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Discussion

NPI, DEA, Collaborative Agreement HELP!

I graduated last year and have not begun working as an NP yet. I recently interviewed at a private practice clinic. They are a new practice and they have one dr. and no midlevels. The office manager does not know a lot about hiring an NP, so I need to figure everything out! I just applied online for my NPI #. And I told him that I needed to work for 6 months before applying for my DEA (I live in MO., does anyone know if I am right)? Also, he seems pretty clueless, so what should I say about the collaborative agreement, surely the Dr. is aware that they need to write one up?? Any help or advice is appreciated! Also, is there anything else I need to do? I really need this job, so I have to get all this stuff figured out!

Thanks!

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    I graduated last year and have not begun working as an NP yet. I recently interviewed at a private practice clinic. They are a new practice and they have one dr. and no midlevels. The office manager does not know a lot about hiring an NP, so I need to figure everything out! I just applied online for my NPI #. And I told him that I needed to work for 6 months before applying for my DEA (I live in MO., does anyone know if I am right)? Also, he seems pretty clueless, so what should I say about the collaborative agreement, surely the Dr. is aware that they need to write one up?? Any help or advice is appreciated! Also, is there anything else I need to do? I really need this job, so I have to get all this stuff figured out!

    Thanks!

    Check with your Board of Nursing. Look on the web site and call them to make sure. Each state has their own requirements . You will need your DEA to prescribe-I don't think you would need to wait 6 months. Sometimes there is a separate state controlled substance license. Your BON might have sample collaborative agreements.

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    Looks like Missouri's regulatory requirements are restrictive:

    1. For Controlled Substance Prescriptive Authority

    - must have completed 1000 hours of clinical practice (form available via BON website)

    - must have completed 300 hours of preceptorial experience in prescribing (form available via BON website)

    - must submit a "Statement of Controlled Substance Delegation Form"

    (http://pr.mo.gov/boards/nursing/APRN Application Instructions.pdf)

    Once above are received, the NP can be eligible for Missouri Bureau of Narcotics and Dangerous Drugs and Federal DEA.

    2. Collaborative Agreements with Physician required for NP practice.

    - sample document

    - BON rules explained in power point format

    - more BON rules from their website

    Unfortunately, our nurse practitioner programs seem weak in teaching new NP's the regulatory steps required to transition to practice.

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