South Dakota grants full practice authority to nurse practitioners after a mandatory 1,040-hour transition period under SDCL 36-9A-4. Newly licensed CNPs must maintain a written collaborative agreement with a South Dakota–licensed physician or CNP until completing 1,040 practice hours. After filing a Practice Verification Form, the agreement is retired and independent practice begins.
South Dakota is a full practice authority state for nurse practitioners, with a mandatory transition-to-practice period. Under SDCL 36-9A-4, newly licensed CNPs must complete 1,040 practice hours under a written collaborative agreement with a South Dakota–licensed physician or CNP before practicing independently. After filing a Practice Verification Form with the South Dakota Board of Nursing, the agreement is retired and the NP practices with full independent authority. Prescriptive authority includes Schedules II–V controlled substances, requiring a South Dakota Controlled Substance Registration, federal DEA registration, and PDMP enrollment.
But here is what South Dakota independence actually means: you are the captain of the ship, and the liability for every clinical decision, every chart note, every prescription, and every patient outcome rests entirely on your license.
For NPs launching independent clinics in Sioux Falls, Rapid City, or rural prairie communities, expanding into high-complexity specialties like psychiatric mental health or medical aesthetics, or building telemedicine platforms that serve patients across the upper Midwest, this creates a unique challenge. You do not need a boss. You do need a strategy. You need documented peer-review systems, specialty escalation pathways, payer credentialing support, and malpractice frameworks that protect the business you are building. In South Dakota, the smartest NPs do not view physician collaboration as a legal shackle. They view it as a business asset—a way to add clinical depth, satisfy insurance panels, and insulate their practice from the compliance risks that come with total autonomy.
This guide covers all of it.
Find a Collaborating Physician in South Dakota
22 verified physicians ready to collaborate · Fees $494–$699/mo
Dr. Ryan G. is a board-certified general psychiatrist with extensive experience practicing across a wide range of clinical and cultural settings. Her background includes work in inpatient psychiatry, emergency and consult-liaison psychiatry, outpatient psychiatry, and telepsychiatry, providing her with a comprehensive understanding of psychiatric care across the full continuum of treatment. Throughout her career, Dr. Ryan G. has cared for diverse patient populations, including individuals in remote and underserved communities, tribal populations, and patients with complex psychiatric and medical needs. Her clinical expertise is particularly focused on the treatment of psychosis, severe and persistent mental illness, and psychiatric symptoms arising from underlying medical conditions. This breadth of experience has equipped her to manage challenging diagnostic presentations and complex treatment scenarios while maintaining a patient-centered, evidence-based approach. Dr. Ryan G. values thoughtful clinical decision-making, individualized treatment planning, and collaborative care models that support both patient outcomes and provider development. Her experience across multiple practice settings allows her to provide practical guidance and support for clinicians working with a broad range of psychiatric conditions. Areas of Expertise • General Adult Psychiatry • Psychosis & Schizophrenia Spectrum Disorders • Severe & Persistent Mental Illness (SPMI) • Consult-Liaison Psychiatry • Emergency Psychiatry • Inpatient Psychiatry • Outpatient Psychiatry • Telepsychiatry • Psychiatric Manifestations of Medical Conditions • Complex Diagnostic Assessment • Underserved & Rural Mental Health Populations • Collaborative Psychiatric Care Philosophy of Collaboration Dr. Ryan G. believes that successful physician–NP collaboration is built on a balance of independence, accountability, and mutual respect. She values creating an environment where advanced practice providers can exercise clinical autonomy while knowing they have reliable support and oversight when needed. Her collaborative approach emphasizes open communication and the importance of recognizing when consultation can enhance patient care. She appreciates clinicians who are thoughtful, self-aware, and willing to seek guidance on challenging cases. At the same time, she supports independent clinical judgment and encourages professional growth through shared learning and discussion. Dr. Ryan G. believes that if a treatment plan is safe, clinically sound, evidence-based, and within accepted standards of care, it deserves consideration and support—even when approaches may differ from her own personal experience. She views collaboration as an opportunity for continuous learning on both sides and strives to foster professional relationships built on trust, clinical rigor, and a shared commitment to providing high-quality psychiatric care. FOR CA NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Ernest O. is a double board–certified psychiatrist based in Palo Alto, California, with advanced subspecialty expertise in psychopharmacology, psychosomatic (consultation-liaison) psychiatry, and integrative psychiatry. He completed fellowship training in Consultation-Liaison Psychiatry at Stanford Health Care following his psychiatry residency at St. John’s Episcopal Hospital. His clinical background reflects a strong focus on the interface between complex medical illness and psychiatric care. Dr. Ernest O. currently serves as an Attending Psychiatrist at Comprehensive Psychiatric Services and has previously practiced in high-acuity academic and community settings, including Los Angeles General Medical Center and St. John’s Episcopal Hospital. His clinical work emphasizes the thoughtful management of medically complex patients, neuropsychiatric conditions, and treatment-resistant presentations. In addition to his clinical practice, he has contributed to psychiatric literature with peer-reviewed publications on topics such as delirium and myoclonus in liver transplant recipients and pneumocephalus associated with neurocognitive decline, underscoring his academic and research-oriented approach to patient care. Dr. Ernest O. brings a balanced, evidence-based, and integrative perspective to psychiatry, combining rigorous psychopharmacology with attention to medical, psychological, and holistic factors. He values collaborative practice and is committed to supporting interdisciplinary teams in delivering safe, effective, and patient-centered psychiatric care. Areas of Expertise • General Adult Psychiatry • Psychopharmacology • Consultation-Liaison (Psychosomatic) Psychiatry • Medically Complex and Neuropsychiatric Conditions • Delirium and Cognitive Disorders • Integrated and Integrative Psychiatry Approaches • Inpatient and Outpatient Psychiatric Care • Academic Psychiatry and Clinical Research • Diagnostic Evaluation and Complex Case Management • Evidence-Based Medication Management Philosophy of Collaboration: Dr. Ernest O. believes that high-quality psychiatric care is best achieved through respectful, collaborative partnerships that leverage the strengths of each member of the care team. He values clear communication, shared clinical reasoning, and structured support that promotes both patient safety and professional growth. In collaborative relationships, he emphasizes clinical rigor, mutual respect, and openness to integrative perspectives, fostering an environment where advanced practice clinicians can practice confidently and effectively while maintaining high standards of care.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Shannon H. is a physician executive and board-certified Pediatrician with extensive experience across pediatric urgent care, pediatric emergency medicine, general pediatrics, and academic medicine. She brings a unique combination of clinical expertise and operational leadership, with a strong focus on scaling healthcare delivery. Her career reflects a commitment to integrating evidence-based medicine with efficient, technology-enabled care models that improve both patient outcomes and provider performance. Dr. Shannon H. earned her Doctor of Osteopathic Medicine from the New York College of Osteopathic Medicine, along with a Master of Biomedical Sciences from the University of Medicine and Dentistry of New Jersey and a Bachelors of Science from Indiana University. Her clinical background includes serving as a pediatric emergency medicine attending at Mount Sinai South Nassau, a medical director at PM Pediatrics, and as a general pediatric attending, where she developed a strong foundation in both acute and longitudinal pediatric care. In addition, she has experience in Pediatric Telehealth, expanding her ability to deliver timely, accessible care across a variety of clinical settings. She has also held academic appointments, contributing to the education of medical students and trainees with a focus on evidence-based practice and clinical excellence. Currently serving as physician executive in c-suite roles, Dr. Shannon H. leads operational strategy for a pediatric telehealth organization, overseeing clinical infrastructure, workforce development, and multi-state compliance. When she previously served as Medical Director at PM Pediatrics, she built and managed a national telemedicine network of over 350 providers, supporting large-scale expansion, accreditation, and quality initiatives. Her leadership experience includes implementing KPI-driven performance systems, optimizing provider productivity, and integrating digital platforms to streamline care delivery. She is licensed in over 40 U.S. states and is experienced in navigating complex regulatory environments, including HIPAA and multi-state telehealth compliance. Areas of Expertise: • Pediatric Medicine & Urgent Care • Emergency Medicine & Acute Care • Telemedicine & Digital Health Operations • Healthcare Operations & Clinical Leadership • Multi-State Regulatory Compliance & Licensure • KPI Development & Performance Management • Provider Workforce Scaling & Productivity Optimization • Clinical Quality Improvement & Accreditation (URAC, CLIA) • Evidence-Based Medicine & Clinical Education • Technology Integration in Healthcare Delivery Philosophy of Collaboration: Dr. Shannon H. believes that effective collaboration is essential to delivering scalable, high-quality healthcare in today’s evolving clinical landscape. She values a team-based approach that empowers Nurse Practitioners and multidisciplinary providers through clear communication, shared accountability, and access to the tools and systems needed for success. As a physician leader, she is deeply committed to mentorship, education, and professional development, fostering an environment where providers can grow clinically while maintaining autonomy. She emphasizes the importance of aligning clinical excellence with operational efficiency, ensuring that care delivery remains both patient-centered and sustainable. Dr. Shannon H.’s collaborative approach is grounded in building high-performing teams, leveraging data-driven insights, and creating systems that support consistency, quality, and innovation across all levels of care. FOR CA ADD $100, NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.
