Become a Collaborating Physician
in South Dakota
South Dakota’s modernized 2025 PA law and its NP experience threshold both create a defined window of demand for collaborating physicians. Early-career NPs and PAs across Sioux Falls, Rapid City, and South Dakota’s vast rural healthcare network need physician support — and the administrative burden on you is lean.
South Dakota’s Two Provider Collaboration Opportunities
NPs With Fewer Than 1,040 Practice Hours
South Dakota NPs must complete 1,040 hours of practice under a collaborative agreement before gaining full practice authority. New NPs and NPs new to South Dakota need a physician collaborator during this window — then the agreement concludes.
PAs With Fewer Than 6,000 Practice Hours
Under HB 1071 (effective July 1, 2025), PAs who have not filed a 6,000-hour affidavit must have a written collaborative agreement with a physician. This covers all new PAs and any PA with fewer than ~3 years of full-time practice experience.
South Dakota’s 2025 PA Law and NP Threshold Create a Dual-Stream Collaboration Market
South Dakota signed HB 1071 on March 27, 2025 (effective July 1, 2025), modernizing PA practice law and removing the mandatory collaboration requirement for experienced PAs who file a 6,000-hour affidavit. For PAs who have NOT reached 6,000 hours, a written collaborative agreement with a physician — signed by both parties and kept at the practice site — is still required before they can practice.
South Dakota NPs separately have a threshold-based system: NPs must complete 1,040 hours of practice under a collaborative agreement before gaining full practice authority. New NPs and NPs new to South Dakota must have a physician collaborator during that window — roughly six months of full-time practice.
South Dakota’s two thresholds create a consistent, renewing pipeline: new NPs entering their 1,040-hour window, and early-to-mid-career PAs who haven’t yet reached 6,000 hours. Both groups are actively seeking physician collaborators across Sioux Falls, Rapid City, and South Dakota’s extensive rural healthcare communities.
South Dakota State Requirements
A PA who has not filed a 6,000-hour affidavit with the SDBMOE must have a written collaborative agreement signed by the PA and a physician. The agreement must contain the terms and conditions governing the collaboration. Copy kept at the PA’s primary practice site; available to the Board on request. SDCL 36-4A-1.1; HB 1071 (eff. July 1, 2025)
A PA may practice without a collaborative agreement once the PA has filed an affidavit with the SDBMOE attesting to completion of at least 6,000 practice hours. The 6,000-hour threshold equals approximately 3 years of full-time practice. SDCL 36-4A-1.2
PAs may also collaborate with a PA who has at least 4,000 hours of independent practice — not only with physicians. However, many early-career PAs in independent or medspa clinic settings will need a physician specifically for their collaborative agreement. HB 1071
NPs must complete 1,040 hours of practice under a collaborative agreement with a South Dakota-licensed physician or CNP before gaining full practice authority. After that threshold, no physician oversight is required. SDCL 36-9A; SD Board of Nursing
The physician entering into a collaborative agreement with a PA must be free from disciplinary action that would restrict the ability to collaborate. No ratio cap specified. No mandatory chart review. Governed by the South Dakota Board of Medical and Osteopathic Examiners (SDBMOE).
South Dakota’s Two-Track Experience System
Both provider types in South Dakota have defined experience thresholds. Collaboration is required below the threshold — and concludes once the provider crosses it.
PAs Under 6,000 Hours (or NPs Under 1,040 Hours)
For PAs: Any PA who has not filed a 6,000-hour affidavit with SDBMOE must have a signed written collaborative agreement with a physician before practicing. Applies to all new PAs and early-to-mid-career PAs with fewer than ~3 years of full-time experience.
For NPs: NPs who have not yet completed 1,040 hours of practice under a collaborative agreement must work with a South Dakota-licensed physician or certified NP. Applies to all newly licensed or newly relocated NPs.
PAs With 6,000+ Hours / NPs With 1,040+ Hours
For PAs: Once a PA files a 6,000-hour affidavit with SDBMOE, they may practice without a collaborative agreement. The PA remains responsible for their own care and continues to collaborate clinically as indicated by patient needs.
