Can a nurse practitioner treat without a supervising physician in Montana?

(1) The APRN licensed in Montana may only practice in the role and population focus in which the APRN has current national certification. APRN practice is an independent and/or collaborative practice and may include: (a) establishing medical and nursing diagnoses, treating, and managing patients with acute and chronic illnesses and diseases; and (b) providing initial, ongoing, and comprehensive care, including: (i) physical examinations, health assessments, and/or other screening activities; (ii) prescribing legend and controlled substances when prescriptive authority is successfully applied for and obtained; (iii) ordering durable medical equipment, diagnostic treatments and therapeutic modalities, laboratory imaging and diagnostic tests, and supportive services, including, but not limited to, home healthcare, hospice, and physical and occupational therapy; (iv) receiving and interpreting results of laboratory, imaging, and/or diagnostic studies; (v) working with clients to promote their understanding of and compliance with therapeutic regimens; (vi) providing instruction and counseling to individuals, families, and groups in the areas of health promotion, disease prevention, and maintenance, including involving such persons in planning for their health care; and (vii) working in collaboration with other health care providers and agencies to provide and, where appropriate, coordinate services to individuals and families.

Mont. Admin. R. 24.159.1406(1) · verified Oct 2, 2026 · regulatory monitoring, not legal advice