ClinicBuilt
Book a call
Start a clinic / Nevada

How to start a medical clinic in Nevada.

What a founder needs to know in Nevada: who can own a practice, which state approvals apply, how nurse practitioners and PAs can work, and where to register. Every fact links to its source.

Updated October 2026Sources linked
NVNevadaStarting a clinic, at a glance
Corporate practice of medicine
ModerateRestricted, with exceptions
Certificate of need program
YesState review for some facilities or equipment
Nurse practitioner authority
Full practiceAANP classification
Register your business with
Nevada Secretary of State
Checked October 2026

Ownership: Nevada has no statute banning the corporate practice of medicine, but Attorney General opinions (1977, 2002, 2010) treat medicine as reserved to licensed physicians and professional entities, so non-physicians generally cannot own a medical practice.

Certificate of need: Nevada's CON program applies only in counties under 100,000 people (and cities or towns under 25,000 in larger counties) and covers new construction by a health facility, such as a hospital or ASC, costing more than $2 million.

Nurse practitioners: AANP classifies Nevada as full practice with no general transition period, but an APRN may prescribe Schedule II drugs only after 2 years or 2,000 hours of clinical experience or under a protocol approved by a collaborating physician.

Who can own a medical clinic in Nevada

Nevada has no statute banning the corporate practice of medicine, but Attorney General opinions (1977, 2002, 2010) treat medicine as reserved to licensed physicians and professional entities, so non-physicians generally cannot own a medical practice. Physician-owned professional corporations or professional LLCs paired with a management services organization (the friendly PC model) are the common structure for outside investors.

Sources: clarkcountybar.org, hollandhart.com

Business entity and registration

Physicians form a professional corporation or professional LLC under NRS Chapter 89. Every owner, director, officer and manager must be licensed to render the same service, and the articles filed with the Secretary of State must include a certificate from the Board of Medical Examiners confirming those licenses.

Sources: leg.state.nv.us

Certificate of need in Nevada

Nevada's CON program applies only in counties under 100,000 people (and cities or towns under 25,000 in larger counties) and covers new construction by a health facility, such as a hospital or ASC, costing more than $2 million. A practitioner's office used solely for routine patient services is exempt, so most physician offices in Las Vegas and Reno never touch it.

Sources: dpbh.nv.gov, ncsl.org

Licenses, registrations and state agencies

The Division of Public and Behavioral Health licenses medical facilities under NRS 449, including surgical centers for ambulatory patients, independent centers for emergency medical care, rural clinics, dialysis facilities, mobile units and refractive surgery facilities. An ordinary physician office is not on that list, but a physician office that offers general anesthesia, conscious sedation or deep sedation needs a Division permit for each location and national accreditation.

Sources: leg.state.nv.us, nevada.public.law

Nevada-specific requirements to know

Every practitioner who prescribes controlled substances needs a Nevada State Board of Pharmacy controlled substance registration and an active Prescription Monitoring Program account in addition to DEA registration. Offices offering sedation or general anesthesia need a state permit and accreditation. Physicians must file supervision or collaboration notification forms with the Board of Medical Examiners for each PA or APRN.

Sources: bop.nv.gov, nevada.public.law, medboard.nv.gov

Agencies you will deal with

Nurse practitioners and physician assistants

Nurse practitioners: AANP classifies Nevada as full practice with no general transition period, but an APRN may prescribe Schedule II drugs only after 2 years or 2,000 hours of clinical experience or under a protocol approved by a collaborating physician.

Sources: aanp.org, storage.aanp.org, nevadanursingboard.org

Physician assistants: PAs practice under a supervising physician with a written, signed agreement, and the physician must notify the Board of Medical Examiners of the supervision; osteopathic board rules cap a physician at three PAs or APRNs at once, and 2025's SB 294 (as amended) directs both boards to allow at least six.

Sources: law.cornell.edu, medboard.nv.gov, archive.leg.state.nv.us, mypanetwork.com

Med spas, injectables and IV therapy in Nevada

Ownership follows the same rule as any medical practice: the Attorney General opinions and the nurse ownership gap mean a business employing nurses to deliver care should be owned by physicians. The Board of Nursing was still drafting practice decisions on RN dermatologic and cosmetic procedures in 2024; no adopted Nevada board rule on injectables, lasers or IV hydration was confirmed.

Sources: clarkcountybar.org, nevadanursingboard.org

Planning an aesthetic or IV business? See how to start a med spa and how to start an IV therapy business.

