Nevada medical director requirements for med spas

Physician supervision & delegation in Nevada

Nevada’s Medical Practice Act contains no med-spa “medical director” designation — the phrase does not appear anywhere in NRS chapter 630, which was surveyed in full. Supervision is regulated instead through the named supervising-physician relationship that defines a physician assistant, and through a disciplinary ground for failing to supervise a medical assistant adequately. For dermal fillers Nevada goes further: the statutory list of who may inject is exhaustive, a medical assistant is not on it, and the injection may not be delegated to anyone off that list. The cosmetology board’s rules answer the microneedling question by needle depth. A licensee shall not perform an invasive procedure — which includes the penetration of the skin by needles, the abrasion of the skin below the stratum corneum, the application of substances affecting anything below the stratum corneum, and the injection or administration of any substance — but the needle prohibition does not apply to a LICENSED ADVANCED ESTHETICIAN performing microneedling, microchanneling or dermarolling if the gauge and penetration of the needles do not exceed 1.5 mm (unless directly supervised by a health care professional) and the needles are not used for an ablative esthetic medical procedure, to remove blood or to inject any substance. The statutory bar on an advanced esthetician performing any ablative esthetic medical procedure applies regardless of supervision and regardless of the device, laser and ablative microneedling included. A cosmetologist or esthetician may remove skin at or above the stratum corneum for beautification, and “invasive procedure” is defined as an act below the stratum corneum that is outside the licensee’s scope, is not solely for beautification, and excises, vaporizes, disintegrates or removes living tissue.

• Nevada’s Medical Practice Act contains no med-spa “medical director” designation. The full text of NRS chapter 630 was surveyed and the phrase “medical director” does not appear in it, nor do “medical spa” or “med spa”; the chapter regulates supervision through the named supervising-physician relationship and the medical-assistant supervision ground instead.

  Nev. Rev. Stat. ch. 630 (Physicians and Physician Assistants — full chapter surveyed) · verified Sep 3, 2026

• A physician assistant is a person qualified to perform medical services under the supervision of a supervising physician and who has been issued a license by the Board.

  Nev. Rev. Stat. §630.015 (“Physician assistant” defined) · verified Sep 3, 2026

• A supervising physician means an active physician licensed and in good standing in the State of Nevada who supervises a physician assistant.

  Nev. Rev. Stat. §630.025 (“Supervising physician” defined) · verified Sep 3, 2026

• Nevada’s list of persons who may inject dermal or soft tissue fillers is exhaustive — a physician or physician assistant licensed under chapter 630 or 633, a dentist trained as prescribed by the Board of Dental Examiners, a registered nurse or advanced practice registered nurse, or a trained podiatric physician — and a medical assistant is not among them. A medical assistant therefore may not inject dermal or soft tissue fillers in Nevada, and the injection may not be delegated to one.

  Nev. Rev. Stat. §629.086(1)(a), (2) (the enumerated list surveyed) · verified Sep 3, 2026

• Failure to supervise adequately a medical assistant pursuant to the regulations of the Board is a ground for initiating disciplinary action or denying licensure.

  Nev. Rev. Stat. §630.306(1)(r) · verified Sep 3, 2026

• A person who is authorized by subsection 1 to inject dermal or soft tissue fillers shall not delegate such injection to a person who is prohibited by subsection 1 from injecting dermal or soft tissue fillers.

  Nev. Rev. Stat. §629.086(2) · verified Sep 3, 2026

• Except as otherwise provided in this section, a licensee shall not perform any invasive procedure that includes, without limitation: (c) The penetration of the skin by needles; The provisions of paragraph (c) of subsection 1 do not apply to the use of needles by a licensed advanced esthetician for the purpose of microneedling, microchanneling or dermarolling if: (a) The gauge and penetration of the needles do not exceed 1.5 mm, unless the advanced esthetician is being directly supervised by a health care professional; and (b) The needles are not used for an ablative esthetic medical procedure, to remove blood or to inject any substance, including, without limitation, a controlled substance.

  Nev. Admin. Code §644A.790(1)(c), (3) (Prohibited invasive procedures; exceptions) · verified Sep 7, 2026

• a licensee shall not perform any invasive procedure that includes, without limitation: (b) The application of a topical lotion, cream or other substance which is not intended for use by a practitioner of a branch of cosmetology for the purpose of beautifying the skin or which affects anything below the stratum corneum; (d) The abrasion of the skin below the stratum corneum; (f) The injection or administration of any substance, including, without limitation, a controlled substance. The provisions of subsection 2 of NRS 644A.545 which prohibit an advanced esthetician from performing any ablative esthetic medical procedure apply regardless of whether the advanced esthetician is under the supervision of a health care professional and regardless of the delivery method, device or technology used, including, without limitation, radio frequency dissection, laser, scarlet or ablative microneedling or skin tag removal.

  Nev. Admin. Code §644A.790(1)(b), (d), (f), (5) (Prohibited invasive procedures; exceptions) · verified Sep 7, 2026

• “invasive procedure” means an act that affects the structure or function of the skin below the stratum corneum that: (a) Is not within the scope of the licensee’s license to perform; (b) Is not intended for the sole purpose of the beautification of the skin; and (c) Excises, vaporizes, disintegrates or in any way removes living tissue.

  Nev. Admin. Code §644A.790(6) (“invasive procedure” defined) · verified Sep 7, 2026

• A cosmetologist or an esthetician may remove any portion of the skin that is at or above the stratum corneum by any method or means if only skin that is at or above the stratum corneum is removed and the removal is for the purpose of beautification.

  Nev. Admin. Code §644A.785(1) (Restrictions on removal of skin by cosmetologist or esthetician) · verified Sep 7, 2026

• At all times during the performance of a nonablative esthetic medical procedure, the health care professional supervising the procedure must be readily available in accordance with NRS 644A.545 to provide care if medical intervention is required, and shall not direct the advanced esthetician performing the procedure to take any action that is outside the scope of practice.

  Nev. Admin. Code §644A.846(3) · verified Sep 8, 2026