North Dakota

North Dakota Collaborating Physician Jobs – Connect with Clinics Hiring Physicians

North Dakota was the first state to achieve Optimal Team Practice for PAs — removing mandatory supervision requirements for experienced PAs while maintaining a clear collaboration requirement for PA-owned clinics with early-career practitioners. If you’re a licensed North Dakota physician, there’s a growing market of new PA-owned practices that need your support.

⏱ Get started in 24–48 hours 🌐 No proximity requirement ✅ No mandatory written agreement required by state law 💰 PA-owned clinics are the primary collaboration market
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North Dakota grants full practice authority to Nurse Practitioners — NPs can diagnose, treat, and prescribe independently without physician involvement. North Dakota is also an “Optimal Team Practice” state for PAs, meaning experienced PAs (4,000+ hours) can own and operate practices without any physician requirement. However, PA practice owners with fewer than 4,000 hours must have a collaborating physician — this is the specific physician income opportunity in North Dakota.

4,000 hrs
PA practice ownership threshold — below this, a collaborating physician is required for PA-owned clinics
No agreement
North Dakota law explicitly states a written agreement is NOT required for PA collaboration
OTP state
North Dakota was the first state to achieve all Six Key Elements of AAPA’s Optimal Team Practice model
Why North Dakota

North Dakota’s PA Ownership Law Creates a Growing Market of Early-Career PA Clinics

North Dakota made history in 2019 with HB 1175 — the first state to achieve all components of AAPA’s Optimal Team Practice model. The law removed mandatory supervisory agreements for PAs, made PAs responsible for their own patient care, and allowed PAs to independently own medical practices with North Dakota Board of Medicine approval.

The one specific collaboration requirement that remains: PA practice owners with fewer than 4,000 hours of postgraduate clinical experience must have a collaborating physician. Given North Dakota’s growing PA workforce — particularly in the oil country, agricultural communities, and the Fargo-Moorhead metro — this creates a well-defined, meaningful market of early-career PA-owned clinics that actively need physician collaborators.

North Dakota’s law explicitly states that “a written agreement is not required” for PA collaboration under NDAC 50-03-01-03.1. This makes North Dakota one of the leanest collaboration frameworks in the entire series — your role is supportive and collaborative, not supervisory, and the administrative burden is minimal.

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North Dakota State Requirements

A PA shall collaborate with, consult with, or refer to the appropriate member of the health care team as indicated by the patient’s condition, the PA’s education, experience, and competence, and the standard of care. A written agreement is NOT required. NDAC 50-03-01-03.1

PAs may own their own practice with North Dakota Board of Medicine approval. PA practice owners with fewer than 4,000 hours of postgraduate clinical experience must have a collaborating physician. This is the primary collaborating physician opportunity in North Dakota. NDCC 43-17-02.1; HB 1175 (2019)

The degree of collaboration is determined at the practice level — by the employer, group, hospital service, or credentialing and privileging system. No ratio cap. No chart review mandate. No proximity requirement. NDAC 50-03-01-03.1

PAs are responsible for the care they provide. North Dakota law removes physician responsibility for PA-provided care. Physician liability for PA actions is not assumed under the collaboration framework. NDCC 43-17-02.1

PAs may prescribe and dispense Schedule II–V controlled substances and all legend drugs as authorized under NDCC 43-17-02.2(4). Governed by the North Dakota Board of Medicine. No state-mandated filing of collaboration documents.

PA Practice Ownership

North Dakota’s Two-Track PA Ownership Model

North Dakota’s PA ownership law creates a clear two-track system based on clinical experience. The income opportunity lives entirely in the first track.

Requires Collaborating Physician

PA Practice Owners With Fewer Than 4,000 Hours

PA-owned clinics whose owner-PA has not yet accumulated 4,000 postgraduate clinical hours must have a collaborating physician. This applies to:

• New PA graduates who open their own clinic
• Early-career PAs establishing medspas, wellness centers, telehealth practices, or other independent clinics
• PAs transitioning from employed practice to ownership before reaching 4,000 hours

This is the physician income opportunity in North Dakota. The collaboration is defined at the practice level — no written agreement, no chart review, and no supervisory liability required by state law.

