North Carolina
Nurse Practitioner Collaboration
What are the requirements for terminating a collaborative agreement in North Carolina?
Chris Turitzin
Updated
December 9, 2025
In North Carolina, terminating a collaborative practice agreement means the NP’s approval to practice ends once the NP discontinues working under the approved agreement1. To continue practicing, the NP must have a new collaborative practice agreement with a primary supervising physician in place before performing medical acts2.
If the change involves replacing or adding a supervising physician rather than fully terminating, the NP must submit an application to the Board of Nursing to add or change the primary supervising physician; requests to alter scope of practice go to the Joint Subcommittee of the Boards3. Until a new agreement is active, the NP may not perform medical acts in North Carolina2.
Citations
- North Carolina Administrative Code §36.0804 (d)
- North Carolina Administrative Code §36.0804 (a)(4)
- North Carolina Administrative Code §36.0810 (2)(f)
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