Licensed to collaborate with South Dakota nurse practitioners
See all 22 collaborating physicians in South Dakota
Board-Certified Family Medicine Physician | Multi-State Telemedicine & Urgent Care Leader Dr. Feras H is a dynamic, board-certified Family Medicine physician with extensive experience spanning urgent care, telemedicine, primary care, psychiatry, and weight management. Licensed in 32 states, he has successfully managed high-volume patient care both in-person and virtually, delivering acute, chronic, and preventive care to diverse populations. With a strong track record of supervising advanced practice providers, Dr. H fosters collaborative, team-based care models that prioritize communication, trust, and shared clinical decision-making. His experience includes mentoring nurse practitioners in both urgent care and primary care environments, ensuring they have the support and guidance needed to deliver safe, high-quality care. Dr. H is also skilled in addressing mental health concerns, integrating psychiatric evaluation and medication management into his family medicine practice. This includes supporting patients with depression, anxiety, ADHD, and other behavioral health conditions through a holistic and individualized approach. Areas of Expertise: • Urgent Care & Emergency Triage • Telemedicine & Multi-State Virtual Care • Primary Care & Chronic Disease Management • Mental Health Assessment & Treatment (Depression, Anxiety, ADHD) • Lifestyle Medicine & Weight Management • Clinical Leadership & NP Supervision • Preventive Medicine & Patient Education
Licensed to collaborate with South Dakota nurse practitioners
Dr. Steven G. affectionately known as “Dr. Steve” by his patients and staff, is an experienced Emergency Medicine-trained physician with a diverse clinical background spanning emergency care, primary care, mental health, telemedicine, and specialty health services. He earned his Bachelor of Science in Nursing from the University of Portland in 2003 and began his healthcare career as a nurse in the United States Air Force before pursuing medical education at the University of Utah and completing his Emergency Medicine residency in Tucson, Arizona. Since 2019, Dr. Steven G. has expanded his practice into telemedicine, providing primary care and mental health services across various telehealth platforms. He also has experience in weight management and serves as a supervising physician for both women's and men's health clinics. His background as both a registered nurse and physician gives him a well-rounded perspective on patient care and interdisciplinary teamwork. Dr. Steven G. is known for being a friendly, approachable, and dependable member of the healthcare team. He values accessibility and enjoys working through clinical challenges with colleagues while creating opportunities for teaching and professional development. His broad clinical experience allows him to provide practical support to clinicians across a variety of patient care settings. Areas of Expertise • Emergency Medicine • Primary Care • Telemedicine • Mental Health • Urgent & Acute Care • Weight Management • Women's Health • Men's Health • Clinical Supervision • Interdisciplinary Team Collaboration • Clinical Consultation & Problem Solving • Clinical Education & Mentorship Philosophy of Collaboration Dr. Steven G. believes effective collaboration is built on approachability, communication, teamwork, and mutual respect. He strives to be an accessible resource for NPs, making himself available when clinical questions or challenges arise. He enjoys working through problems collaboratively and using real-world clinical situations as opportunities for discussion and teaching. As someone with experience in both nursing and medicine, Dr. Steven G. appreciates the important role that NPs play in delivering patient care. He aims to provide supportive clinical guidance while recognizing the knowledge and expertise NPs bring to their practices. His goal is to build a positive and dependable collaborative relationship that supports professional growth, strong clinical decision-making, and quality patient care.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Michael F. is an experienced psychiatrist with a diverse background in providing psychiatric care across multiple states and clinical settings. As a travel psychiatrist, he has practiced in numerous healthcare environments over the past seven years, gaining broad experience treating diverse patient populations and managing a wide range of psychiatric conditions. His clinical experience includes inpatient psychiatry, outpatient care, Intensive Outpatient Programs (IOP), Partial Hospitalization Programs (PHP), and psychiatric consultation services. This experience across multiple levels of care has given Dr. Michael F. a comprehensive understanding of the psychiatric treatment continuum, from acute stabilization and intensive treatment to outpatient management and long-term care planning. Dr. Michael F. has a particular interest in managing high-acuity and complex psychiatric presentations. His approach emphasizes evidence-based medicine, thoughtful psychopharmacology, and individualized treatment strategies. He is experienced in developing appropriate medication regimens, organizing comprehensive treatment plans, and coordinating discharge planning to promote continuity of care and successful patient transitions. Areas of Expertise • General Adult Psychiatry • Inpatient Psychiatry • Outpatient Psychiatry • Intensive Outpatient Programs (IOP) • Partial Hospitalization Programs (PHP) • Psychiatric Consultation • High-Acuity Psychiatric Care • Complex Psychiatric Presentations • Psychopharmacology • Evidence-Based Medication Management • Medication Optimization • Psychiatric Evaluation & Diagnostic Assessment • Treatment Planning • Crisis Stabilization • Discharge & Transition Planning • Continuity of Behavioral Healthcare • Multidisciplinary Care Coordination Philosophy of Collaboration Dr. Michael F. believes that effective physician–NP collaboration is built on clear communication, mutual respect, accessibility, and a shared commitment to evidence-based psychiatric care. His experience practicing in a variety of healthcare systems and clinical settings has taught him the importance of teamwork and coordinated decision-making, particularly when caring for patients with complex or high-acuity psychiatric needs. His collaborative approach is practical and clinically focused. He is comfortable discussing challenging cases, reviewing diagnostic considerations, evaluating treatment strategies, and providing guidance on complex medication management. He understands that psychiatric care often requires thoughtful coordination among providers, particularly during transitions between inpatient, intensive outpatient, and traditional outpatient settings. Dr. Michael F. strives to be a knowledgeable and dependable physician resource for Nurse Practitioners, supporting their clinical judgment while providing additional expertise when needed. His goal is to foster collaborative relationships that promote safe prescribing, evidence-based treatment, continuity of care, and the highest possible quality of psychiatric care for patients.
