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How many nurse practitioners can a physician supervise in Michigan?
Michigan
Nurse Practitioner Collaboration

How many nurse practitioners can a physician supervise in Michigan?

Chris Turitzin
•
Updated
December 9, 2025

A physician in Michigan may supervise an unlimited number of nurse practitioners; Michigan law sets no maximum number of APRNs with whom a physician may enter into written authorizations. The state’s delegation rules specify the required contents and annual review of written authorizations but do not impose a numeric cap on supervisees1.

When supervision applies, Michigan’s Public Health Code defines supervision as oversight with continuous access for direct communication, regular review and consultation, and use of predetermined procedures and drug protocols2.

  • Continuous availability of direct communication (in person, phone, or telecommunication)
  • Regularly scheduled availability for practice review, consultation, record review, and education
  • Predetermined procedures and drug protocols

Citations

  1. Michigan Administrative Code Rule 338.2411 (1)-(2)
  2. Michigan Compiled Laws §333.16109 (2)(a)-(c)
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.