Step-by-step checklist in Nevada

  1. Choose your structure and check ownership rules. Decide who will own the practice and confirm it fits Nevada’s corporate practice of medicine rules. Nevada has no statute banning the corporate practice of medicine, but Attorney General opinions (1977, 2002, 2010) treat medicine as reserved to licensed physicians and professional entities, so non-physicians generally cannot own a medical practice.
  2. Form the entity with the Nevada Secretary of State. Physicians form a professional corporation or professional LLC under NRS Chapter 89.
  3. Get federal numbers. Apply for an EIN from the IRS, then a Type 2 NPI for the practice and Type 1 NPIs for each clinician through NPPES.
  4. Confirm licenses with the Nevada State Board of Medical Examiners (osteopathic physicians: Nevada State Board of Osteopathic Medicine). Every physician needs a Nevada license. Check the board’s rules for any practice registrations, supervision agreements or office requirements before opening.
  5. Check certificate of need and facility licensing. Nevada's CON program applies only in counties under 100,000 people (and cities or towns under 25,000 in larger counties) and covers new construction by a health facility, such as a hospital or ASC, costing more than $2 million.
  6. Register to prescribe. Register with the DEA for controlled substances and complete any Nevada controlled substance registration and prescription monitoring program enrollment. Every practitioner who prescribes controlled substances needs a Nevada State Board of Pharmacy controlled substance registration and an active Prescription Monitoring Program account in addition to DEA registration.
  7. Set up lab, safety and privacy basics. Get a CLIA certificate if you will run any lab tests, including waived tests, and put HIPAA privacy and security and OSHA policies in place.
  8. Enroll with Medicare, Medicaid and insurers. Enroll in Medicare through PECOS, enroll with Nevada Medicaid and Nevada Check Up (Gainwell provider portal) and start commercial credentialing early, because payer enrollment often takes months.
  9. Plan staffing around NP and PA rules. AANP classifies Nevada as full practice with no general transition period, but an APRN may prescribe Schedule II drugs only after 2 years or 2,000 hours of clinical experience or under a protocol approved by a collaborating physician.
  10. Launch your marketing before opening day. Claim your Google Business Profile, publish a website with online booking and start ads and content four to eight weeks before you open, so the schedule is not empty on day one.

The national steps are explained in more detail in our guide to how to start a medical clinic, and costs are broken down in how much it costs to start a clinic.

Marketing a new clinic in Nevada

New clinics usually fail on cash flow before they fail on care. The fastest fix is patients booked before opening day: a complete Google Business Profile, a website with online booking, local search ads and a few weeks of social content showing the team and the space. We run that launch for new clinics and keep it going once the doors open.

Plan your Nevada launch with us →

Important. This guide is general information checked against official and professional sources in October 2026. It is not legal advice. Rules change and details depend on your services, so confirm your plan with a healthcare attorney licensed in Nevada and with the agencies listed above.

Sources

  1. https://clarkcountybar.org/corporate-practice-of-medicine-in-nevada-and-the-friendly-pc-mso-structure/
  2. https://www.hollandhart.com/pdf/HC-nevada-webinar-1-26-21.pdf
  3. https://www.leg.state.nv.us/NRS/NRS-089.html
  4. https://dpbh.nv.gov/uploadedFiles/dpbhnvgov/content/Programs/Certificate_of_Need/Certificate of Need Program Overview 6-12-19.pdf
  5. https://www.ncsl.org/health/certificate-of-need-state-laws
  6. https://www.aanp.org/advocacy/nevada
  7. https://storage.aanp.org/www/documents/no-index/state-fact-sheets/nevada.pdf
  8. https://nevadanursingboard.org/wp-content/uploads/2023/11/APRN-Protocol-Sample.pdf
  9. https://law.cornell.edu/regulations/nevada/NAC-633-288
  10. https://medboard.nv.gov/Licensees/Supervising_/_Collaborating_Physicians/
  11. https://archive.leg.state.nv.us/Session/83rd2025/Bills/Amendments/A_SB294_310.pdf
  12. https://www.mypanetwork.com/physician-assistant-news/2231-ab-364-passes-signed-by-governor-lombardo
  13. https://www.leg.state.nv.us/NRS/NRS-449.html
  14. https://nevada.public.law/statutes/nrs_449.442
  15. https://nevadanursingboard.org/wp-content/uploads/2024/05/NPAC-Subcom-Minutes-FINAL-4.23.24.pdf
  16. https://bop.nv.gov/uploadedFiles/bopnvgov/content/Services/newapps/2022 APRN 12.27.2022 with PMP changes PDF.pdf

Nearby state guides

CaliforniaOregonIdahoUtahArizonaAll states
Nevada questions

Starting a clinic in Nevada, answered.

Can a non-physician own a medical clinic in Nevada?
Nevada has no statute banning the corporate practice of medicine, but Attorney General opinions (1977, 2002, 2010) treat medicine as reserved to licensed physicians and professional entities, so non-physicians generally cannot own a medical practice. Physician-owned professional corporations or professional LLCs paired with a management services organization (the friendly PC model) are the common structure for outside investors.
Does Nevada require a certificate of need to open a clinic?
Nevada's CON program applies only in counties under 100,000 people (and cities or towns under 25,000 in larger counties) and covers new construction by a health facility, such as a hospital or ASC, costing more than $2 million. A practitioner's office used solely for routine patient services is exempt, so most physician offices in Las Vegas and Reno never touch it.
Can nurse practitioners open their own practice in Nevada?
AANP classifies Nevada as full practice with no general transition period, but an APRN may prescribe Schedule II drugs only after 2 years or 2,000 hours of clinical experience or under a protocol approved by a collaborating physician.
Who can perform Botox, laser or IV therapy in Nevada?
Ownership follows the same rule as any medical practice: the Attorney General opinions and the nurse ownership gap mean a business employing nurses to deliver care should be owned by physicians. The Board of Nursing was still drafting practice decisions on RN dermatologic and cosmetic procedures in 2024; no adopted Nevada board rule on injectables, lasers or IV hydration was confirmed.
Where do I register a medical practice in Nevada?
Physicians form a professional corporation or professional LLC under NRS Chapter 89. Every owner, director, officer and manager must be licensed to render the same service, and the articles filed with the Secretary of State must include a certificate from the Board of Medical Examiners confirming those licenses.