Licensed to collaborate with South Dakota nurse practitioners
Family Medicine Physician | Telemedicine, Mental Health & Collaborative Care Dr. Christopher M. is a family medicine physician with more than 20 years of clinical experience across family practice, telemedicine, mental health, emergency medicine, urgent care, hospice, and collaborative care settings. Throughout his career, Dr. Christopher has cared for patients in traditional family medicine clinics, hospitals, emergency departments, urgent care centers, nursing home and rehabilitation facilities, hospice settings, and virtual care platforms. This broad clinical background gives him a practical, real-world understanding of how patients move through different levels of care and how important it is for providers to communicate clearly, document carefully, and work together effectively. Dr. Christopher has developed meaningful experience in mental health through his current work as a telemedicine physician, where he evaluates and treats patients with ADHD and general mental health concerns. In that role, he also provides support and leadership as a member of the clinical leadership team. His experience is especially relevant for providers whose practices include ADHD, anxiety, depression, general behavioral health concerns, or other mental health needs commonly managed in outpatient and telemedicine settings. In addition to his mental health work, Dr. Christopher has direct experience reviewing charts and collaborating with nurse practitioners in home visit, pain clinic, and urgent care settings. He enjoys supporting advanced practice providers and helping them deliver thoughtful, efficient, and clinically sound care. Areas of Expertise ADHD care General mental health Telemedicine psychiatry support Behavioral health care in outpatient and virtual settings Family medicine Primary care Collaborative care with nurse practitioners and physician assistants Chart review and clinical oversight Clinical leadership Emergency medicine Urgent care Hospice care Nursing home and rehabilitation care Pain clinic collaboration Primary care practice operations Dr. Christopher’s approach to collaboration is grounded, accessible, and practical. He understands that NPs and PAs need a collaborating physician who is responsive, experienced, and realistic about the demands of modern practice. His goal is to provide the right level of support without creating unnecessary friction for the provider’s workflow. Dr. Christopher is licensed in multiple states and brings a strong family medicine foundation, along with hands-on experience in ADHD care, general mental health, telemedicine, hospice, urgent care, emergency medicine, and collaborative practice. For providers who are building a new practice or looking for a collaborative physician who can support an established clinical model, Dr. Christopher may be an excellent fit. NOTE: HIS $300/MONTH FEE IS BASED ON NEW PRACTICE LAUNCHES. AS THE PRACTICE GROWS, HIS FEE WILL INCREASE TO $400 (TOTAL $499 TO $599/MONTH)
Licensed to collaborate with South Dakota nurse practitioners
Dr. Stephen G. is a board-certified psychiatrist with added qualifications in Forensic Psychiatry and specialized training in Transcranial Magnetic Stimulation (TMS). With more than 25 years of clinical experience, he has provided comprehensive psychiatric care across a wide range of settings, including inpatient psychiatry, inpatient rehabilitation hospitals, emergency departments, consultation-liaison psychiatry, forensic and correctional facilities, veteran care, and telepsychiatry. Throughout his career, Dr. Stephen G. has cared for diverse patient populations, including adults, older adults, veterans, individuals involved in the criminal justice system, and patients with complex medical and psychiatric conditions. His clinical approach emphasizes thorough diagnostic assessment, evidence-based psychopharmacology, multidisciplinary collaboration, and individualized treatment planning to achieve the best possible patient outcomes. Dr. Stephen G. currently provides psychiatric consultation services at a major inpatient rehabilitation hospital and delivers telepsychiatry consultation-liaison services to inpatient units and emergency departments. In addition to his clinical responsibilities, he supervises Nurse Practitioners, participates in multidisciplinary treatment teams, provides staff education and training, and offers forensic consultation for complex psychiatric cases. Areas of Expertise • General Adult Psychiatry • Geriatric Psychiatry • Forensic Psychiatry • Consultation-Liaison Psychiatry • Telepsychiatry • Emergency Psychiatry • Inpatient Psychiatry • Inpatient Rehabilitation Psychiatry • Correctional Psychiatry • Veteran Mental Health • Psychopharmacology & Medication Management • Transcranial Magnetic Stimulation (TMS) • Complex Psychiatric Evaluation & Diagnostic Assessment • Multidisciplinary Team Consultation • Clinical Supervision & Provider Mentorship • Staff Education & Clinical Training • Forensic Evaluation & Risk Assessment Philosophy of Collaboration Dr. Stephen G. believes that effective physician–NP collaboration is founded on mutual respect, open communication, and a shared commitment to providing high-quality, evidence-based psychiatric care. He views collaboration as a professional partnership that supports both excellent patient outcomes and the ongoing development of healthcare providers. His collaborative style is approachable, responsive, and educational. Having supervised Nurse Practitioners throughout his career, he values regular communication, thoughtful case discussions, and practical guidance to help clinicians navigate complex diagnostic, medication management, and risk assessment decisions. He encourages independent clinical judgment while remaining readily available to provide consultation and support when needed. Drawing from extensive experience in consultation-liaison psychiatry, forensic psychiatry, emergency care, rehabilitation medicine, and multidisciplinary practice, Dr. Stephen G. understands the importance of teamwork in managing complex psychiatric presentations. His goal is to foster collaborative relationships where Nurse Practitioners feel supported, confident, and equipped to deliver safe, compassionate, and patient-centered psychiatric care across a variety of clinical settings. ADD $195 FOR CA.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Jody J. is a board-certified Emergency Medicine physician with over 21 years of clinical experience delivering high-quality care in fast-paced and high-acuity environments. Throughout his career, he has served as an emergency physician and staff physician across multiple healthcare systems, including Henry Ford Health System and St. Mary’s Michigan, where he has managed a broad spectrum of acute and complex medical conditions. Dr. Jody J. is recognized for his ability to provide efficient, evidence-based care while maintaining a strong focus on patient safety and outcomes in emergency and urgent care settings. Dr. Jody J. earned his medical degree in Osteopathic Medicine from Michigan State University and completed his training in Emergency Medicine, building a strong foundation in acute care, trauma management, and critical decision-making. His professional background also includes service as a Battalion Surgeon with the 1st Battalion, 24th Marines, where he provided medical support in high-pressure and operational environments. This military experience has strengthened his leadership, adaptability, and ability to perform effectively in demanding clinical situations. In addition to his clinical practice, Dr. Jody J. has experience in clinical instruction, medical record review, and patient care coordination. His career reflects a commitment to excellence in emergency medicine, as well as a dedication to supporting both patients and healthcare teams through clear communication and dependable care delivery. Areas of Expertise • Emergency Medicine & Acute Care Management • Trauma & Critical Care • High-Volume Emergency Department Operations • Rapid Clinical Decision-Making • Patient Safety & Quality Care Delivery • Clinical Instruction & Mentorship • Medical Record Review & Case Evaluation • Military & Operational Medicine • Interdisciplinary Team Coordination Philosophy of Collaboration: Dr. Jody J. believes that effective collaboration is essential in emergency medicine, where timely communication and coordinated action directly impact patient outcomes. He values a team-based approach that brings together physicians, nurses, and allied health professionals to deliver efficient and high-quality care in dynamic clinical environments. Drawing from his extensive emergency and military experience, he emphasizes clear communication, mutual respect, and shared accountability within the care team. Dr. Jody J. supports a collaborative culture where all team members are empowered to contribute their expertise, ensuring that patient care remains safe, responsive, and outcome-driven.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Jane S. is a board-certified Family Medicine physician with over 30 years of continuous outpatient clinical practice, primarily serving vulnerable and medically underserved populations. She is also board certified in Obesity Medicine and maintains multi-state licensure, allowing her to support care delivery across diverse geographic regions. Dr. Jane S. has held leadership roles including Medical Director, Chief Medical Officer, practice founder, and co-owner. She currently leads an advanced primary care model delivering virtual preventive services, chronic disease management, and acute care, with strong emphasis on quality metrics, behavioral health integration, and equitable access. She played a pivotal role in achieving NCQA Patient-Centered Medical Home recognition for a fully virtual practice and has extensive experience in workflow development, regulatory compliance, and interdisciplinary team leadership. Throughout her career, Dr. Jane S. has remained committed to evidence-based medicine guided by published clinical standards. Her professional mission centers on expanding healthcare access, improving care coordination, and delivering patient-centered services across both in-person and telehealth platforms. Areas of Expertise • Comprehensive Outpatient Family Medicine • Chronic Disease Management • Preventive Health and Evidence-Based Care • Obesity Medicine and Metabolic Health • Care for Vulnerable and Underserved Populations • Telehealth and Virtual Primary Care Delivery • Quality Improvement and Performance Metrics • NCQA Patient-Centered Medical Home Development • Behavioral Health Integration • Workflow Design and Clinical Operations • Medical Directorship and Regulatory Oversight • Interdisciplinary Team Leadership Philosophy of Collaboration: Dr. Jane S. values collaborative, respectful partnerships with Advanced Practice Clinicians and has worked alongside APCs throughout her career. She enjoys mentoring, teaching, and uplifting the work of nurse practitioners and physician assistants, helping them practice confidently and effectively within evidence-based frameworks. Her collaborative approach emphasizes clear communication, guideline-driven care, and coordinated team-based decision-making. She supports APCs practicing at the top of their license while maintaining shared accountability for patient safety, quality metrics, and continuity of care. Dr. Jane S. believes collaboration strengthens both access and outcomes—especially for vulnerable populations. By fostering supportive professional relationships and structured clinical oversight, she helps build sustainable care models that prioritize health equity, operational efficiency, and compassionate, patient-centered medicine. ADD $100 FOR CA AND MO. CA AND MO MAY NOT BE USED AS ADD-ON STATES AND NOT ELIGIBLE FOR MULTI-NP DISCOUNTS.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Amy M – Board-Certified Pulmonary, Critical Care, and Sleep Medicine Specialist Expert in Sleep Medicine, Pulmonary Disease, and Critical Care About Dr. Amy M Dr. Amy M is a double board-certified physician in Critical Care and Sleep Medicine, with more than 25 years of experience in complex respiratory and sleep disorders. She earned her medical degree and completed her residency and fellowships at the University of Missouri–Kansas City, where she also trained extensively in critical care and pulmonary physiology. Over the course of her career, Dr. Amy M has served as Medical Director for multiple accredited Sleep Disorders Centers across the U.S., including Ochsner Health System, Penn State Hershey, and PeaceHealth. She currently leads Own Sleep Medicine and continues to oversee operations and patient care at the Sleep Disorders Institute, where she has practiced for two decades. A recognized leader in the field, Dr. Amy M has held numerous committee and leadership positions with the American Academy of Sleep Medicine, American College of Chest Physicians, and the National Sleep Foundation. Her publications and research have advanced understanding in sleep-disordered breathing, perioperative airway management, and the nonprescription treatment of insomnia. Areas of Expertise • Sleep Medicine and Sleep-Disordered Breathing • Pulmonary and Critical Care Medicine • Insomnia, Restless Leg Syndrome, and Narcolepsy • CPAP Therapy and Perioperative Airway Management • Clinical Research and Policy Development • Supervision and Mentorship of Nurse Practitioners Collaboration Philosophy Dr. Amy M brings a collaborative, evidence-based approach to practice. Her years of experience leading interdisciplinary teams make her a supportive, highly responsive partner for nurse practitioners. She focuses on fostering autonomy and clinical confidence while ensuring that patient safety and outcomes remain paramount. Professional Highlights • Medical Director, Own Sleep Medicine (2019–Present) • Department Chair, Ochsner Health System (2020–2023) • Medical Director, PeaceHealth (2013–2020) • Fellow, American College of Chest Physicians • Chair, Clinical Practice Review Committee, American Academy of Sleep Medicine • Author of multiple peer-reviewed publications on sleep and pulmonary medicine ADD $100 FOR CA AND GA. CA AND GA MAY NOT BE USED AS AN ADD-ON STATE. NO MULTIPLE NP DISCOUNTS FOR CA AND GA.
