federal DEA regulations.

Prescribing authority by schedule:

Schedule

Authority

Notes

Schedule II

Yes, within Certificate formulary and CMA scope

Requires personal DEA number; electronic prescribing permitted; clinical documentation required

Schedule III–V

Yes, within Certificate formulary and CMA scope

Includes refill rights per CMA definition

Key requirements:

  • Your Certificate of Fitness must explicitly identify which controlled-substance schedules you're authorized to prescribe

  • Your CMA must define which drug categories fall within your scope

  • You cannot prescribe outside those categories without amending your Certificate and CMA through the Board

  • All prescriptions must be written on preprinted pads with both your name and your collaborating physician's name

  • You must use your own DEA number on controlled-substance prescriptions (not the physician's)

  • Clinical documentation supporting prescriptive decisions is required

  • You must maintain Tennessee Controlled Substance Monitoring Database (CSMDB) access and review patient history before prescribing

Prescription Documentation Standards

Maintain detailed clinical notes supporting prescriptive decisions, particularly for Schedule II substances and opioids:

  • Clear clinical indication

  • Dosage, frequency, and refill information

  • Rationale for the chosen medication

  • CSMDB review prior to prescribing (documented)

  • Any consultation with your collaborating physician

  • Patient education provided

Collaborating Physician Requirements

What qualifications must a collaborating physician have?

A physician entering into a CMA with an NP in Tennessee must meet specific legal requirements per Tenn. Code Ann. § 63-7-123:

Physician qualifications:

  • Hold an active, unrestricted license to practice medicine in Tennessee (MD or DO) issued by the Tennessee Board of Medical Examiners

  • Remain readily available for consultation during all hours the NP provides care (by phone, video, or in-person)

  • Possess training, experience, and usual practice aligned with the NP's scope

Chart Review Requirements

Under Tenn. Comp. R. & Regs. 0880-06-.02 (Board of Medical Examiners), the collaborating physician has specific oversight duties:

Monthly chart review obligations:

  • Minimum 20% sample review of charts the NP writes or monitors every 30 days

  • Personal review — cannot be delegated to another provider

  • Documentation of each review session with dates and findings

  • Feedback to the NP on clinical observations and recommendations

This requirement ensures ongoing physician engagement and provides a documented audit trail of collaboration.

Remote-Site Visits

If the NP practices at a location away from the physician's primary office, Tenn. Comp. R. & Regs. 0880-06-.02 requires:

  • In-person visit from the collaborating physician at least once every 30 days

  • Documentation of each visit date and observations

  • Verification that workflow, equipment, and documentation systems are functioning correctly

This requirement ensures that remote practices maintain operational alignment with the physician's standards.

Controlled Substance Compliance and Documentation

DEA and Tennessee Registrations for Controlled-Substance Prescribing

To prescribe controlled substances in Tennessee, you must hold both a federal DEA registration and a Tennessee Controlled Substance Registration:

Federal DEA Registration:

  • Apply directly to the U.S. Drug Enforcement Administration (DEA)

  • Your registration must be in your own name (not delegated from your collaborating physician)

  • Renewal typically every 3 years

  • Registration number must be used on all controlled-substance prescriptions

Tennessee Controlled Substance Registration:

  • Apply to the Tennessee Board of Nursing

  • Separate from your nursing license

  • Maintains state-level tracking of controlled-substance authority

  • Must be current to legally prescribe in Tennessee

Both registrations must be active and current before you prescribe the first controlled substance.

Compliance and Audit Documentation

The Tennessee Board of Nursing and Board of Medical Examiners conduct compliance monitoring. Strong documentation is essential:

Required record-keeping:

  • Current, signed CMA (reviewed every two years)

  • Certificate of Fitness (current)

  • Chart review logs showing dates, charts reviewed, and physician findings

  • Consultation logs when you contacted your collaborating physician

  • Controlled-substance prescribing records

  • DEA and Tennessee Controlled Substance Registration (both current)

  • Continuing education documentation

  • CSMDB access logs and patient-history reviews

  • Patient communication and education notes

Maintain records contemporaneously (as the work is done, not reconstructed later). Dated logs and records demonstrate active collaboration rather than theoretical compliance.

Continuing Education Requirements

What CE does an NP with prescriptive authority need?

The Tennessee Board of Nursing requires ongoing continuing education to maintain your Certificate of Fitness and professional competence.

Continuing education expectations:

  • Remain current in your specialty area (specialty-specific requirements vary)

  • Document CE completion and maintain records for Board inspection

  • CE must be from Board-recognized providers

While Tennessee does not prescribe a specific number of hours, best practice aligns with national standards (typically 20-30 hours biennial) and the Board expects demonstrable professional development. For specific CE requirements during your Certificate renewal cycle, verify current Board guidance directly with the Tennessee Board of Nursing.

License renewal occurs biennially (by February 28th of odd-numbered years for nursing licenses). Maintain CE documentation for at least four years.

Telehealth and Remote Collaboration in Tennessee

How does telehealth work with CMAs?

Telehealth does not remove Tennessee's CMA requirement or chart-review and remote-site-visit obligations. If you conduct patient care via telehealth, the same collaboration standards apply.

