How many nurse practitioners can a physician supervise in Kentucky?

A physician may collaborate with an unlimited number of nurse practitioners in Kentucky; the law does not set a maximum number of APRNs per physician. In Kentucky, “supervision” is referred to as collaboration, defined as the relationship between the APRN and a physician in the provision of prescription medication, including both autonomous and cooperative decision-making, with each contributing respective expertise¹.

While there is no numerical cap, prescriptive authority hinges on appropriate collaborative agreements: a CAPA-NS for nonscheduled legend drugs during the first four years of prescribing within the APRN’s population focus², and the standardized Form CAPA-CS for controlled substances³. These agreements outline qualifications and communication; meeting requirements apply to the CAPA-CS only—quarterly in year one and biannually in years two through four⁴—and are not specified for the CAPA-NS.