Nurse Practitioner Collaborative Agreements in Texas
Table of Contents
Collaboration Difficulty Level
Medium
Collaborating Physician Pay
Capacity Limits:
seven full-time NPs at a time
Meeting Requirements
At least once a month
Board submissions
Required
Distance Restrictions
None
Board termination notice required
NP can Rx Schedule II only in limited settings
Corporate Practice of Medicine Applies
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Submitting the Agreement to the State
The supervising physician is responsible for registering the APRN in the TMB’s Online Supervision and Prescriptive Delegation Registration System. No paper submissions are accepted.
Supervision/delegation approval or termination changes should be updated in the TMB system within 30 days.
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Collaboration & Supervision Requirements
Prescriptive Authority (Medications & Controlled Substances)
Scope of Practice
⚠️ Special Note: Schedule II Prescribing In Texas, prescribing Schedule II medications triggers a requirement for direct physician involvement. This increased level of engagement and liability significantly impacts market rates, typically raising the monthly compensation above $1,000/month.
Average Monthly Compensation
per month
Compensation Range
Low Range
per month
Average
per month
High Range
per month
Compensation varies based on factors including practice setting, number of NPs supervised, chart review requirements, and additional responsibilities. Physicians collaborating with multiple NPs or providing more intensive oversight typically command higher monthly fees.
How did we calculate pay?
Jobs by Practice Type:
Recent Job Postings:
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About the Author
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