Telehealth specifics:

  • Patient location determines state-law applicability. A telehealth visit with a patient in Tennessee is practice in Tennessee; a visit with a patient in another state is practice in that state, requiring licensure there

  • CMA coverage. Your CMA must explicitly cover telehealth services and include any associated workflows

  • Chart review. The physician's 20% monthly chart review applies to telehealth notes as well

  • Remote-site visits. If you conduct telehealth from a remote site, the physician must visit that location at least once every 30 days per Tenn. Comp. R. & Regs. 0880-06-.02

  • Consultation availability. The physician must remain available for consultation during telehealth hours

  • Prescription pads. Preprinted prescription pads (with both names) apply to all prescriptions, including those issued remotely

For general telehealth guidance, the American Medical Association Telehealth Quick Guide addresses patient-location analysis and state-by-state licensure considerations.

What Does a Collaborating Physician Cost in Tennessee?

Tennessee Fair Price benchmark (2026)

From 20+ signed contracts
Median collaborating physician fee
$649/month
Fair Price Band™ (25th–75th percentile)
$555–$649/month

Source: NP Collaborator Fair Price Report, Edition 1, 2026. Figures reflect real signed collaboration agreements, not survey estimates or vendor list prices.

See the full Tennessee collaborating physician cost breakdown →

Market pricing for collaborating physicians

Collaborating physician costs in Tennessee vary based on practice setting, specialty, prescriptive scope, and physician experience. Factors include:

  • Specialty area (primary care, mental health, aesthetics, etc. command different rates)

  • Prescriptive authority scope (broader authority often costs more)

  • Chart review burden (frequency and intensity)

  • Geographic location (Memphis/Nashville higher than rural areas)

  • Physician experience with NP collaboration

According to NP Collaborator's Fair Price for Collaboration Report, Edition 1 (2026), the Tennessee Fair Price median is $649/month, with a Fair Price Band of $555–$649/month, based on 20+ real Tennessee contracts.

These figures represent total monthly fees including physician compensation, platform fees (if applicable), and physician malpractice insurance.

Typical market arrangements:

  • Minimal Collaboration: $400–$550/month (light administrative relationship)

  • Active Partnership Model: $649–$850/month (regular chart reviews, case consultation)

  • High-Engagement Collaboration: $900–$1,200+/month (intensive oversight, specialized mentoring)

  • System Employment: Often no direct cost (built into employment agreement)

Finding a Collaborating Physician

Traditional recruitment involves networking within hospital systems, contacting physician colleagues directly, and negotiating individual arrangements. This approach works in urban areas but becomes challenging in rural Tennessee.

Modern solutions streamline this process. NPCollaborator matches Tennessee NPs with vetted collaborating physicians based on specialty, geography, and practice type. This approach eliminates months of recruitment while ensuring your collaborator understands Tennessee's strict CMA and chart-review requirements.

2026 Market Rate Breakdown

Option

Monthly Cost

Flexibility

Collaboration Support

NPCollaborator Service

$449

High – switch physicians if needed

Included – compliance support, documentation

Traditional Private Arrangement

$700–$1,000

Moderate – limited options

Minimal – your responsibility

Health System Employment

No direct cost

Low – system-determined terms

Strong – organizational framework

Individual Negotiation

$600–$950

High – custom terms

Depends on physician

How to interpret pricing: The Fair Price benchmark of $649/month answers the question, "What is typical across the market in Tennessee?" Individual physicians on NP Collaborator answer a different question: "Which collaborating physicians are available right now, and what do they charge?" An individual physician's fee may be higher or lower than the Fair Price median.

Why NPCollaborator Makes Sense for Tennessee NPs

When comparing options, NPCollaborator stands out for Tennessee NPs specifically because it addresses the compliance burden unique to Tennessee's strict CMA model:

Factor

NPCollaborator

Traditional Physician

System Employment

Cost

$449/month

$750+/month (Fair Price ~$649)

No direct cost but inflexible

Matching Speed

2–4 weeks

2–6 months or longer

Immediate (hiring process)

Physician Vetting

Yes – Tennessee CMA experience

Unknown fit

HR-selected

CMA Preparation

Complete – all documentation included

You handle it

Standard template

Tennessee Compliance Knowledge

Yes – chart review/remote-site requirements

Varies widely

Organizational compliance

Chart Review Support

Automated scheduling & tracking

Manual coordination

Integrated with employment

Remote-Site Visit Coordination

Scheduled and tracked

Manual coordination

Employer-managed

Support During Audits

Yes – documentation assistance

Limited

Employer support

Flexibility

High – easy to change

Limited – disruptive

Very limited – employment-bound

Many Tennessee NPs choose NPCollaborator specifically because it eliminates the recruitment burden while automating compliance tracking (chart reviews, remote-site visits, CMA renewal) unique to Tennessee's regulatory model.