No Physician Required

PA Practice Owners With 4,000+ Hours

PA-owned clinics whose owner-PA has accumulated 4,000 or more postgraduate clinical hours may operate entirely without a physician oversight requirement under North Dakota’s OTP framework.

• Full independent practice and ownership
• No mandatory collaboration, supervision, or written agreement
• PA remains responsible for their own patient care
• Standard of care and community standards still apply

These PAs do not require a collaborating physician under current North Dakota law.

We match you specifically with PA-owned clinics in the first track — where a collaborating physician is legally required. Every match is purposeful and appropriately compensated.

Your Role

What a Collaborating Physician Does in North Dakota

North Dakota’s framework gives the physician and PA maximum flexibility to define their collaboration at the practice level. No state-mandated chart review, no supervisory liability, and no written agreement required by statute.

Serve as Named Collaborating Physician

Be identified as the collaborating physician for the PA-owned practice with the North Dakota Board of Medicine as required for PA ownership approval. Your role supports the PA’s ability to open and operate their clinic independently.

Be Available for Consultation

Provide availability for the PA to collaborate, consult, or refer as indicated by patient conditions, community standards, and the PA’s competencies. The specific form and frequency of availability is determined at the practice level — not by state mandate.

Practice-Level Collaboration Structure

Work with the PA to define the nature of collaboration at the practice level — no state-mandated minimums. The degree of collaboration reflects the PA’s competencies, the practice setting, and community standards of care.

Support PA Practice Ownership

Your collaboration enables the PA to obtain North Dakota Board of Medicine approval for their independent practice. Once the PA reaches 4,000 hours, they can apply to remove the physician requirement — freeing your slot for a new early-career PA clinic.

No Supervisory Liability

North Dakota law explicitly removes physician responsibility for PA-provided care. You are a collaborator, not a supervisor. The PA remains responsible for the care they provide — giving you a clearly bounded, low-risk role.

Earn Income Per Collaboration

Receive income for each PA-owned clinic you support. North Dakota’s growing PA workforce — especially in oil country, agricultural communities, and the FM metro — creates a steady pipeline of early-career PAs opening their own practices.

Simple Process

Get Started in 3 Simple Steps

Many physicians in our network are matched and onboarded within 24 to 48 hours.

1

Apply

Submit your basic information and credentials. It takes less than 2 minutes. We verify your North Dakota license before matching.

2

Get Matched

We connect you with North Dakota PA-owned clinics whose owner-PA has fewer than 4,000 hours and needs a collaborating physician for their Board of Medicine approval.

3

Start Collaborating

Begin with clear expectations, a practice-level collaboration structure, and no written agreement filing burden — one of the most streamlined setups in this series.

Our Difference

A Smarter Way to Work as a North Dakota Collaborating Physician

North Dakota’s OTP framework makes the collaboration itself lean — but identifying the right PA-owned clinics in the under-4,000-hour window requires precise matching. We do that work for you.

We match you with the right PA clinics

We identify specifically the PA-owned clinics in North Dakota where the owner-PA has fewer than 4,000 hours — the precise window where a collaborating physician is required.

Start within 24–48 hours

Many North Dakota physicians in our network are matched and onboarded within 24 to 48 hours of applying. No Board pre-filing or written agreement submission required by state law.

NDCC 43-17-compliant structure

We structure the collaboration in line with North Dakota Board of Medicine requirements for PA practice ownership approval — even in the absence of a mandatory written agreement.

No supervisory liability

North Dakota’s OTP law explicitly removed physician responsibility for PA care. Your role is collaborative — the PA remains responsible for their own patient care under North Dakota statute.

Growing PA ownership market

North Dakota’s PA-friendly law is attracting early-career PAs who want to open their own clinics. This creates a growing pipeline of new PA-owned practices needing early-stage physician collaboration.

Minimal administrative burden

No mandatory written agreement, no chart review, no ratio cap, no proximity requirement, no Board filing. North Dakota is one of the most administratively lean collaboration frameworks in this entire series.

North Dakota Clinics

North Dakota Clinic Types We Work With

PA-owned clinics across North Dakota’s oil country, agricultural communities, and growing metro areas need collaborating physicians for early-career owner-PAs across every practice type.

💆Medical Spas
⚖️Weight Loss Centers
💉IV Hydration
💻Telehealth Platforms
🏥Primary Care
🧠Psychiatry Practices
Specialty Clinics
🩺Wellness Centers
Is This For You?

