For nurse practitioners · North Dakota

The statute stopped mentioning supervision.

APRN licensure under N.D.C.C. ch. 43-12.1 confers practice authority outright; the collaborative-agreement requirement was repealed in 2011 and no physician supervision or collaboration mandate remains anywhere in the Nurse Practices Act.

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Every state with a pathway

The moment

Independence attaches at licensure

North Dakota repealed its collaborative-agreement requirement with SB 2148 in 2011, and the Nurse Practices Act has not mentioned physician supervision since. The pathway is licensure itself: application, graduate education, national certification, an RN license.

The requirement

none — independence at licensure

The moment it attaches

automatic — attaches at initial APRN licensure (43-12.1-09(2)(c): application, graduate education, national certification, RN license)

The timeline

August 1, 2011 (SB 2148, 2011 session, removed the collaborative-agreement requirement)

The statute

N.D.C.C. ch. 43-12.1 (§§ 43-12.1-02, 43-12.1-09(2)(c))

The receipt

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

Since SB 2148 in 2011, North Dakota's Nurse Practices Act has not mentioned physician supervision at all — the statute reserves the word 'dependently' for LPNs, while APRNs carry no qualifier whatsoever.

N.D.C.C. ch. 43-12.1 (§§ 43-12.1-02, 43-12.1-09(2)(c))

Scope and carve-outs

The grant and the strings, at equal weight

Full scope within the licensed APRN role (CNP, CRNA, CNM, CNS) and population focus, including prescriptive practices; the statute contains no controlled-substance or specialty carve-outs. Practice detail is set by Board of Nursing administrative rules.

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 North Dakota’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
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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