Licensed to collaborate with South Dakota nurse practitioners
Emergency Medicine | Virtual Urgent Care Leader | NP-Centered Collaboration About Dr. Brandi G Dr. Brandi G is a board-certified emergency medicine physician with 15+ years of frontline and telehealth experience. She has led virtual urgent care programs and helped build NP-friendly workflows for rapid triage, evidence-based treatment, and smooth handoffs. As a collaborating physician, she’s accessible, practical, and team-first. Dr. G prioritizes clear protocols, quick turnaround on chart reviews, and right-sized oversight that protects NP autonomy while mitigating risk—especially in fast-moving urgent care and telemedicine environments. Areas of Expertise • Urgent Care & ED Triage (adult & adolescent) • Telemedicine & Virtual Urgent Care program design and oversight • Protocols for minor injuries, infections, and cardiac/arrhythmia evaluation • Stabilization & safe disposition (including behavioral health presentations) • Point-of-care diagnostics and risk stratification in resource-variable settings • Collaborative supervision of NPs in high-volume clinics and virtual hubs If you’re seeking a responsive collaborator who understands urgent care realities and telehealth operations, Dr. Brandi G offers a steady partner focused on efficiency, safety, and NP empowerment. ADD $100 FOR CALIFORNIA. NO MULTIPLE NP DISCOUNT FOR CA. CA CANNOT BE USED AS AN ADD-ON STATE REQUIRES REVIEW OF NP'S CV AND PROTOCOLS BEFORE DECIDING TO TAKE THE INTRO MEETING.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Russell is a board-certified physician in both Family Medicine and Obesity Medicine, with extensive experience in primary care and a focused expertise in obesity management. Since 2016, he has been practicing as an attending physician, delivering high-quality adult acute care, chronic disease management, and preventive services. With a strong foundation in evidence-based medicine and a commitment to the USPSTF guidelines, Dr. Russell approaches patient care through a lens of clinical rigor and personalized treatment. His scope of practice emphasizes the management of complex chronic conditions, with a particular focus on metabolic health and long-term weight management strategies. Dr. Russell has worked in both academic and community health center settings, gaining valuable experience in diverse clinical environments before transitioning into full-time telemedicine. Currently serving in a senior leadership role, Dr. Russell balances clinical excellence with strategic oversight, offering asynchronous flexibility and availability during late afternoons, evenings, and weekends. Throughout their career, Dr. Russell has collaborated closely with nurse practitioners and physician assistants, supporting team-based care through one-on-one mentorship, chart reviews, and real-time clinical consults.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Fahad A. is a board-certified Family Medicine physician with over 11 years of clinical experience providing comprehensive care across a wide variety of healthcare settings, including primary care, urgent care, inpatient medicine, rehabilitation facilities, nursing homes, and telemedicine. He earned his medical degree from the Temple University School of Medicine in 2012 and completed his Family Medicine residency at Chestnut Hill Hospital. Throughout his career, Dr. Fahad A. has built a well-rounded clinical foundation caring for diverse patient populations in both acute and longitudinal care environments. Over the past three years, Dr. Fahad A. has focused primarily on telemedicine, providing accessible, patient-centered care in urgent care medicine, hormone replacement therapy (HRT), men’s health, weight management, and primary care services. His experience in virtual care has allowed him to develop efficient, practical, and highly adaptable care models that prioritize both clinical quality and patient convenience. Dr. Fahad A. values balanced, sustainable healthcare delivery and understands the importance of maintaining both professional excellence and personal well-being. His collaborative experience with nurse practitioners throughout his career has reinforced his belief that team-based care is essential to improving healthcare access and patient outcomes. Areas of Expertise • Telemedicine and virtual care delivery • Urgent care and acute outpatient management • Primary care and preventive medicine • Men’s health and hormone replacement therapy (HRT) • Weight loss and metabolic health management • Chronic disease management • Rehabilitation and post-acute care • Nursing facility and geriatric care • Outpatient family medicine • Clinical workflow efficiency and patient-centered care • Collaborative practice with nurse practitioners and multidisciplinary teams Philosophy of Collaboration Dr. Fahad A. believes the best healthcare outcomes are achieved through respectful, team-based collaboration built on communication, trust, and shared clinical responsibility. Having worked alongside nurse practitioners across multiple care settings throughout his career, he values the important role NPs play in expanding access to high-quality healthcare. His collaboration style is approachable, practical, and supportive. He prioritizes accessibility, timely communication, and clear clinical guidance while respecting NP autonomy and individual clinical judgment. Dr. Fahad A. aims to foster partnerships that feel collaborative rather than restrictive, creating an environment where providers feel supported and confident in delivering patient care. With experience across inpatient, outpatient, urgent care, rehabilitation, nursing home, and telemedicine settings, Dr. Fahad A. brings a flexible and well-rounded perspective to collaborative practice. His goal is to help NP-led practices operate efficiently, safely, and compliantly while maintaining a strong focus on patient-centered care and sustainable clinical workflows. FOR CA AND MO ADD $75 NO MULTIPLE NP DISCOUNT AND CANNOT BE ADDED AS AN ADD-ON STATE.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Jerry C. is a highly experienced, multi-state licensed physician with nearly three decades of clinical expertise in emergency medicine, telemedicine, and integrative care. He is licensed in all 50 states and Washington, DC, and brings extensive regulatory knowledge and operational leadership to every collaboration. After spending almost 25 years in high-volume emergency departments across the country, Dr. Jerry C. transitioned into telemedicine and wellness-focused medicine, where he now serves as a Medical Director for multiple national organizations. His career reflects a strong commitment to clinical excellence, compliance, and patient-centered innovation. Dr. Jerry C. currently provides telemedicine services across multiple platforms, focusing on men’s health, hormone optimization, medical cannabis, weight management, alternative therapies, and acute care. He has held leadership roles in both rural and urban settings, including Site Medical Director and long-term nocturnal attending positions at major hospital systems. In addition to his clinical practice, he has an extensive background in medical education, EMS leadership, and protocol development at regional and state levels. With licensure in all U.S. states and multiple DEA registrations, Dr. Jerry C. is well-versed in regulatory standards and interstate medical practice. He is known for his ability to onboard partners efficiently, support operational growth, and ensure ongoing compliance in evolving telehealth and wellness environments. Areas of Expertise • Emergency Medicine (25+ Years of High-Volume Clinical Practice) • Telemedicine and Multistate Medical Operations • Medical Direction and Clinical Governance • Hormone Replacement Therapy (HRT/TRT) • Peptide and Integrative Medicine • GLP-1 and Medical Weight Management • Men’s Health and Performance Optimization • Medical Cannabis Certification and Management • Acute Care and Urgent Telehealth Services • Long COVID and Vaccine Injury Management • Regulatory Compliance and Risk Management • EMS Medical Oversight and Protocol Development • Physician Education and Clinical Preceptorship Philosophy of Collaboration: Dr. Jerry C. believes that successful healthcare partnerships are built on transparency, regulatory integrity, and mutual accountability. He values proactive communication, clear operational structures, and adherence to federal and state regulations, including evolving telemedicine standards. His collaborative approach emphasizes protecting patient safety, supporting business scalability, and maintaining long-term compliance. As a seasoned medical director, he works closely with organizations to streamline onboarding, optimize clinical workflows, and foster sustainable growth. Dr. Jerry C. views collaboration as a strategic partnership—one grounded in trust, clinical excellence, and shared responsibility for delivering high-quality, ethical care. ADD $100 FOR CA AND GA. CA AND GA MAY NOT BE USED AS ADD-ON STATES AND ARE NOT ELIGIBLE FOR A MULTIPLE NP DISCOUNT.