What is a Michigan NP's scope of practice?

A Michigan NP’s scope of practice includes functioning as an Advanced Practice Registered Nurse (APRN) and providing care across varied settings without limits on visit time or frequency¹². NPs may independently prescribe non-controlled prescription drugs, while prescribing controlled substances (Schedules II–V) requires physician delegation through a written authorization³⁴.

When prescribing controlled substances under delegation, both the NP’s and the delegating physician’s names and DEA registration numbers must be used, recorded, or otherwise indicated in connection with that prescription⁵. The written authorization must identify the physician and APRN, include their license numbers and signatures, state any limitations or exceptions, and specify the effective date; the delegating physician must review and update the authorization annually and note each review date⁶⁷.

NPs may independently order, receive, and dispense complimentary starter doses of non-controlled drugs; starter doses of controlled substances require physician delegation and dual identification⁸⁹. Delegation may permit multiple prescriptions totaling up to a 90-day supply of Schedule II drugs, but it may not be used to prescribe medications intended to cause miscarriage or fetal death for a known pregnant patient¹⁰¹¹. Supervision is defined to include continuous communication availability, periodic practice review, and predetermined procedures and drug protocols, and physicians must keep the written authorization at the primary practice and provide a copy to the NP¹²¹³.