This Opportunity Is Ideal For

🏅

Physicians with an active North Dakota medical license in good standing with the ND Board of Medicine

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Physicians seeking a low-overhead, practice-level collaborative (not supervisory) role

💰

Those looking to generate additional income with minimal administrative requirements

📋

Physicians comfortable with a flexible, OTP-aligned collaboration framework

Your North Dakota medical license must be active and in good standing with the North Dakota Board of Medicine. No specific specialty-matching requirement applies. No minimum practice hours requirement is imposed on the collaborating physician under North Dakota’s OTP framework.

Collaborating Physician Jobs in North Dakota

North Dakota Collaborating Physician Jobs — PA Practice-Owner Supervision — Remote Physician Jobs Across Fargo, Bismarck, and the Peace Garden State

North Dakota is one of the most PA-friendly states in the country — both NPs and experienced PAs can practice fully independently. But a focused, well-defined market for collaborating physician jobs still exists: PA practice owners with fewer than 4,000 postgraduate hours must have a collaborating physician as a condition of their North Dakota Board of Medicine practice ownership approval. With no written agreement required, no supervisory liability, no chart review mandate, and no proximity requirement, North Dakota offers some of the most streamlined remote physician jobs and physician side jobs available in the Northern Plains — for qualified physicians who want a clean, advisory-style arrangement with early-career PA owners.

Remote Physician Jobs — No Written Agreement, No Proximity, No Liability

North Dakota’s PA practice ownership framework requires a collaborating physician to be named in the Board of Medicine approval — but imposes no written agreement requirement, no chart review mandate, no proximity limit, and no supervisory liability. These are among the most genuinely remote physician jobs in this series: structured at the practice level, defined by mutual agreement, and available by phone or video. The physician’s role is advisory rather than supervisory — a clean, modern remote physician job with minimal administrative overhead.

Physician Side Jobs — Early-Career PA Owner Market

North Dakota’s OTP law attracts early-career PAs who want to open their own clinics — and every PA owner under 4,000 hours needs a named collaborating physician for their Board approval. This creates a consistent, self-renewing pipeline of physician side jobs and part time physician jobs as new PA clinic owners enter the market each year. The 4,000-hour threshold is approximately 2 years of full-time PA practice — making each arrangement a multi-year, stable physician side job income source.

Physician Consulting Jobs — Fargo and Bismarck Healthcare Markets

Fargo’s West Acres and South Fargo corridors and Bismarck’s Riverview and Gateway healthcare districts generate consistent demand for physician consulting jobs beyond the PA practice ownership framework. NP and PA-owned medspas, GLP-1 weight loss clinics, and telehealth platforms across North Dakota seek physician consulting jobs for protocol development, payer credentialing, and QA oversight — structured as retainer arrangements alongside practice ownership collaboration income.

Physician Advisor Roles for Independent NP and PA Clinics

North Dakota NPs are fully independent, and experienced PAs with 4,000+ hours also practice independently — but many independent NP and PA clinics across Fargo, Bismarck, and the statewide telehealth market voluntarily engage physician advisor jobs for QA governance, payer credentialing, and protocol oversight. These remote physician advisor jobs are structured at the practice level with no NDBOM filing obligation and are available to North Dakota-licensed physicians statewide.

CollaboratingPhysician.com maintains an active pipeline of collaborating physician jobs across North Dakota and matches physicians with PA practice owners within 24 to 48 hours. Whether you are looking for remote physician jobs in Fargo or Bismarck, physician side jobs with early-career PA clinic owners, or remote physician advisor jobs with North Dakota-based telehealth platforms, we coordinate NDBOM practice ownership approval filings, structure advisory agreements, and manage every arrangement from introduction through the 4,000-hour independence transition.

