Alabama
Reduced Practice (NP)
Regulatory Board: Alabama Board of Medical Examiners
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Alabama
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Alabama Board of Medical Examiners for the most current scope of practice information.
Alaska
Full Practice (NP)
Regulatory Board: Alaska State Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Alaska
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Alaska State Medical Board for the most current scope of practice information.
Arizona
Full Practice (NP)
Regulatory Board: Arizona Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Arizona
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Arizona Medical Board for the most current scope of practice information.
Arkansas
Reduced Practice (NP)
Regulatory Board: Arkansas State Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Arkansas
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Arkansas State Medical Board for the most current scope of practice information.
California
Restricted Practice (NP)
Regulatory Board: Medical Board of California
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for California
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Medical Board of California for the most current scope of practice information.
Colorado
Full Practice (NP)
Regulatory Board: Colorado Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Colorado
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Colorado Medical Board for the most current scope of practice information.
Connecticut
Full Practice (NP)
Regulatory Board: Connecticut Medical Examining Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Connecticut
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Connecticut Medical Examining Board for the most current scope of practice information.
Delaware
Reduced Practice (NP)
Regulatory Board: Delaware Board of Medical Licensure
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Delaware
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Delaware Board of Medical Licensure for the most current scope of practice information.
District of Columbia
Full Practice (NP)
Regulatory Board: DC Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for District of Columbia
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the DC Board of Medicine for the most current scope of practice information.
Florida
Restricted Practice (NP)
Regulatory Board: Florida Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Florida
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Florida Board of Medicine for the most current scope of practice information.
Georgia
Restricted Practice (NP)
Regulatory Board: Georgia Composite Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Georgia
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Georgia Composite Medical Board for the most current scope of practice information.
Hawaii
Full Practice (NP)
Regulatory Board: Hawaii Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Hawaii
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Hawaii Medical Board for the most current scope of practice information.
Idaho
Full Practice (NP)
Regulatory Board: Idaho Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Idaho
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Idaho Board of Medicine for the most current scope of practice information.
Illinois
Reduced Practice (NP)
Regulatory Board: Illinois Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Illinois
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Illinois Medical Board for the most current scope of practice information.
Indiana
Reduced Practice (NP)
Regulatory Board: Indiana Medical Licensing Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Indiana
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Indiana Medical Licensing Board for the most current scope of practice information.
Iowa
Full Practice (NP)
Regulatory Board: Iowa Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Iowa
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Iowa Board of Medicine for the most current scope of practice information.
Kansas
Reduced Practice (NP)
Regulatory Board: Kansas State Board of Healing Arts
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Kansas
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Kansas State Board of Healing Arts for the most current scope of practice information.
Kentucky
Reduced Practice (NP)
Regulatory Board: Kentucky Board of Medical Licensure
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Kentucky
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Kentucky Board of Medical Licensure for the most current scope of practice information.
Louisiana
Reduced Practice (NP)
Regulatory Board: Louisiana State Board of Medical Examiners
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Louisiana
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Louisiana State Board of Medical Examiners for the most current scope of practice information.
Maine
Full Practice (NP)
Regulatory Board: Maine Board of Licensure in Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Maine
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Maine Board of Licensure in Medicine for the most current scope of practice information.
Maryland
Full Practice (NP)
Regulatory Board: Maryland Board of Physicians
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Maryland
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Maryland Board of Physicians for the most current scope of practice information.
Massachusetts
Reduced Practice (NP)
Regulatory Board: Massachusetts Board of Registration in Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Massachusetts
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Massachusetts Board of Registration in Medicine for the most current scope of practice information.
Michigan
Restricted Practice (NP)
Regulatory Board: Michigan Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Michigan
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Michigan Board of Medicine for the most current scope of practice information.
Minnesota
Full Practice (NP)
Regulatory Board: Minnesota Board of Medical Practice
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Minnesota
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Minnesota Board of Medical Practice for the most current scope of practice information.
Mississippi
Reduced Practice (NP)
Regulatory Board: Mississippi State Board of Medical Licensure
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Mississippi
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Mississippi State Board of Medical Licensure for the most current scope of practice information.
Missouri
Restricted Practice (NP)
Regulatory Board: Missouri State Board of Registration for the Healing Arts
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Missouri
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Missouri State Board of Registration for the Healing Arts for the most current scope of practice information.
Montana
Full Practice (NP)
Regulatory Board: Montana Board of Medical Examiners
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Montana
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Montana Board of Medical Examiners for the most current scope of practice information.
Nebraska
Full Practice (NP)
Regulatory Board: Nebraska Board of Medicine and Surgery
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Nebraska
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Nebraska Board of Medicine and Surgery for the most current scope of practice information.
Nevada
Full Practice (NP)
Regulatory Board: Nevada State Board of Medical Examiners
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Nevada
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Nevada State Board of Medical Examiners for the most current scope of practice information.
New Hampshire
Full Practice (NP)
Regulatory Board: New Hampshire Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for New Hampshire
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the New Hampshire Board of Medicine for the most current scope of practice information.
New Jersey
Reduced Practice (NP)
Regulatory Board: New Jersey Board of Medical Examiners
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for New Jersey
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the New Jersey Board of Medical Examiners for the most current scope of practice information.
