New Hampshire
PMHNP Practice Requirements In New Hampshire: Scope, Prescribing & Collaboration
Short answer: AANP lists New Hampshire as full practice, so a PMHNP practices under the Board of Nursing with no collaborative or supervisory agreement and no transition period (RSA 326-B:11; 326-B:18). The statute gives an APRN plenary authority to prescribe controlled and non controlled drugs within the APRN’s scope, Schedule II included, and allows Schedule II through IV prescribing by telemedicine with at least annual follow up evaluation (RSA 326-B:11, III and III-a).
New Hampshire PMHNP Rules At A Glance
| Topic | New Hampshire Rule |
|---|---|
| Practice authority | Full practice. The APRN scope covers advanced assessment, diagnosing, prescribing and treatment, with accountability to clients and the Board rather than to a physician (RSA 326-B:11, I and II). |
| Physician agreement | None. RSA 326-B contains no collaborative or supervisory agreement; the APRN obtains consultation and refers as appropriate and is accountable to the Board for care rendered (RSA 326-B:11, II). |
| Transition period | None. Initial licensure takes a current RN license, a graduate degree from an accredited APRN program, current national certification in the specialty and any other board criteria (RSA 326-B:18). |
| Controlled substances | An APRN has plenary authority to possess, prescribe, administer and dispense controlled and non controlled drugs within scope, and may prescribe Schedule II through IV drugs by telemedicine with follow up evaluation at least annually (RSA 326-B:11, III and III-a). |
| PDMP | Board rules must require a PDMP query when writing an initial Schedule II, III or IV opioid prescription for pain or substance use disorder, then at least twice a year; facility administration is excepted (RSA 318-B:41, I(b)(4)). |
| Regulator | New Hampshire Board of Nursing, within the Office of Professional Licensure and Certification (OPLC), licenses APRNs and adopts the Nur rules under RSA 326-B. |
Updated October 5, 2026
Practice Authority
New Hampshire Practice-Authority Category (Full Practice)
On its State Practice Environment map, AANP currently puts New Hampshire in the full practice group. That lets a PMHNP evaluate and diagnose patients, order and interpret tests, and start and manage treatment, prescribing included, under the exclusive licensure authority of the New Hampshire Board of Nursing, and the state doesn’t mandate a career-long collaborative or supervisory agreement.
The AANP State Practice Environment map and AANP’s practice information by state show how New Hampshire compares with other states. The rules that bind you, though, come from the New Hampshire Board of Nursing.
Collaboration
Is A Collaborative Or Supervisory Agreement Required?
New Hampshire doesn’t require an ongoing, career-long collaborative or supervisory agreement. The first stretch of practice is where full practice states differ. Some require a defined transition-to-practice period of supervised or collaborative practice before an NP moves to fully independent practice, and state rule decides whether that applies to you, how long it lasts and how it’s documented.
What goes into these agreements is covered in our guide to PMHNP collaborative practice agreements. The PMHNP scope of practice by state overview answers the same questions for every other state.
Prescriptive Authority
Prescriptive Authority And Controlled Substances
New Hampshire NPs who meet the state’s requirements can be granted prescriptive authority, and it can extend to controlled substances once the conditions are met. You’ll also need your own federal DEA registration for controlled substances, and some carry additional federal or state conditions. State law and board rule set the specific scope, any limits and the documentation. The U.S. Drug Enforcement Administration handles the federal side, and the New Hampshire Board of Nursing handles the state side.
Next Step
Credentialing Is A Separate Track
Practice authority decides what you can do in New Hampshire. It doesn’t get you paid. Payer enrollment runs on its own track, with its own payer rules, Medicaid program and timelines, and our New Hampshire credentialing and payer enrollment guide covers it. For the national picture, read the PMHNP credentialing guide.
If you’re opening your own practice, order matters. Our guide on how to start a PMHNP practice and the 90-day launch checklist walk through licensure, collaboration and enrollment in sequence. Plan the spending alongside the paperwork, using our guides to what PMHNP credentialing costs and what it costs to start a PMHNP practice.
Already credentialed and moving to your own Tax ID? Payer Transition moves five commercial payer contracts you already hold for $2,250 per provider. Starting from zero, First Practice Launch sets up the payers, EHR, portals and billing together for $6,000, or four monthly payments of $1,500.
FAQ
Frequently Asked Questions
Can A PMHNP Practice Independently In New Hampshire?
Yes. New Hampshire is a full practice state on the AANP map, and RSA 326-B:11 defines the APRN scope with no physician agreement and no supervised hours. You are accountable to the Board of Nursing for the quality of care, for recognizing your limits and for consulting or referring when needed.
Do I Need A Collaborating Physician In New Hampshire?
No. Nothing in RSA 326-B requires a collaborative or supervisory agreement for practice or prescribing. Licensure takes an RN license, an accredited graduate APRN degree and current national certification (RSA 326-B:18), and prescriptive authority comes with the license (RSA 326-B:11, III).
Can A PMHNP Prescribe Adderall In New Hampshire?
Yes. RSA 326-B:11, III gives an APRN plenary authority to prescribe controlled drugs within scope, so Schedule II stimulants are allowed with your DEA registration, including by telemedicine with follow up evaluation at least annually (III-a). The mandatory PDMP query in RSA 318-B:41 is written around Schedule II through IV opioids, so a stimulant doesn’t trigger it, though checking is sound practice.
This is general information, not legal advice. It applies the general nurse practitioner rules in New Hampshire to PMHNPs, and those rules aren’t the same for every role. Rules change, so check with the New Hampshire Board of Nursing and the AANP State Practice Environment map before you act on it. Last reviewed: September 26, 2026.
Keep Reading
Related PMHNP Resources
Scope By State
Compare requirements across states on our PMHNP scope of practice by state overview.
Start A Practice
See the full sequence in how to start a PMHNP practice.
Credentialing
Learn what we handle on our PMHNP credentialing page, or visit the PMHNP services hub.
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