FAQ

Frequently Asked Questions — North Dakota

Do North Dakota NPs or PAs need a collaborating physician?
North Dakota NPs have full practice authority and do not require physician collaboration for any aspect of practice or prescribing. For PAs, North Dakota is an Optimal Team Practice state — PAs with 4,000 or more postgraduate hours can own and operate practices entirely without a physician. The specific collaboration requirement that remains is for PA practice owners with fewer than 4,000 hours, who must have a collaborating physician as a condition of receiving North Dakota Board of Medicine approval for their independent practice ownership. PAs employed at established practices (hospitals, health systems, clinics) do not require a physician collaboration agreement under state law.
What exactly did North Dakota’s HB 1175 change?
HB 1175, signed April 4, 2019, made North Dakota the first state to achieve all six components of AAPA’s Optimal Team Practice model. The law: removed all references to “supervision” and replaced them with collaborative language; removed the requirement for state-mandated supervisory agreements; allowed PAs to own their own practices with Board of Medicine approval; removed physician responsibility for PA-provided care; made PAs individually responsible for their own patient care; and defined PA scope of practice based on education and training rather than physician delegation.
Is a written agreement required for North Dakota PA collaboration?
No. North Dakota Administrative Code 50-03-01-03.1 explicitly states that “a written agreement is not required” for PA collaboration. The degree of collaboration is determined at the practice level by the employer, group, hospital service, or credentialing and privileging system. This makes North Dakota one of the most administratively lean collaboration frameworks in the country — no Board filing, no mandatory form, and no written contract required by state law. We still document the collaboration arrangement clearly for the parties’ mutual benefit and for Board of Medicine practice ownership approval purposes.
Am I liable for the PA’s patient care in North Dakota?
No. North Dakota’s HB 1175 explicitly removed physician responsibility for care provided by PAs. Under current North Dakota law, PAs are responsible for the care they provide to patients. The collaborating physician is a professional resource and collaborator — not a supervisor and not a legal guarantor of the PA’s clinical decisions. This is one of the most explicit liability protections for collaborating physicians of any state in this series.
What happens when the PA reaches 4,000 hours?
Once the PA practice owner has accumulated 4,000 postgraduate clinical hours, they may apply to the North Dakota Board of Medicine to remove the physician oversight requirement from their practice ownership approval. At that point, the collaboration arrangement ends and your slot is freed for another early-career PA clinic. We coordinate this transition — and we can match you with a new PA-owned practice that needs your support as the previous arrangement concludes.
How quickly can I get started in North Dakota?
Many physicians in our North Dakota network are matched and onboarded within 24 to 48 hours. Because North Dakota requires no written agreement filing with the Board and no pre-approval waiting period for the collaboration itself, the process from matching to active collaboration can be completed very quickly once both parties are aligned on the practice-level collaboration structure.
What types of part time physician jobs and physician side jobs are available in North Dakota?
North Dakota PA practice ownership collaboration roles are the core physician side job category — remote-eligible, advisory-style physician side jobs with no written agreement requirement, no chart review, and no supervisory liability. Beyond the required practice ownership framework, North Dakota generates demand for physician advisor jobs at independent NP and PA clinics across Fargo and Bismarck, physician consulting jobs for protocol development and payer credentialing, and remote physician advisor jobs with North Dakota-based telehealth platforms. All are bounded supplemental physician side jobs that generate income without requiring additional patient care hours.
Are North Dakota remote physician jobs genuinely remote — and how advisory is the role?
Yes — North Dakota collaborating physician jobs are among the most genuinely remote in this series. There is no written agreement required by state law, no proximity requirement, no chart review mandate, and no supervisory liability. The physician’s obligations are defined mutually with the PA practice owner, and for most North Dakota arrangements those obligations are satisfied entirely by remote availability and consultation. Remote physician advisor jobs at independent NP and PA clinics are similarly fully remote. The role is fundamentally advisory — making North Dakota one of the most physician-friendly and remote-accessible markets in the Northern Plains.

Start Building Additional Income as a North Dakota Collaborating Physician

North Dakota’s growing wave of PA-owned clinics need a collaborating physician for their early-career owner-PAs. We match you with them and structure the collaboration — with no written agreement burden, no supervisory liability, and no chart review requirements.

Apply Now — Takes Less Than 2 Minutes

Or call us at +1 (817) 857-2726 to get started today.

Serving physicians and clinics across North Dakota, including Fargo, Bismarck, Grand Forks, Minot, West Fargo, Williston, Dickinson, Mandan, Jamestown, Wahpeton, Devils Lake, Valley City, Watford City, Grafton, Rugby, Beulah, Hazen, and communities throughout the oil patch, Red River Valley, and western North Dakota.

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