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Rhonda S. is a psychiatrist with more than 17 years of clinical experience providing comprehensive mental health care across a variety of treatment settings, including inpatient psychiatry, outpatient psychiatry, Partial Hospitalization Programs (PHP), and interventional psychiatry services. Throughout her career, she has been dedicated to delivering compassionate, evidence-based care while helping patients achieve meaningful improvements in their mental health and overall quality of life. In addition to her extensive experience in traditional psychiatric treatment settings, Dr. Rhonda S. has specialized experience with Transcranial Magnetic Stimulation (TMS), including TMS mapping, treatment planning, and ongoing clinical monitoring. Her broad clinical background allows her to effectively manage a wide range of psychiatric conditions while tailoring treatment approaches to each patient's individual needs. Dr. Rhonda S. has worked closely with Nurse Practitioners throughout her career and has extensive experience providing supervision, consultation, and collaborative support. She values the important role advanced practice providers play in expanding access to quality mental healthcare and is passionate about helping clinicians grow professionally while delivering exceptional patient care. Areas of Expertise • General Adult Psychiatry • Inpatient Psychiatry • Outpatient Psychiatry • Partial Hospitalization Programs (PHP) • Psychopharmacology & Medication Management • Transcranial Magnetic Stimulation (TMS) • TMS Mapping & Clinical Monitoring • Mood Disorders • Anxiety Disorders • Depression • Bipolar Disorder • Trauma-Related Disorders • Psychiatric Evaluation & Diagnostic Assessment • Treatment Planning & Long-Term Psychiatric Care • Clinical Supervision & Mentorship Philosophy of Collaboration Dr. Rhonda S. believes that successful collaboration is built on trust, open communication, and individualized support. She recognizes that every Nurse Practitioner has unique strengths, experiences, and professional goals, and she tailors her collaborative approach to meet the specific needs of each provider. Her supervision style is supportive, approachable, and focused on fostering confidence in clinical decision-making. Whether working with a newer clinician seeking guidance or an experienced provider looking for consultation on complex cases, Dr. Rhonda S. strives to create an environment where questions are encouraged and professional growth is supported. Teaching and mentorship are among the most rewarding aspects of her work. She enjoys sharing clinical knowledge, discussing treatment strategies, and helping Nurse Practitioners strengthen their skills while maintaining autonomy in practice. Dr. Rhonda S. views collaboration as a partnership that benefits both providers and patients, creating opportunities for continuous learning, improved clinical outcomes, and high-quality, patient-centered psychiatric care.
Licensed to collaborate with South Dakota nurse practitioners
I’m a board-certified psychiatrist with more than 30 years of experience, with a clinical focus on treating adolescents and adults who present with complex psychiatric and neuropsychiatric conditions. My work centers on helping individuals with mood disorders, trauma-related symptoms, cognitive and behavioral challenges, especially when neurological or developmental factors complicate these. I prioritize evidence-based care that’s also deeply personal, culturally aware, and grounded in empathy. I regularly manage challenging cases that require careful diagnostic work and close collaboration across various disciplines. I utilize tools such as quantitative electroencephalography (qEEG), neuroimaging, and structured assessments to gain a better understanding of brain-behavior relationships and to guide treatment decisions. My practice encompasses medication management, psychotherapy, family support, and consultation in both clinical and forensic settings. I am known for providing thoughtful, individualized care that balances evidence-based treatment with deep empathy and cultural sensitivity. Frequently, I address complex cases that necessitate coordination among multiple specialties, including those related to traumatic brain injury, treatment-resistant depression, and functional impairments. I integrate tools like qEEG, neuroimaging, and structured psychiatric assessments to inform my clinical decision-making. Additionally, I offer ongoing psychotherapy, medication management, family guidance, and consultation in both clinical and legal contexts.
Licensed to collaborate with South Dakota nurse practitioners
Dual Board-Certified in Internal Medicine & Obesity Medicine | Experienced Medical Director | Telehealth & Mental Health Expertise About Dr. Emill L. Dr. Emill L. is a dual board-certified physician in Internal Medicine and Obesity Medicine with over 15 years of experience across hospital medicine, telehealth, and outpatient care. Originally from Santo Domingo, Dominican Republic, Dr. L. graduated summa cum laude from Iberoamerican University and completed his residency at Lincoln Medical Center in New York, affiliated with Weill Cornell Medical College. Dr. L. has held numerous leadership roles including Chief of Medicine and Director of Hospital Medicine at AdventHealth Heartland Division, where he also served as faculty for both Internal Medicine and Family Medicine residency programs. His clinical work includes experience in adult mental health, particularly managing anxiety, depression, and complex chronic disease with behavioral health components. He is certified as a Healthcare Executive Leadership Fellow and formerly board-certified in Health Care Quality and Management with a subspecialty in Physician Advising. Currently licensed in all 50 states, Washington D.C., and Puerto Rico, Dr. L. offers highly accessible telehealth collaboration. Fluent in both English and Spanish, he brings a multicultural, patient-centered approach to care and collaboration. Areas of Expertise • Internal Medicine & Chronic Disease Management • Obesity Medicine & Lifestyle Interventions • Adult Mental Health (Depression, Anxiety, Insomnia) • Hospitalist & Acute Care Experience • Telemedicine & Multi-State Clinical Oversight • NP Supervision & Interdisciplinary Collaboration • Bilingual Care (English & Spanish) • Training & Mentorship for Clinical Teams Dr. L. is known for his collaborative style, clinical thoroughness, and dedication to expanding access to high-quality care—making him a trusted partner for nurse practitioners in diverse practice settings. ADD $100 FOR CALIFORNIA. CA CAN NOT BE AN ADD-ON STATE. IF PRESCRIBING ANY CONTROLLED SUBSTANCED, ADD $99 TO THE MONTHLY FEE (NOT JUST SCHEDULE II)
Licensed to collaborate with South Dakota nurse practitioners
Dr. Kenneth R. is a board-certified Emergency Medicine (specialty physician) with over 25 years of clinical and leadership experience spanning emergency medicine, urgent care, telemedicine, and physician supervision. A graduate of Eastern Virginia Medical School, Dr. Kenneth R. completed his Emergency Medicine residency at Michigan State University’s Butterworth Hospital/Corewell Health, where he also served as an AeroMed Flight Physician. He is the founder and former owner of PrimeCare Urgent Care, an independent urgent care center he successfully led for fourteen years before its acquisition by Piedmont Urgent Care, one of the largest urgent care networks in the United States. Dr. Kenneth R. continued to serve as Site Medical Director following the acquisition, ensuring continuity of quality and operational excellence. Currently, Dr. Kenneth R. provides telemedicine consultations, APP supervision, and business advisory services across multiple states. He also co-founded UrgentCareByPhone.com, an online urgent care platform launched in 2024, reflecting his ongoing commitment to innovation and accessible, patient-centered healthcare. Dr. Kenneth R. holds 48 active state medical licenses plus D.C., along with an Interstate Medical Licensure Compact certification, enabling him to collaborate and practice nationwide. His professional background includes academic appointments, such as serving as a Clinical Assistant Professor of Emergency Medicine at the Medical College of Georgia, and active involvement in national quality improvement initiatives, including the CRUSADE Registry for cardiac care outcomes. Areas of Expertise • Emergency Medicine & Urgent Care Medicine • Telemedicine & Virtual Healthcare Delivery • Occupational & Primary Care Medicine • APP (NP/PA) Supervision & Clinical Leadership • Medical Business Development & Operations • Quality Improvement & Patient Safety Philosophy of Collaboration: Dr. Kenneth R. approaches collaboration with accessibility, mentorship, and mutual respect at the forefront. Having supervised numerous advanced practice providers throughout his career, he values open communication and supports NPs and PAs in delivering high-quality, evidence-based care with confidence. His philosophy emphasizes teamwork and structured oversight that enhances professional autonomy while ensuring patient safety and operational excellence. FOR ALABAMA AND TENNESSEE, ADD $50.