For NPs: After completing 1,040 hours under a collaborative agreement, the NP may practice and prescribe independently with full practice authority in South Dakota — no ongoing physician oversight required.
We match you with NPs and PAs currently in the threshold window — so your collaboration is purposeful, appropriately compensated, and has a defined timeline tied to the provider’s milestone.
What a Collaborating Physician Does in South Dakota
South Dakota’s collaboration requirements are purposefully lean — a written agreement, your availability, and conditions governing collaboration defined at the practice level.
Sign the Collaborative Agreement (PAs)
Execute a written collaborative agreement with the PA that contains the terms and conditions governing the collaboration. The agreement is kept at the PA’s primary practice site and available to the SDBMOE on request. We prepare the agreement.
Sign the Collaborative Agreement (NPs)
Execute a written collaborative agreement with the NP covering the 1,040-hour window. Once the NP completes their hours, the agreement concludes and you can support a new NP in the same position.
Be Available for Consultation
Provide availability for the NP or PA to collaborate, consult, or refer as indicated by patient needs. South Dakota places no geographic proximity requirement and no mandatory chart review percentage on the collaborating physician.
Clean Disciplinary Record Required
South Dakota law requires the collaborating physician to be free from any disciplinary action that would restrict their ability to collaborate. Your license must be active and in good standing with the SDBMOE before entering any collaborative agreement.
Support Milestone Transitions
When a PA reaches 6,000 hours and files their affidavit — or an NP completes 1,040 hours — the collaborative agreement concludes. We coordinate these transitions and match you with a new provider entering the same window.
Earn Income Per Collaboration
Receive income for each NP and PA collaboration. South Dakota’s dual-stream system creates a consistent, renewing pipeline from both provider types — with clearly defined start and end points for each arrangement.
Get Started in 3 Simple Steps
Many physicians in our network are matched and onboarded within 24 to 48 hours.
Apply
Submit your basic information and credentials. It takes less than 2 minutes. We verify your South Dakota license and clean disciplinary record before matching.
Get Matched
We connect you with South Dakota NPs in their 1,040-hour window and PAs who haven’t reached 6,000 hours — across Sioux Falls, Rapid City, and the state’s rural communities.
Start Collaborating
Begin with a compliant written collaborative agreement structured for either the NP or PA track, and clear expectations about the collaboration window and milestone transition.
A Smarter Way to Work as a South Dakota Collaborating Physician
South Dakota’s dual-stream NP and PA collaboration market, HB 1071 transition, and two different milestone thresholds require precise matching. We identify and structure both tracks for you.
We match you with the right providers
We identify NPs in their 1,040-hour window and PAs under 6,000 hours — the specific population where physician collaboration is legally required in South Dakota.
Start within 24–48 hours
Many South Dakota physicians in our network are matched and onboarded within 24 to 48 hours. No Board pre-filing required for collaborative agreements.
SDCL 36-4A-compliant agreements
We structure written collaborative agreements that meet SDBMOE requirements under both the pre-HB1071 NP framework and the post-July 2025 PA modernization law.
Dual-stream income opportunity
South Dakota’s two thresholds create two separate supplemental physician markets. We support both — giving you more matching opportunities across a broader range of clinic types and provider backgrounds.
Defined milestone transitions
Both the NP 1,040-hour and PA 6,000-hour thresholds have clear endpoints. We coordinate milestone transitions — when one provider ages out, we help you fill the slot with a new one.
No chart review, no proximity requirement
South Dakota’s framework contains no mandatory chart review percentage and no geographic restriction on the collaborating physician — keeping your time commitment low and flexible.
South Dakota Clinic Types We Work With
Early-career NPs and PAs across South Dakota’s growing medspa, telehealth, and primary care markets all need physician collaboration during their threshold window.
This Opportunity Is Ideal For
Physicians with an active South Dakota medical license free from disciplinary restrictions
Physicians comfortable with remote collaboration and lean administrative requirements
Those seeking additional income from both NP and PA collaboration across two separate streams
Physicians who value clearly defined collaboration windows with milestone-based endpoints
Your South Dakota medical license must be active and free from any disciplinary action that would restrict your ability to collaborate, as required by SDCL 36-4A-1.1. No specialty-matching requirement is specified for South Dakota PA collaborative agreements.
