Can a nurse practitioner treat without a supervising physician in District of Columbia?
Who treats · part of The Practice Perimeter
Short answer
Not directly — the cited rules let a trained APRN perform procedures below the stratum corneum without physician authorization and bar reading the medical practice act to limit APRN duties; they don't address whether a collaboration agreement is required.
Nothing in this paragraph shall be construed as preventing or restricting advanced practice registered nurses from performing their duties as advanced practice registered nurses.
D.C. Code §3-1201.02(7)(C) · verified Sep 3, 2026 · regulatory monitoring, not legal advice
The rest of what District of Columbia says on this
Practice of registered nursing means the performance of the full scope of nursing services, with or without compensation, designed to promote, protect, optimize, and maintain health and abilities, prevent illness and injury, facilitate healing, alleviate suffering through the diagnosis and treatment of human response, and advocate for the care of individuals, families, groups.
D.C. Code §3-1201.02(17) (“Practice of registered nursing” defined) · verified Sep 3, 2026
Telehealth means the use of synchronous or asynchronous telecommunication technology to provide access to health assessment, diagnosis, intervention, consultation, supervision, and information where the health professional and the patient, client, or supervisee are located at different physical locations.
D.C. Code §3-1201.01(15A) (“Telehealth” defined) · verified Sep 3, 2026
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