Licensed to collaborate with South Dakota nurse practitioners
I am a board-certified Family and Addiction Medicine physician with over 15 years of experience spanning primary care, occupational health, aerospace medicine, and behavioral health. Licensed in all 50 states, I currently serve as Chief Medical Officer at Better U and CEO of Bespoke Concierge MD, where I design patient-centered care models and manage multidisciplinary provider networks across both telehealth and in-person settings. My background includes extensive collaboration with nurse practitioners and physician assistants in hospital, ambulatory, and virtual environments, emphasizing mentorship, quality oversight, and supportive team dynamics. As a Flight Surgeon in the U.S. Air Force Reserve, I bring operational medicine expertise and a commitment to service, while my Harvard healthcare leadership training and active involvement in professional societies reflect my dedication to advancing both patient care and provider collaboration. I am passionate about building high-functioning clinical teams and fostering an environment where advanced practice providers can thrive. ADD $100 TO OVERALL FEES FOR TN AND GA
Licensed to collaborate with South Dakota nurse practitioners
Dr. Aneel U is an experienced psychiatrist and entrepreneur on a mission to make a meaningful difference in patient outcomes amidst a mental health crisis. He is at the forefront of innovation and cutting edge technology with a focus on improving access to care, and delivering high quality measurement based care at scale. He has 46 state licenses and loves working with Nurse Practitioners and Physician Assistants eager to start their practices and make a positive difference in their communities. Dr. U earned his dual bachelor’s degree from University of California, Berkeley in Cell Biology and Psychology before he completed medical school at St. George’s University and psychiatry residency training at Eastern Virginia Medical School. He is currently working on his executive MBA at UC Berkeley. He has served as a clinical advisor to several different mental health start ups, as well as engaged in physician leadership roles at numerous companies including Cerebral, Lifestance, Amwell, Klinic, and Revive Telehealth. He has developed clinical quality programs through cross-collaborative efforts with engineering, product, and data scientists, and has led hundreds of providers in delivering high quality evidence based care. He has a particular focus on treatment resistant and high risk patient populations.
Licensed to collaborate with South Dakota nurse practitioners
Dr. Daniel O. is an accomplished physician with more than 10 years of post-residency clinical experience, specializing in Addiction Medicine and Pediatrics while providing comprehensive care across a broad range of medical and wellness services. Throughout his career, he has combined clinical expertise with strong physician leadership, delivering high-quality, patient-centered care in both traditional medical practices and innovative healthcare settings. In addition to his extensive clinical experience, Dr. Daniel O. has developed expertise in aesthetic medicine, IV hydration therapy, hormone replacement therapy (HRT), ketamine infusion therapy, medical weight loss, primary care, and addiction medicine. With more than five years of procedural experience, he has performed a wide variety of minimally invasive aesthetic and wellness procedures while maintaining a strong commitment to patient safety, evidence-based care, and exceptional clinical outcomes. Dr. Daniel O. has also served as Medical Director for more than 10 practices across the United States, providing clinical oversight, regulatory guidance, and quality assurance to multidisciplinary healthcare teams. His extensive experience collaborating with Nurse Practitioners has allowed him to build effective, supportive partnerships that promote clinical excellence, professional growth, and outstanding patient care. Areas of Expertise • Addiction Medicine • Pediatrics • Primary Care • Medical Weight Loss • Hormone Replacement Therapy (HRT) • Ketamine Infusion Therapy • Aesthetic Medicine • IV Hydration Therapy • Comprehensive Patient Evaluations • Preventive Medicine • Medication Management • Wellness & Lifestyle Medicine • Clinical Procedures • Medical Directorship & Practice Leadership • Nurse Practitioner Collaboration & Supervision Philosophy of Collaboration Dr. Daniel O. believes that successful physician–NP collaboration is built on mutual trust, accessibility, and a shared commitment to delivering exceptional patient care. Having collaborated with Nurse Practitioners across multiple practices throughout the United States, he values creating supportive professional relationships that encourage open communication, clinical excellence, and continuous learning. His collaborative approach is practical, responsive, and mentorship-focused. As an experienced Medical Director, he provides timely guidance, thoughtful clinical oversight, and evidence-based recommendations while respecting the autonomy and expertise of the Nurse Practitioners he collaborates with. He believes that empowering clinicians through education and teamwork leads to better decision-making and improved patient outcomes. Drawing on his broad experience in addiction medicine, pediatrics, wellness medicine, aesthetics, and healthcare leadership, Dr. Daniel O. is committed to fostering collaborative partnerships that prioritize patient safety, professional development, and high-quality, compassionate care. He strives to be an accessible physician partner who helps Nurse Practitioners build confidence while delivering outstanding care across a variety of clinical settings.
Licensed to collaborate with South Dakota nurse practitioners
WHAT SOUTH DAKOTA REQUIRES AT A GLANCE
Requirement | South Dakota Rule |
|---|---|
Collaborative Agreement | ✅ Required during 1,040-hour transition period; may be retired after — per SDCL 36-9A-4 |
South Dakota NP Full Practice Authority | ✅ Yes — After completing 1,040-hour transition period |
Career-Long Physician Supervision | ❌ No — No mandatory supervising physician after transition |
Written Collaborative Agreement | Required during transition (1,040 hours); optional thereafter for specialty mentorship/consultation |
Prescriptive Authority | ✅ Independent post-transition — Includes Schedules II–V controlled substances per SDCL 36-9A-12 |
Controlled Substance Prescribing | ✅ Requires South Dakota CSR, DEA registration, and PDMP enrollment |
Physician Ratio Cap | ❌ None — No statutory limit on NP practice |
Geographic Proximity Requirement | ❌ None — Remote consultation fully permitted |
Telemedicine Collaboration | ✅ Permitted — Must meet standard of care and licensure requirements per SDCL 34-52 |
Agreement Renewal | ✅ Recommended for documented peer-review and mentorship plans |
THE COST OF GETTING THIS WRONG
Why the documentation matters
In South Dakota, the practical risk is not just whether you have a collaborating physician relationship in place during the transition period. It is whether the relationship is documented clearly enough to show how consultation, prescribing, and chart review work in daily practice. Your written collaboration documents should match the way your clinic actually operates and should be consistent with SDCL ch. 36-9A and the South Dakota Board of Nursing's laws and rules.
At minimum, keep the signed agreement, any protocol or formulary documents used by the practice, dated chart review records, and notes of case consultations. If your practice bills Medicare, federal payment rules can impose their own collaboration and documentation standards in addition to state licensure rules.
. There is no supervising physician to share the blame. There is no collaborative agreement on file to prove you were operating under delegated authority. There is only your license, your documentation, and your professional judgment.
The most common compliance failures South Dakota NPs face:
Practicing Outside Certified Scope: Operating in a high-complexity specialty—such as psychiatric mental health, medical aesthetics, or complex pain management—without the corresponding national certification or documented specialist consultation. The Board defines your NP scope by your education, certification, and South Dakota local regulations, and advanced practice nurses are held to the scope of the advanced practice role they are licensed and certified to perform.
Documentation Gaps in Peer Review: Failing to maintain a formal process for chart audits, case reviews, or quality assurance. In a supervision state, the physician handles this. In South Dakota, once you have completed the transition period, you must self-govern, and auditors expect to see a paper trail proving you are holding yourself to the national standard of care.
DEA, CSR, and PDMP Non-Compliance: Prescribing controlled substances without an active South Dakota Controlled Substance Registration (CSR) from the Department of Health, without an active DEA registration tied to your South Dakota practice address, or without enrollment in the South Dakota Prescription Drug Monitoring Program (PDMP). The state CSR must be obtained before the DEA will issue or transfer a registration number. Practitioners must also attest to completing eight hours of training on treating patients with opioid and other substance use disorders under the federal MATE Act as a condition of new or renewal registration.
Payer Credentialing Considerations: Some commercial insurance panels may request proof of a physician consultation relationship or backup plan as part of their own internal credentialing requirements, even in FPA states. Medicare allows independent NP billing under 42 C.F.R. § 410.75 without physician collaboration. This is a payer-specific business consideration rather than a state law requirement, but it can affect your ability to bill certain carriers.
