For nurse practitioners · Nevada

One bill flipped Nevada.

An APRN license under NRS 632.237 carries independent diagnosis, treatment, and signature authority with no collaboration agreement from the first day of licensure.

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Every state with a pathway

The moment

Independence attaches at licensure

Nevada moved from a restrictive collaboration state to full practice authority in a single 2013 bill, AB 170. Independence attaches at initial APRN licensure — and the one carve-out worth planning around gets equal billing here: Schedule II prescribing requires at least two years or 2,000 hours of clinical experience, and until then runs only under a protocol approved by a collaborating physician. Schedules III–V carry no such gate.

The requirement

none for independent practice; Schedule II prescribing requires 2 years or 2,000 hours of clinical experience, otherwise a collaborating-physician protocol

The moment it attaches

automatic — attaches at initial APRN licensure

The timeline

2013 (AB 170); widely reported effective July 1, 2013

The statute

NRS 632.237; NRS 639.2351

The receipt

Other platforms would show a testimonial here. Gale has no Nevada NPs to quote, and we do not invent people — so here is the dated, sourced fact instead.

Nevada went from a restrictive collaboration state to full practice authority in a single 2013 bill, AB 170 — which also renamed the license from 'advanced practitioner of nursing' to APRN.

NRS 632.237; NRS 639.2351

Scope and carve-outs

The grant and the strings, at equal weight

Full scope with one carve-out: an APRN authorized to prescribe under NRS 639.2351 may not prescribe a Schedule II controlled substance unless the APRN has at least 2 years or 2,000 hours of clinical experience, or the drug is prescribed under a protocol approved by a collaborating physician (NRS 632.237). Schedules III-V are unrestricted.

What Gale runs

The inventory, split honestly. Nothing dark is dressed as live.

In the product today

  • Scheduling and the calendar.
  • Notes, with a scribe that drafts during the visit — you stay the final editor of every note.
  • Telehealth where the chart lives.
  • The patient record — see a sample chart, no signup.
  • Superbills for the patient who wants to claim out-of-network benefits.
  • The Fee Schedule — the one Gale document that states the fee.
  • Your practice page, in the public directory compiled from the NPPES registry.

Opening with the founding cohort

  • Concierge memberships — a monthly plan your practice sells on its own terms. Not sellable yet: enrollment fails closed behind a legal switch until counsel clears it. No countdown — when it clears, it clears.
  • The loop tracker — every referral, lab, and question a visible loop with an owner, a state, and a promised window. Closing one requires an outcome note; nothing silently expires.
  • The guided founding sequence — practice setup walked step by step with the first cohort: entity, posted prices, the practice page, the first visit.
The economics

No physician attached means no standing invoice between you and your own practice — the economics of independence here are unusually legible. What Gale adds is built to read the same way.

Gale’s side of the ledger is deliberately short. The software is free, and Gale earns one flat all-in fee on a transaction — charged only when your practice is actually paid, never as a subscription, never with per-feature line items, never a spread on your rate. The number itself lives in exactly one document, on purpose, so it can never quietly say two different things in two places: the Fee Schedule states it.
The playbook

The deepest state cluster we have built is California’s — eight guides on the 103/104 ladder, cited to the statute and the board’s own filings. They are California’s rules, not Nevada’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
Questions with citable answers
Not independently. Until you have at least 2 years or 2,000 hours of clinical experience, Schedule II prescribing runs under a protocol approved by a collaborating physician (NRS 632.237). Schedules III–V are unrestricted from licensure.
No. Independent diagnosis, treatment, and signature authority attach at initial licensure with no collaboration agreement. The experience gate applies only to Schedule II prescribing.
Where to start

Your page may already exist

Gale publishes a public directory compiled from the NPPES registry. Find your listing, claim it, and see how you rank for your own name — that page is the front door your independent practice will be found through.

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