Nevada physician licensing.

The MD board’s minutes put its average licensing time at 92 days for traditional applicants in the last quarter of 2025 and the first quarter of 2026, or 35 and 34 days with licenses issued through the compact counted in, without saying when the count starts. The osteopathic board publishes no processing time and asks DOs to allow at least 6 to 8 weeks for FCVS. Nevada law sets no deadline for a standard application, though board rules set business-day deadlines for applicants who qualify for prioritized review. On the compact route, IMLCC’s Year 9 averages were 38 days from application to a Letter of Qualification, then 22 days from qualification to issued licenses.

$1,148 for an MD license issued by June 30, 2027, in board, transcript, and NPDB fees: the $600 application fee, a $400 registration fee for the second half of the board’s two-year period, the $75 background check, a $70 USMLE transcript, and a $3 NPDB self-query. In the first year of a two-year period, as from July 1, 2027, the full $800 registration fee makes it $1,548. A DO pays $1,510: the $1,000 application and initial license fee, a $50 fingerprint fee, a $395 FCVS profile, and a $65 COMLEX-USA transcript, or $1,010 if the license fee is halved to $500 for a license that will expire within 12 months; the osteopathic board’s fee list still prints $500. Through the IMLC, compact fees are $1,500 for an MD or $1,200 for a DO.

Yes. Nevada’s compact law, Senate Bill 251 of 2015, took effect October 1, 2015; both boards issue licenses through the compact, and either can be your state of principal license. In IMLCC’s Year 9, April 2025 to March 2026, the MD board approved 122 Letters of Qualification and issued 542 licenses through the compact, and the osteopathic board approved 21 and issued 109. The MD board reported that 325 of the 508 physician licenses it issued in the first quarter of 2026, about 64%, came through the compact.

No. MDs apply to the State Board of Medical Examiners and DOs to the State Board of Osteopathic Medicine, under separate laws and rules: an MD pays a $600 application fee plus a $400 or $800 registration fee and renews for $800 by June 30 of odd-numbered years, while a DO pays $1,000, or $500 for a license expiring within 12 months, and renews for $700 by December 31 of even-numbered years. The osteopathic board requires an FCVS profile or equivalent documents, while the MD board accepts FCVS without requiring it, and only MDs can get a telemedicine license.

Yes. Nevada has no out-of-state telehealth registration: state law requires a Nevada license before a physician elsewhere uses telehealth, audio-only included, to manage the care of, diagnose, or prescribe for a patient in Nevada. MDs licensed in another state can use the MD board’s telemedicine license, which requires a full and unrestricted license elsewhere, no disciplinary action anywhere, and ABMS certification. DOs have no telemedicine license and use the DO license, directly or through the compact. Prescribing controlled substances also takes a Board of Pharmacy registration, whose application asks for a Nevada practice address.

Fingerprints, yes, at both boards; a jurisprudence exam, no. State law requires a state and FBI fingerprint check of applicants for a full license, licenses issued through the compact included. From out of state, prints go on a standard card taken by a law enforcement agency or private service, and the MD board’s instructions say the Department of Public Safety will not accept prints older than 6 months. Neither board has a jurisprudence exam: a 2023 rule change removed the written exam on Nevada law from the MD rules, and the osteopathic board says it no longer requires one.

Possibly, if you hold an active license in good standing in another state, DC, or a US territory and passed an accepted licensing exam: the MD board calls endorsement a pathway for physicians who miss one standard requirement, such as the 36 months of training, and says it is not reciprocity. It is closed to anyone ever disciplined or with discipline pending, refused a license, or whose license was suspended or revoked. It costs the same as the standard license and can bring a call to appear before the board, whose meetings are generally quarterly. Board-certified DOs with 5 years in practice have a separate expedited endorsement with a 45-day statutory deadline.

For DOs, yes by default: the osteopathic board requires an FCVS profile, or equivalent primary-source documents, from every applicant for a full license, and asks you to allow at least 6 to 8 weeks for it. The MD board accepts FCVS without requiring it and may still ask for more verification. A first profile costs $395, USMLE transcripts included, plus a $3.50 NPDB report fee on MD files, and FSMB says it typically processes a first profile in roughly 35 days.

Yes, if you qualify: once your file is complete, with the FBI report in and your documents verified, the MD board must act within 14 business days, and the osteopathic board must decide within 30 business days and issue within 45. Under 2025 laws and the boards’ rules, both boards prioritize initial applicants who have accepted a job with an employer in a historically underserved community, or who expect to practice in an area, population, or specialty of critical shortage named in the Nevada Health Authority’s assessment. A false attestation is grounds for denial or discipline.

Renewal every two years, $800 for an MD by June 30 of odd-numbered years and $700 for a DO by December 31 of even-numbered years; 40 CME hours per two-year cycle, for DOs from renewals after 2026, with SBIRT and suicide prevention hours in your first 2 years; a $200 Board of Pharmacy controlled substance registration every two years, expiring October 31 of even-numbered years, and a separate $888 DEA registration for Nevada to prescribe controlled substances; prescription monitoring reports before an initial controlled substance prescription and at least every 90 days during treatment; and e-prescribing for controlled substances.