Malpractice Premium Spikes: Attempting to secure professional liability insurance for an independent clinic without a documented physician consultant on record. Carriers often view solo NPs as higher risk and price premiums accordingly.
Telemedicine Jurisdiction Errors: Treating patients across state lines—particularly in neighboring Minnesota, Iowa, or Nebraska—without understanding that those states may require physician collaboration, thereby exposing your South Dakota license to reciprocal discipline.
Any one of these can trigger a Board investigation, a malpractice lawsuit, or a payer audit. A license suspension in South Dakota does not just pause your practice. It can create complications that follow you across state lines, particularly if you hold licenses in multiple jurisdictions.
UNDERSTANDING FULL PRACTICE AUTHORITY IN SOUTH DAKOTA
Does a South Dakota NP need a collaborating physician?
It depends on where you are in your career. South Dakota is classified as a full practice authority state by the AANP, but it imposes a mandatory transition-to-practice period on newly licensed CNPs.
Under SDCL 36-9A-4, a newly licensed CNP who has not yet completed 1,040 practice hours must maintain a written collaborative agreement with a South Dakota–licensed physician (under SDCL 36-4) or another licensed CNP who holds an unencumbered license and has at least two years of experience in a comparable practice area. Once the CNP has documented 1,040 practice hours and filed a Practice Verification Form with the Board of Nursing, the collaborative agreement may be retired and the NP practices independently.
For post-transition NPs, collaboration is entirely voluntary. Many experienced NPs still choose to work with a physician consultant for specialty backup, payer credentialing, chart review workflows, and malpractice risk management. The practical question for these NPs is not whether collaboration is legally required — it is not — but whether a voluntary physician consulting relationship adds value to their specific practice model.
This means:
You Are the Primary Care Provider: South Dakota law explicitly recognizes NPs as primary care providers. You can sign handicap placards, death certificates, workers' compensation claims, and Do Not Resuscitate (DNR) orders without physician approval.
The 1,040-Hour Transition Period Is Mandatory: Under SDCL 36-9A-4, newly licensed CNPs must complete 1,040 practice hours under a written collaborative agreement before the agreement can be retired and full independent practice begins. Unlike Texas or Oklahoma, South Dakota does not require you to file a separate Prescriptive Authority Agreement (PAA) with the state medical board. Your prescriptive authority is inherent to your APRN license, provided you have a valid DEA registration and state Controlled Substance Registration for controlled substances.
Post-Transition Independence: After completing and documenting the 1,040-hour transition, the collaborative agreement is retired and the NP practices with full independent authority. There is no career-long physician supervision requirement.
What should a collaborative agreement cover during the transition?
Because the collaborative agreement is required during the transition period, it should be carefully structured. Your agreement should identify the collaborating physician or CNP, describe when consultation is expected, explain how chart review will be handled, and align with any controlled-substance authority you plan to use. If your practice changes, update the agreement so the written record still matches the way care is being delivered.
For post-transition NPs who voluntarily engage a physician consultant, the structure of any consulting arrangement is up to the NP and physician. At a minimum, a well-drafted voluntary agreement should match the NP's population focus and scope, identify the consulting physician, and describe how the two clinicians will handle consultation, oversight, and review. National guidance from the NCSBN notes that collaboration and conferral requirements differ substantially by state, so any written agreement should reflect South Dakota's FPA framework rather than rely on a generic template from a restricted-practice state.
How do you find a collaborating physician in South Dakota?
Start with fit, not just availability. A South Dakota collaborating physician (during transition) or consulting physician (post-transition) should be licensed, comfortable with the consultation model, aligned with the NP's specialty, and able to participate in the consultation and review workflow the practice will actually use.
Confirm specialty alignment with the NP's patient population and services.
Confirm how consultation will occur for routine and urgent clinical questions.
Confirm how chart review will be performed and documented.
Confirm whether the physician is comfortable supporting in-person, hybrid, or telehealth workflows.
Confirm that the final agreement reflects South Dakota's FPA framework and does not create an unnecessary de facto supervision relationship.
PRESCRIPTIVE AUTHORITY & CONTROLLED SUBSTANCES
Controlled substances: what applies in South Dakota
Controlled-substance prescribing for South Dakota NPs sits under two layers of law. South Dakota's APRN statute (SDCL ch. 36-9A) governs the state-law scope of prescriptive authority, and federal DEA rules govern the registration and prescription requirements behind each controlled-substance prescription.
In practical terms, if you are still in the 1,040-hour transition period, your collaborative agreement should address controlled-substance workflows if your practice will prescribe them. Two authorities apply here and both must be satisfied: the DEA rules in 21 C.F.R. Part 1306 for the prescription and the registration behind it, and the state's own provisions on scope and agreement terms. If controlled substances are part of your practice, make sure the agreement, the formulary or protocol documents used by the practice, and your documentation habits all match.
. For a Certified Nurse Practitioner, being granted prescriptive authority typically depends on graduate-level preparation that includes advanced pharmacology, and the education is designed to support safe decisions when you evaluate, diagnose, and prescribe medication. Passing a national certification exam is also part of the pathway to current national certification and APRN licensure.
Schedules II–V Controlled Substances
South Dakota NPs may independently prescribe controlled substances including:
Schedule II: Oxycodone, Adderall, Ritalin, morphine
Schedules III–V: Testosterone, Xanax, Ambien, codeine combinations
To maintain this authority, you must:
Hold an active South Dakota Controlled Substance Registration (CSR) from the Department of Health ($150 fee for initial application and renewals) — this must be obtained before the DEA will issue or transfer a registration number
Hold an active DEA registration with a South Dakota practice address
Maintain a valid South Dakota APRN license in good standing
Enroll in the South Dakota Prescription Drug Monitoring Program (PDMP) — enrollment is mandatory for practitioners with a CSR; querying before each controlled substance prescription is recommended best practice, and is required for Medicaid patients under the federal SUPPORT Act
Attest to completing eight hours of training on treating patients with opioid and other substance use disorders under the federal MATE Act as a condition of new or renewal registration
Follow CDC and Board guidelines for chronic opioid prescribing, including risk assessments and urine drug screening protocols
South Dakota licensure standards for CNPs include a graduate degree with at least 500 clinical hours of clinical practice. Accepted certifying bodies vary by specialty and can include the American Nurses Credentialing Center, the Pediatric Nursing Certification Board, and the National Certification Corporation.
Failure to comply with CSR, DEA, or PDMP requirements is one of the fastest ways to trigger a DEA or Board investigation in South Dakota.
ONGOING COMPLIANCE: CHART REVIEWS, DOCUMENTATION & QUALITY ASSURANCE
Signing your independent practice license is the starting line, not the finish line. In South Dakota, the absence of a mandated supervisor after the transition period means you must build your own compliance architecture. This is especially important for advanced practice roles serving higher-acuity populations, such as critical care nurses moving into specialized NP practice.
Chart review and ongoing documentation
South Dakota does not have a specific administrative rule mandating chart review percentages or frequencies for independently practicing NPs. For NPs in the 1,040-hour transition period, chart review expectations should be defined in the collaborative agreement. For post-transition NPs who voluntarily engage a physician consultant, chart review terms should be spelled out in the consulting agreement.
Where the state leaves the exact percentage open, many practices still write one into the agreement because it is easier to administer and easier to defend on review. As a matter of common practice, roughly ten percent of charts is the customary benchmark in agreements where the state leaves the figure open. Whatever interval you agree on, write it into the agreement and hold to it. Monthly is the customary default in the absence of a state rule, and a dated log of each conferral is what an auditor will ask to see.
Clinics billing as an RHC or FQHC should also read 42 C.F.R. § 491.8 alongside state requirements, because the federal provision independently requires periodic physician review of NP-furnished services and of patient records.
Your documentation should capture:
Date of review and reviewer credentials
Patient identifiers (HIPAA-compliant)
Clinical findings and adherence to evidence-based protocols
Follow-up actions or protocol adjustments
Collaborative Meetings
Even without a mandated supervisor (post-transition), South Dakota NPs who engage physician consultants should hold regular meetings—monthly or quarterly—to discuss complex cases, prescribing trends, and quality metrics, especially when the patient population overlaps with complex palliative care needs. These can be conducted via secure video conference.
Documentation Requirement
Meeting notes should be retained for a minimum of five years as a best practice and include:
Date, time, and format of the meeting
Topics discussed and cases reviewed
Any changes to clinical protocols
Attestations from both the NP and the consultant
Continuous Availability
If you engage a physician consultant, they must be reachable during your practice hours for urgent case escalations. This is a patient safety imperative, not merely a paperwork exercise.
