Are there any proximity or in-person requirements between an NP and collaborating physician in New York?

New York does not impose proximity or in-person meeting requirements between a nurse practitioner (NP) and a collaborating physician. For NPs who have reached independent practice status (more than 3,600 hours), collaborative relationships may be maintained through communication in person, by telephone, or via written/electronic means, so no co-location or face-to-face meetings are required¹.

For NPs practicing under a written practice agreement and protocols, the law similarly does not mandate in-person meetings; however, it limits off-site collaborations: a physician may not enter written practice agreements with more than four NPs who are not located on the same physical premises². These agreements must also provide for timely physician review of patient records—at least every three months—though this review requirement does not specify in-person review³.