Setting Up Your Tennessee NP Practice

Legal Requirements

Before you can see patients in Tennessee, you must have in place:

  • Certificate of Fitness from the Tennessee Board of Nursing

  • Current, signed Collaborative Management Agreement with a licensed physician

  • Tennessee nursing license with NP credentials

  • Current national board certification

  • DEA registration (if prescribing)

  • Tennessee Controlled Substance Registration (if prescribing controlled substances)

  • Professional liability insurance

Practice Setup

  • Office lease or clinic space with secure documentation areas

  • Electronic health record system compatible with chart review workflows

  • CSMDB access for controlled-substance monitoring

  • Preprinted prescription pads with both your name and collaborating physician's name

  • Secure controlled-substance storage and dispensing protocols

  • Patient communication and consent systems

  • Documentation system for monthly physician chart reviews and remote-site visits

Operational Considerations

  • Professional liability insurance (essential)

  • Business structure (LLC, S-corp, sole proprietorship, etc.)

  • Billing and coding infrastructure

  • Staffing needs and workflow

  • CMA renewal calendar (every two years minimum)

  • Monthly chart-review workflow and documentation

  • Remote-site visit scheduling (if applicable)

Compliance and Documentation Standards

How should Tennessee NPs document their practice?

The Tennessee Board of Nursing and Board of Medical Examiners conduct compliance monitoring through documentation review and complaint investigations. Strong record-keeping is critical:

Documentation standards:

  • Current CMA: Signed and dated; reviewed and re-signed at least every two years; available on request

  • Chart review records: Document which charts are reviewed, review dates, NP findings, and physician feedback

  • Physician visit logs (if remote site): Document each physician visit date and observations

  • Consultation logs: When you consulted with the physician and the outcome

  • Controlled-substance records: Prescriptions, clinical justification, CSMDB reviews, DEA compliance

  • Continuing education: Documentation of professional development and course completion

  • License and certification: Current NP license, Certificate of Fitness, and national certification

Keep records contemporaneously (as the work is done). Dated CMA versions, chart-review logs, physician-visit logs, and meeting notes demonstrate active collaboration rather than theoretical compliance.

Frequently Asked Questions

Q: Do nurse practitioners need a CMA in Tennessee?

A: Yes. Tennessee is a restricted-practice state requiring all NPs to maintain a current written Collaborative Management Agreement with a collaborating physician. This is a legal requirement, not optional.

Q: What is a Certificate of Fitness?

A: A Certificate of Fitness is the Board-issued credential authorizing an NP to diagnose, develop plans of care, and prescribe medications in Tennessee. It is distinct from your nursing license and requires specific educational prerequisites and national certification.

Q: How often does a collaborating physician review charts in Tennessee?

A: Every 30 days, the collaborating physician must personally review at least 20% of the charts the NP writes or monitors, per Tenn. Comp. R. & Regs. 0880-06-.02.

Q: How often are CMAs reviewed?

A: Written protocols must be reviewed and re-signed by both parties at least every two years per Tenn. Comp. R. & Regs. 1000-04-.04. The CMA relationship itself is ongoing.

Q: Do I need to use preprinted prescription pads?

A: Yes. All prescriptions (including controlled substances) must be written on preprinted pads displaying both your name and your collaborating physician's name per Tennessee Board of Nursing rules.

Q: Can my collaborating physician practice remotely?

A: Your collaborating physician can provide consultation remotely by phone or video. However, if you practice at a remote site, the physician must visit that site at least once every 30 days per Tenn. Comp. R. & Regs. 0880-06-.02.

Q: What DEA registrations do I need for controlled-substance prescribing?

A: You must hold both a personal federal DEA registration and a Tennessee Controlled Substance Registration. You must use your own DEA number on all controlled-substance prescriptions.

Q: Can Tennessee NPs prescribe Schedule II controlled substances?

A: Yes, if that authority is included in your Certificate of Fitness formulary and defined in your CMA. You must use your personal DEA number and maintain clinical documentation supporting the prescription.

Q: What if my collaborating physician becomes unavailable?

A: Contact the Tennessee Board of Nursing immediately. You must notify the Board within a reasonable timeframe. Tennessee generally allows a brief practice-continuation period while you recruit a new physician. Your backup physician (identified in your CMA) can provide interim coverage.

Q: How much does a collaborating physician cost in Tennessee?

A: The Tennessee Fair Price median is $649/month, with a Fair Price Band of $555–$649/month, based on 20+ real Tennessee contracts. Individual arrangements vary depending on specialty, prescriptive scope, and practice setting.

Q: Can I practice via telehealth in Tennessee?

A: Yes, but your CMA must cover telehealth services. If you conduct telehealth from a remote site, the physician must visit that location at least once every 30 days. Your collaborating physician must still complete 20% monthly chart reviews. The patient must be located in Tennessee (or you must be licensed in the patient's state).

Q: What happens if I practice without a CMA or Certificate of Fitness?

A: Practicing without these credentials constitutes unlicensed practice and exposes you to discipline by the Board, including license revocation, and potential criminal liability.

Final Thoughts

Disclaimer: This page summarizes NP Collaborator's interpretation of Tennessee statutes, Board of Nursing rules, and DEA regulations governing nurse practitioner collaborative 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 Tennessee Board of Nursing, Tennessee Board of Medical Examiners, or a qualified healthcare attorney before making practice decisions.

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