TELEMEDICINE COLLABORATIONS IN SOUTH DAKOTA
Telehealth and remote collaboration
South Dakota allows APRN telehealth practice within the state's legal framework under SDCL 34-52, and the South Dakota Board of Nursing's laws and rules page is the primary state source for APRN practice authority including telehealth.
For remote care, the key operational point is the patient's location. A visit conducted from one state to a patient sitting in another is practice in the patient's state, and both the licensure and the collaboration requirement are read from there. If your South Dakota practice treats patients across state lines, make sure the collaborating or consulting physician arrangement works in every state where your patients are located.
Technology: All patient encounters and NP-to-physician communications must occur on HIPAA-compliant platforms.
Prescribing: You may prescribe via telehealth, but Schedule II substances generally require an in-person examination unless specific federal telehealth flexibilities are in effect.
Cross-Border Risk: If you are physically in South Dakota but treating a patient in Minnesota or Iowa via telemedicine, you are practicing under those states' laws. Those states have different collaboration rules than South Dakota, meaning your FPA status does not travel with the signal.
NPCollaborator's physician network includes providers licensed in multiple states who understand the nuances of telemedicine compliance across upper Midwest jurisdictions.
HOW TO FIND A PHYSICIAN PARTNER IN SOUTH DAKOTA
How to find a collaborating physician in South Dakota
Most South Dakota NPs find a collaborating physician in one of three ways: through an employer or health system, through direct outreach to physicians in the same specialty, or through a marketplace that already works with collaborating physicians. The best route depends on how quickly you need coverage, whether your practice includes controlled substances, and how much documentation support you want built into the relationship.
What to verify before you sign
Speciality fit with your patient population and scope.
Active licensure and willingness to serve as the collaborating physician for your practice model.
A written agreement that clearly states consultation expectations, chart review responsibilities, and prescribing workflows.
A realistic communication plan for routine conferrals and urgent clinical questions.
Comfort with your telehealth footprint if you treat patients across state lines.
Personal Networking and Cold Outreach: Can work, but slow, unpredictable, and typically above-market pricing. South Dakota is a rural state with a limited physician pool. Many physicians are unfamiliar with the FPA consultation model and may assume they are being asked to "supervise," which triggers liability concerns. Weeks of searching with no guarantee.
Matching Platform: Pre-vetted physicians who understand South Dakota's FPA model, transparent pricing, faster matching, and compliance infrastructure built in. For independent NPs, this is the fastest and most reliable path.
WHAT TO LOOK FOR IN A PHYSICIAN PARTNER (BEYOND THE CREDENTIAL CHECK)
Finding a physician who is licensed and available is the floor, not the ceiling.
The right physician partner for a South Dakota NP understands your autonomy, communicates reliably, and treats the relationship as a genuine clinical alliance—not a monthly transaction. If you have had a bad experience with a distant or unresponsive consultant before, you already know the difference.
Before signing any agreement, ask:
Do they understand South Dakota's FPA model? You need a consultant, not a supervisor. The agreement must explicitly preserve your independent status and not create a de facto supervision relationship.
Do they have experience in your specialty? A family medicine physician consulting on a psychiatric practice is a different dynamic than a psychiatrist doing the same.
What is their availability for real-time consultation? Patient safety requires reasonable accessibility, so make sure they can deliver responses within 24 hours.
How do they conduct chart reviews? Are they engaged and providing clinical feedback, or just signing off on a percentage?
Are they credentialed with major payers? If your primary goal is insurance panel approval, the physician must be paneled with the same carriers.
NPCollaborator's matching process is built around these questions—not just credential verification, but clinical and operational fit. Every physician in the marketplace has been vetted for specialty alignment, availability, and collaborative track record.
FREQUENTLY ASKED QUESTIONS
Is a collaborative practice agreement required in South Dakota?
It depends on your career stage. South Dakota is a Full Practice Authority state, but newly licensed CNPs must complete 1,040 practice hours under a written collaborative agreement per SDCL 36-9A-4 before practicing independently. After the transition period, no Collaborative Practice Agreement or Prescriptive Authority Agreement is required. A written Consultation or Peer Review Agreement is strongly recommended post-transition for specialty mentorship, payer credentialing, and malpractice risk reduction.
Do I need to file any agreement with the South Dakota Board of Nursing?
During the transition period, the collaborative agreement must be on file with the Board of Nursing. Once 1,040 practice hours are documented, a Practice Verification Form is filed to retire the agreement. Post-transition, because South Dakota does not mandate physician supervision, there is no state filing requirement for voluntary consultation agreements. The NP retains any voluntary agreement at the practice site as part of their compliance documentation.
Does South Dakota recognize other APRN specialties?
Yes. The state also recognizes roles such as nurse anesthetists and nurse midwife practice tracks, and some population-based certifications extend into neonatal nursing specialties.
How long does it take to find a physician partner in South Dakota?
Personal networking can take weeks to months, particularly because South Dakota's rural physician pool is limited. NPCollaborator typically matches South Dakota NPs within 1 to 5 business days.
Can I practice independently in South Dakota after gaining experience?
Yes. South Dakota grants Full Practice Authority after completion of the mandatory 1,040-hour transition period under a collaborative agreement per SDCL 36-9A-4. Once these hours are documented and a Practice Verification Form is filed with the Board, the collaborative agreement is retired and the NP practices independently with no further mandatory collaboration.
What is my term and termination strategy if the physician leaves?
You must ensure your practice has a continuity plan. With NPCollaborator, agreements include a 30-day "no-lock-in" termination clause and immediate re-matching if your physician partner exits—minimizing disruption to your practice and preventing payer credentialing lapses.
Disclaimer: This page summarizes NP Collaborator's interpretation of South Dakota statutes, Board of Nursing rules, and DEA regulations governing nurse practitioner collaborative practice as of the date shown above. It is provided for informational purposes only and does not constitute legal, regulatory, or clinical advice. Laws and rules change — always verify current requirements directly with the South Dakota Board of Nursing or a qualified healthcare attorney before making practice decisions.
PRACTICE WITH CONFIDENCE IN SOUTH DAKOTA
Independence is a privilege—don't let it become a liability. Compliance is the foundation of your success.
Hundreds of South Dakota NPs have found their match on NPCollaborator. Yours might be a few minutes away.
[See Available South Dakota Physicians — No Commitment Required]
Sources & References
SDCL Chapter 36-9A — South Dakota APRN statute governing advanced practice nursing, collaborative agreements, and the legal framework for practice authority.
SDCL 36-9A-4 — Licensing requirements including the 1,040-hour collaborative agreement transition provision.
SDCL 36-9A-12 — CNP scope of practice and prescriptive authority.
South Dakota Board of Nursing — CNP Practice — Official Board source for CNP practice requirements, collaborative agreement guidance, and prescriptive authority.
South Dakota Board of Nursing — CNP New License Application — Collaborative agreement and Practice Verification Form requirements.
South Dakota DOH — Controlled Substance Registration — State CSR requirements, MATE Act training, and PDMP enrollment.
SDCL 34-52 — South Dakota telehealth statute.
South Dakota PDMP — Prescription Drug Monitoring Program enrollment and resources.
DEA — Diversion Control Division — Federal controlled-substance registration and prescribing requirements.
21 C.F.R. Part 1306 — Federal prescription requirements for controlled substances.
42 C.F.R. § 491.8 — Federal RHC/FQHC physician review requirements.
42 C.F.R. § 410.75 — Medicare conditions for NP services.
Further guidance
AANP — South Dakota — National practice overview for context.
American Association of Nurse Practitioners, State Practice Environment — National practice-environment guidance.
National Council of State Boards of Nursing, APRN Practice resources — National APRN collaboration guidance.
Related resources
NP Collaborative Agreement Template (Free Download)
Get a free 50+ page collaborative agreement template covering all 50 states. Includes sample language, filing requirements and NP-protective clauses.
Read moreGuidesBrowse All NP Resources
Guides, comparisons, templates and tools for nurse practitioners in one place.
Read moreComparisonsBest Collaborating Physician Platforms (2026)
Honest comparison of the top NP collaborating physician platforms. Transparent all-inclusive pricing starting at $424/mo.
Read moreToolsNP Collaboration Savings Calculator
Calculate how much you can save on collaboration fees. Compare costs and find the best rates in your state.
Read more