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

Pennsylvania does not impose a specific proximity or in-person co-location requirement between a CRNP and the collaborating physician. The physician must be immediately available to the CRNP through direct communication or telecommunication, which satisfies supervision; physical on-site presence is not required by regulation¹.

A collaborative agreement must include a predetermined emergency plan, the physician’s immediate availability, and regular chart and record review for patients under the CRNP’s care². These requirements focus on accessibility and oversight rather than geographic distance.

For prescribing, the prescriptive authority collaborative agreement must specify the circumstances and how often the collaborating physician will personally see patients to whom the CRNP is prescribing³. This sets in-person patient contact expectations, but it does not create a statewide proximity mandate between the CRNP and physician.