South Dakota Collaborating Physician Jobs — NP and PA Experience-Window Demand Across Sioux Falls, Rapid City, and the Mount Rushmore State
South Dakota’s NP and PA frameworks both create experience-based collaboration windows: NPs need a physician for their 1,040-hour threshold, and PAs need a physician for their 6,000-hour threshold. Both thresholds take approximately 1–3 years of full-time practice to complete, creating a consistent, self-renewing pipeline of collaborating physician jobs, remote physician jobs, and part time physician jobs across Sioux Falls, Rapid City, Aberdeen, and South Dakota’s extensive rural healthcare communities.
Remote Physician Jobs — No Proximity, Telecom Eligible
South Dakota imposes no geographic proximity requirement for NP or PA collaboration arrangements. The physician must be available for consultation, which can be satisfied by phone or electronic means. For physicians seeking remote physician jobs with a defined, time-bounded window, South Dakota’s experience-threshold framework creates multi-year, stable arrangements that conclude naturally when the provider reaches their threshold — freeing the slot for a new early-career provider.
Part Time Physician Jobs — Dual NP and PA Thresholds, Rotating Pipeline
South Dakota’s dual threshold structure — 1,040 hours for NPs, 6,000 hours for PAs — creates two self-renewing pools of part time physician jobs. NP arrangements conclude in approximately 6–12 months of full-time practice; PA arrangements last 2–3 years. A physician holding multiple concurrent South Dakota arrangements builds a portfolio of part time physician jobs with staggered durations, ensuring a mix of new-arrangement onboarding and long-running income at any given time.
Physician Consulting Jobs — Sioux Falls and Rapid City Wellness Markets
Sioux Falls’s downtown and East Side wellness corridors and Rapid City’s Skyline Drive and Canyon Lake districts generate consistent demand for physician consulting jobs beyond standard collaboration income. NP and PA-operated medspas, GLP-1 weight loss clinics, and telehealth platforms across South Dakota seek physician consulting jobs for protocol development, payer credentialing, and QA oversight — structured as retainer arrangements alongside threshold collaboration income.
Physician Advisor Roles for Post-Threshold Independent Providers
After NPs reach their 1,040-hour threshold and PAs reach 6,000 hours, they practice independently — but many choose to retain a physician advisor for QA governance, payer credentialing, and protocol support. These physician advisor jobs are structured voluntarily at the practice level with no Board filing obligation and are available as remote physician advisor jobs for South Dakota-licensed physicians statewide.
CollaboratingPhysician.com maintains an active pipeline of collaborating physician jobs across South Dakota and matches physicians with NP and PA practices within 24 to 48 hours. Whether you are looking for collaborating physician jobs, remote physician jobs in Sioux Falls or Rapid City, part time physician jobs across Aberdeen and Watertown, or remote physician advisor jobs with South Dakota-based telehealth platforms, we structure agreements to meet South Dakota Board of Nursing and Board of Medical Examiners requirements and manage every arrangement including threshold milestone transitions.
Frequently Asked Questions — South Dakota
Start Building Additional Income as a South Dakota Collaborating Physician
South Dakota’s NPs in their 1,040-hour window and PAs under 6,000 hours both need a physician collaborator — and the administrative burden is lean. We connect you with both streams, handle written agreements, and manage milestone transitions.
Apply Now — Takes Less Than 2 MinutesOr call us at +1 (817) 857-2726 to get started today.
Serving physicians and clinics across South Dakota, including Sioux Falls, Rapid City, Aberdeen, Brookings, Watertown, Mitchell, Huron, Pierre, Yankton, Vermillion, Spearfish, Box Elder, Brandon, Harrisburg, Sturgis, Madison, Milbank, Dell Rapids, Tea, and surrounding communities statewide.
Collaborating Physician Intake Form
Complete the form below to explore collaborating physician jobs with Collaborating Physician. Our team will review your information and connect you with qualified healthcare professionals in need of oversight. Start earning residual income in a flexible role—submit your details today to discover your next collaborating physician job opportunity!