Nevada is regularly described online as a permissive state. The statute is less relaxed than the summaries suggest, and the gap matters most at the moment you try to sell or restructure.
NRS 89.050 permits professional entities for the practice of medicine, and a professional entity may render professional services only through officers, managers and employees licensed to render them. NRS 89.070 then restricts share transfers: shares may not be sold or transferred except to a natural person eligible to be a stockholder, or to the estate of a deceased or incompetent one. Ownership is not a formality you paper over.
What Nevada actually requires
- A medical director holding an active, unrestricted Nevada MD or DO licence in good standing, competent in the procedures being delegated.
- A professional entity whose ownership satisfies NRS ch. 89, with a separately owned management company for everything that is not the practice of medicine.
- Real supervision. NRS 630.3062 makes failure to supervise its own ground for discipline, and NRS 630.301 and 630.306 reach improper delegation as unprofessional conduct.
- A qualifying provider — MD, DO, APRN or PA — who evaluates the patient and issues the order before any delegated treatment.
- Written protocols defining each delegated service, its selection criteria and its escalation path.
Who may do what in Nevada
| Licence | What they may do |
|---|---|
| MD or DO | Independent; the medical director role |
| APRN | Within scope; may evaluate and order |
| Physician assistant | Within scope, under the applicable supervision; may evaluate and order |
| Registered nurse | May inject, run IV therapy and assist with devices under an order — but may not perform the good faith exam and may not prescribe |
| Medical assistant | Supervision governed separately under NAC 630.830 |
| Unlicensed staff | Not for medical procedures |
The RN limit is the one that catches Las Vegas operators running high volume: an RN can do the injection, but the evaluation and the order have to come from someone else, every time, and that is what an audit looks for.
What MDside provides in Nevada
- A Nevada-licensed MD or DO as medical director, doing the work rather than lending a name.
- The professional entity and management agreement built to Nevada rather than to a national template.
- Licensed physicians for the good faith exams behind prescriptions and injectables.
- Protocols and delegation written against your live service list, and revised when it changes.
- 503A and 503B pharmacy relationships and lab draws.
See what is included, or book a call and tell us which states you operate in.
Read the detail on Nevada
Frequently asked questions
Can a non-physician own a med spa in Nevada?
Not the entity that practises medicine. NRS ch. 89 limits professional-entity ownership to licensees and restricts share transfers to eligible persons. A non-licensee may own a management company.
Can an RN perform the good faith exam in Nevada?
No. An RN may administer injections, IV therapy and device treatments under an order, but the evaluation and the order must come from an MD, DO, APRN or PA.
What happens if the medical director is not really supervising?
NRS 630.3062 makes failure to supervise an independent ground for discipline against the physician, separate from anything the business does.
General information about Nevada practice structure and med spa regulation, not legal advice. Statutes, board rules and scope-of-practice requirements change. Confirm your obligations with healthcare counsel licensed in Nevada.