Nebraska NP Collaboration Requirements Summary

Nebraska NPs need a supervising provider only temporarily — while completing 2,000 hours under a transition-to-practice agreement — after which they practice independently. The supervising provider can be a physician or a qualified NP (with 10,000 hours), and the agreement is a formal written statement that the two practice collaboratively within their respective scopes. Nebraska requires no template, signatures, filing, meetings, or chart review.

Source: Neb. Rev. Stat. § 38-2322

Type of Collaborative Relationship

Nebraska NPs need a supervising provider temporarily, for the 2,000 hours it takes to qualify for independent practice. A new NP practices under a transition-to-practice agreement with a physician or a qualified NP, then practices independently. Involvement is minimal: the supervising provider must be readily available for consultation and direction within the NP’s scope, with no ratio cap, meeting cadence, chart-review count, or on-site rule.

Source: Neb. Rev. Stat. § 38-2322

What is an NP’s scope of practice in Nebraska?

Nebraska NPs (advanced practice registered nurses) practice within their scope and, after an initial transition period, practice independently. A new NP works under a transition-to-practice agreement while completing 2,000 hours; after that, no supervising provider is required.

Do NPs need a collaborating physician in Nebraska?

Yes, temporarily. A new NP must complete 2,000 hours under a transition-to-practice agreement with a collaborating physician or a qualified NP; after those hours, no supervising provider is required.

Can NPs practice independently in Nebraska?

Yes, after 2,000 hours. An NP who completes 2,000 hours of practice — under a transition-to-practice, collaborative, integrated, or independent practice arrangement, or a combination — may practice independently.

How many NPs can a physician supervise in Nebraska?

No limit — Nebraska sets no ratio cap on how many NPs a supervising provider may oversee.

Who can be a collaborating physician in Nebraska?

A supervising provider may be a physician, osteopathic physician, or NP licensed and practicing in Nebraska in the same, a related, or a comparable specialty or field. An NP can serve if they have completed 10,000 practice hours.

Are there proximity or in-person requirements in Nebraska?

No, Nebraska sets no geographic or travel requirements.

Collaboration Agreement Requirements

Nebraska’s agreement is called a transition-to-practice agreement, and there is no state template. It must be a formal written agreement stating that the NP and supervising provider practice collaboratively within the framework of their respective scopes of practice; Nebraska sets no other content requirement, and no signatures, storage, backup, or review.

Source: Neb. Rev. Stat. § 38-2322(1)(a)

What must be included in an NP collaborative agreement in Nebraska?

It must be a formal written agreement stating that the NP and supervising provider practice collaboratively within the framework of their respective scopes of practice. Nebraska sets no other required content.

What is the collaborative agreement called in Nebraska?

It is called a transition-to-practice agreement. Nebraska does not provide a template.

Who has to sign the collaborative agreement in Nebraska?

Nebraska sets no signature requirement for the transition-to-practice agreement.

How often must the agreement be reviewed or renewed in Nebraska?

Nebraska sets no review or renewal requirement for the transition-to-practice agreement.

Is a backup physician required in Nebraska?

No, Nebraska does not require a backup physician.

Board Filing Requirements

Nebraska does not require the transition-to-practice agreement to be filed, and there are no recurring filing or termination-notice requirements. The NP submits evidence of the 2,000 hours as part of the licensure application, and — if the supervising provider is an NP — an attestation of supervision must be submitted to the state.

Source: Neb. Rev. Stat. § 38-2317(1)(d)

Do you have to file the collaborative agreement with the board in Nebraska?

No. The transition-to-practice agreement itself is not filed, though evidence of the 2,000 hours is submitted with the licensure application, and an attestation of supervision is required when the supervising provider is an NP.

Can an NP start practicing as soon as they file in Nebraska?

Nebraska does not tie the start of practice to filing an agreement. A new NP practices under a transition-to-practice agreement while completing the 2,000 hours, then submits evidence of those hours with the licensure application.

What are the termination and notice requirements in Nebraska?

Nebraska sets no termination-notice requirement for the transition-to-practice agreement.

Collaboration Compliance

Nebraska imposes almost no ongoing collaboration compliance requirements. There is no required meeting cadence, chart review, chart co-signing, or documentation; the supervising provider must simply be readily available for consultation and direction of the NP’s activities within the NP’s scope.

Source: Neb. Rev. Stat. § 38-2322(3)(b)

How many charts must a collaborating physician review in Nebraska?

There is no fixed number. Nebraska does not require chart review or chart co-signing.

How often must an NP and collaborating physician meet in Nebraska?

There is no set cadence. Nebraska does not require scheduled meetings. The supervising provider must be readily available for consultation and direction within the NP’s scope.

How long must collaboration records be kept in Nebraska?

Nebraska sets no recordkeeping or retention requirement for the transition-to-practice relationship.

Prescribing Rules

Nebraska NPs may prescribe, including controlled substances, and need a federal DEA registration to do so — Nebraska issues no separate state controlled-substance registration.

Source: Neb. Rev. Stat. § 38-2317

Can an NP prescribe controlled substances in Nebraska?

Yes. Nebraska NPs may prescribe controlled substances with a federal DEA registration; Nebraska does not issue a separate state controlled-substance registration.

Can an NP prescribe Schedule II drugs in Nebraska?

Yes, Nebraska NPs prescribe controlled substances in accordance with federal DEA requirements.

What schedule drugs can an NP prescribe in Nebraska?

Nebraska NPs can prescribe Schedule II – V controlled substances in accordance with federal DEA requirements.

Does an NP need a DEA license in Nebraska?

Yes, for controlled substances. An NP who prescribes controlled substances must obtain a federal DEA registration (for each state where they prescribe); Nebraska does not issue a separate state controlled-substance registration.

Can an NP prescribe independently in Nebraska?

Yes. Nebraska does not require a supervising provider to co-sign prescriptions, and after completing the 2,000-hour transition period the NP prescribes independently. During that period, the NP prescribes under their own authority within the transition-to-practice agreement.

Specialty & Telehealth Requirements

Nebraska sets no telehealth-specific or specialty-specific collaboration requirements. Notably, Nebraska’s rules make the NP and supervising provider each responsible for their own decisions, while sharing joint responsibility for the delivery of care within their respective scopes.

Source: Neb. Rev. Stat. § 38-2322(1)(b)

Are there telehealth or telemedicine requirements for NPs in Nebraska?

No, Nebraska sets no telehealth-specific collaboration requirements.

Are there specialty-specific requirements for NPs in Nebraska?

No, Nebraska sets no specialty-specific requirements. The supervising provider must practice in the same, a related, or a comparable specialty or field as the NP.