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

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

Chris Turitzin
•
Updated
December 9, 2025

In Virginia, the number of NP charts a collaborating physician must review is not fixed by law. Instead, chart review is governed by the NP–physician practice agreement and must occur periodically at a frequency set by the patient care team.123

NPs authorized for autonomous practice do not need a practice agreement, so no physician chart-review requirement applies. Autonomous APRNs must practice within their training, consult and collaborate as clinically appropriate, and maintain a referral plan for complex cases and emergencies.4

Because statutes and regulations set no numeric quota, teams should specify the method and frequency of chart review in the practice agreement and keep the agreement available for Board review upon request.1

Citations

  1. Virginia Administrative Code §90-30-120
  2. 2023 Code of Virginia §54.1-2957 (D)
  3. 2023 Code of Virginia §54.1-2957 (I)
  4. Virginia Administrative Code §90-30-86
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.
Looking to be a collaborating physician?

Receive NP/PA matches in 5 minutes.

Sign up to see connected nurse practitioners and physician assistants who are ready to collaborate in your state.
Get Started
Single Aim's network of vetted collaborating physicians are ready to take on your job.

Find a Collaborating Physician Today

Find Your Collaborator Now
For Providers
Get Matched NowPartners
For Physicians
Find JobsCollaborating Physician Pay
Resources
Knowledge CenterNP Entrepreneurship ReportNP Collaborative Practice Agreement Templates
© Single Aim, LLC. All Rights Reserved 2024.
584 Castro Street #3062
San Francisco, CA 94114
team@singleaimhealth.com

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.