New Mexico
Full Practice (NP)
Regulatory Board: New Mexico Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for New Mexico
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the New Mexico Medical Board for the most current scope of practice information.
New York
Reduced Practice (NP)
Regulatory Board: New York State Board for Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for New York
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the New York State Board for Medicine for the most current scope of practice information.
North Carolina
Restricted Practice (NP)
Regulatory Board: North Carolina Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for North Carolina
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the North Carolina Medical Board for the most current scope of practice information.
North Dakota
Full Practice (NP)
Regulatory Board: North Dakota Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for North Dakota
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the North Dakota Board of Medicine for the most current scope of practice information.
Ohio
Reduced Practice (NP)
Regulatory Board: State Medical Board of Ohio
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Ohio
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the State Medical Board of Ohio for the most current scope of practice information.
Oklahoma
Restricted Practice (NP)
Regulatory Board: Oklahoma State Board of Medical Licensure
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Oklahoma
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Oklahoma State Board of Medical Licensure for the most current scope of practice information.
Oregon
Full Practice (NP)
Regulatory Board: Oregon Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Oregon
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Oregon Medical Board for the most current scope of practice information.
Pennsylvania
Reduced Practice (NP)
Regulatory Board: Pennsylvania State Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Pennsylvania
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Pennsylvania State Board of Medicine for the most current scope of practice information.
Rhode Island
Full Practice (NP)
Regulatory Board: Rhode Island Board of Medical Licensure
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Rhode Island
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Rhode Island Board of Medical Licensure for the most current scope of practice information.
South Carolina
Restricted Practice (NP)
Regulatory Board: South Carolina Board of Medical Examiners
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for South Carolina
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the South Carolina Board of Medical Examiners for the most current scope of practice information.
South Dakota
Full Practice (NP)
Regulatory Board: South Dakota Board of Medical and Osteopathic Examiners
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for South Dakota
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the South Dakota Board of Medical and Osteopathic Examiners for the most current scope of practice information.
Tennessee
Restricted Practice (NP)
Regulatory Board: Tennessee Board of Medical Examiners
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Tennessee
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Tennessee Board of Medical Examiners for the most current scope of practice information.
Texas
Restricted Practice (NP)
Regulatory Board: Texas Medical Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Texas
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Texas Medical Board for the most current scope of practice information.
Utah
Reduced Practice (NP)
Regulatory Board: Utah Division of Occupational and Professional Licensing
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Utah
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Utah Division of Occupational and Professional Licensing for the most current scope of practice information.
Vermont
Full Practice (NP)
Regulatory Board: Vermont Board of Medical Practice
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Vermont
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Vermont Board of Medical Practice for the most current scope of practice information.
Virginia
Restricted Practice (NP)
Regulatory Board: Virginia Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Physician Supervision
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Virginia
- NP Practice Authority: Restricted Practice -
NPs require physician supervision or delegation for prescriptive authority and procedures.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Virginia Board of Medicine for the most current scope of practice information.
Washington
Full Practice (NP)
Regulatory Board: Washington Medical Commission
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Washington
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Washington Medical Commission for the most current scope of practice information.
West Virginia
Reduced Practice (NP)
Regulatory Board: West Virginia Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for West Virginia
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the West Virginia Board of Medicine for the most current scope of practice information.
Wisconsin
Reduced Practice (NP)
Regulatory Board: Wisconsin Medical Examining Board
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision Required
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
Collaborative Agreement
Physician Assistants
Supervision Required
Key Requirements for Wisconsin
- NP Practice Authority: Reduced Practice -
NPs require a collaborative agreement with a physician but may have some independent functions.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Wisconsin Medical Examining Board for the most current scope of practice information.
Wyoming
Full Practice (NP)
Regulatory Board: Wyoming Board of Medicine
Aesthetic Procedures
Scope of practice for aesthetic procedures including neurotoxins, dermal fillers, and laser treatments.
Neurotoxins (Botox, Dysport)
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Dermal Fillers
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Registered Nurses
Physician Supervision
Dentists (DDS/DMD)
Facial Region
Pain Management Procedures
Scope of practice for interventional pain management procedures including joint injections, trigger point injections, nerve blocks, and spinal procedures.
Joint & Trigger Point Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Independent
Physician Assistants
Supervision Required
Nerve Blocks
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Spinal Injections
Physicians (MD/DO)
Independent
Nurse Practitioners
Supervision + Credentialing
Physician Assistants
Supervision + Credentialing
Ultrasound-Guided Procedures
Physicians (MD/DO)
Independent
Nurse Practitioners
With Training
Physician Assistants
Supervision Required
Key Requirements for Wyoming
- NP Practice Authority: Full Practice -
NPs can practice independently without physician oversight after meeting state requirements.
- PA Requirements: Physician Assistants must maintain a supervisory agreement with a licensed physician. Supervision requirements vary by practice setting.
- RN Requirements: Registered Nurses performing injections must work under physician supervision with established protocols and standing orders.
- Pain Management: Interventional procedures may require facility credentialing and specific training documentation.
- Verify Current Regulations: Contact the Wyoming Board of Medicine for the most current scope of practice information.