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How many charts must a collaborating physician review for a Pennsylvania NP?
Pennsylvania
Nurse Practitioner Collaboration

How many charts must a collaborating physician review for a Pennsylvania NP?

Chris Turitzin
•
Updated
March 6, 2026

In Pennsylvania, there is no fixed number of charts a collaborating physician must review for a CRNP; rather, regular chart and record review is required and the specifics are set by the collaborative agreement12. Physicians review charts, medical records, and protocols in accordance with the terms of that agreement2.

The collaborative agreement must explicitly provide for the physician’s ongoing chart review and related consultation and protocol oversight1. Additionally, for prescriptive authority, the prescriptive authority collaborative agreement must specify how often the collaborating physician will personally see patients to whom the CRNP is prescribing3.

Citations

  1. Pennsylvania Professional Nursing Law §212 (13)(i–iii)
  2. 49 Pa. Code §21.251
  3. 49 Pa. Code §21.285(a)(4)
Chris Turitzin
Chris, founded Single Aim Health in 2024 to provide clinicians, especially NPs and PAs, with essential services for launching and growing their practices. A Stanford graduate in Product Design, Chris co-founded Momentus Media, which was acquired by Facebook, and worked as a Product Manager there. He later gained expertise in digital health through leadership roles at Bicycle Health, Virta Health, and founding Wink Health. Now, he is using his experience to help clinicians through Single Aim Health.
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Disclaimer: The regulatory research, summaries, and tools provided by Single Aim, LLC are for informational and educational purposes only and do not constitute legal advice. While we strive to ensure accuracy, healthcare laws vary by state and may change over time. You should always consult a licensed attorney familiar with healthcare regulations in your specific state before making decisions related to you clinical and operational needs for compliance. Single Aim is not a law firm and does not provide legal representation. Use of our materials does not create an attorney-client relationship.

Need legal guidance? We recommend contacting a licensed healthcare attorney in your state or using professional associations such as the American Health Law Association (AHLA) or your state’s medical or nursing board for referrals.