Wisconsin scope of practice for med spas

Who may perform which procedures, and under what supervision, by state. Below are the Wisconsin rules that govern it, each linked to its primary source.

RN / NP scope for injectables in Wisconsin

Wisconsin’s medical board governs the physician’s side of a delegation.

  • Whoever performs a delegated medical act in Wisconsin, the supervising physician remains answerable for it under the adequate-supervision test — which reaches licensed and unlicensed personnel alike. A nurse carrying out a delegated act is therefore working inside the physician’s duty, not outside it.

    Wis. Admin. Code Med §§ 10.02(1) and 10.03(1)(L) · verified Sep 2, 2026

  • Wisconsin grants the physician assistant the act itself, in words that reach an injection directly. Subject to the limitations in subsection (2), and to the physician assistant’s own experience, education and training, a physician assistant may “Examine into the fact, condition, or cause of human health or disease, or treat, operate, prescribe, or advise for the same, by any means or instrumentality” and may “Penetrate, pierce, or sever the tissues of a human being.” On drugs the grant is equally direct: “consistent with his or her experience, education, and training”, “a physician assistant may order, prescribe, procure, dispense, and administer prescription drugs, medical devices, services, and supplies.”

    Wis. Stat. § 448.975(1)(a)-(b) (Practice of physician assistants) · verified Sep 8, 2026

  • The limit is a named physician, not a supervision ratio. a physician assistant who provides care to patients must maintain, and provide to the board on request, evidence that pursuant to the physician assistant’s employment “there is a physician who is primarily responsible for the overall direction and management of the physician assistant’s professional activities and for assuring that the services provided by the physician assistant are medically appropriate” — or, in the alternative the statute offers, a written agreement. “Employment” here expressly includes an arrangement in which a third party receives payment for the physician assistant’s services.

    Wis. Stat. § 448.975(2)(a)1 (physician responsible for direction and management) · verified Sep 8, 2026

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MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director.