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North Dakota

North Dakota

Mid-Level Providers

*Effective January 1, 2020 (retroactive)* COVID-19 liability protection for health care providers.

A Physician Assistant practicing telemedicine from another state is subject to the rules regarding physician supervision, expect supervision may be by a ND physician who is not physically located in ND

Physician Assistants can prescribe medications via telemedicine within their scope of practice

  • Opioids may ONLY be prescribed through telemedicine if done so as a federal Food and Drug Administration approved medication assisted treatment for opioid use disorder.

Nurse Practitioners have full independent practice authority & full independent prescriptive authority in North Dakota

A licensee (Physician or Physician Assistant) “shall establish a bona fide relationship with the patient before the diagnosis or treatment of a patient.”

Before initially diagnosing/treating a patient, an examination must be performed, which can be done via telemedicine

North Dakota Mid-Level Professional Licensure Compacts

Enhanced Nurse Licensure Compact

Advanced Practice Registered Nurse Compact

EXPIRED: Temporary COVID-19 Policies (ND Mid-Levels)


  • “Secured connection” provision (limiting types of technology able to be used in telemedicine)
  • “Audio only” provision (prohibiting audio-only telemedicine)

EXPIRED APRIL 30: Licensing requirements suspended for: Nurse Practitioners, Pharmacists, Physicians and Surgeons (Ch 43-17, includes Physician Assistants), Psychologists, Occupational Therapists, Social workers, Respiratory care practitioners, Dieticians and Nutritionists, Addiction counselors, counselors, Clinical lab personnel, Marriage and family therapists, Integrative health care, Naturopaths, Medical imaging and radiation therapy, EMS 

  • Providers licensed in these professions in other states are able to provide health care and behavioral health services (including by means of telemedicine) for ND citizens