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Professional Liability Insurance for Nurse Practitioners

Insurance for Nurse Practitioner 

Nurse Practitioners (NPs) deliver comprehensive patient care across primary, specialty, and telemedicine settings—making them central to modern healthcare. With growing autonomy and prescriptive authority in many states, NPs face the same liability risks as physicians. Malpractice insurance safeguards NPs against claims of misdiagnosis, prescribing errors, or delayed care that can threaten their licenses and financial security.

Homewood Insurance provides tailored malpractice coverage for NPs in every practice setting—from family and urgent care to behavioral health, women’s health, and independent practices.

Below you’ll find the following:

Get a Free Quote Now

The fastest way to find the most suitable insurance coverage for Nurse Practitioners is to fill out our quick quote form, so we can give you an idea of the type of insurance coverage that best suits you.

Homewood Insurance works with a number of different carriers to ensure you have the most suitable insurance coverage at the best price.

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Professional Liability Insurance for Nurse Practitioners can include:

  • Covers diagnosis, treatment, prescribing, and patient management errors.
  • Protection for allegations of failure to diagnose, delayed referral, or medication mismanagement.
  • Applies to primary care, urgent care, behavioral health, women’s health, and specialty practices.
  • Includes liability for charting errors, scope-of-practice disputes, and independent practice exposure.
  • Limits up to $1M per claim / $3M aggregate; tail and retroactive coverage available.

More information

Insurance for Nurse Practitioners can Include:

Malpractice or liability insurance can provide essential protection against these risks:

  1. Professional Liability Insurance

    1. Protection for diagnosis, treatment, prescribing, and patient management errors.
    2. Covers failure to diagnose, delayed referral, improper medication use, and incomplete charting.
    3. Legal defense for state board and license investigations.
    4. Applies to NPs in primary care, urgent care, behavioral health, women’s health, geriatrics, pediatrics, internal medicine, and telehealth.
    5. Includes scope-of-practice and independent practice exposure.
    6. Optional add-ons for telemedicine, home visits, and multistate licensure.
    7. Limits up to $1M per claim / $3M aggregate, with tail and prior-acts coverage.

  2. General Liability Insurance

    1. Third-party bodily injury and property damage (e.g., patient falls in clinic).
    2. Covers advertising injury (e.g., defamation or misrepresentation).
    3. Optional bundle with business property and cyber liability for NP-owned practices.

  3. Recommended Add-Ons

    1. License Protection / Board Defense – pays for legal representation during disciplinary hearings.
    2. Cyber Liability Insurance – covers patient record breaches or ransomware attacks.
    3. Regulatory Defense – for HIPAA, CMS, or DEA investigations.
    4. Employment Practices Liability (EPLI) – protects NP-owned practices against staff claims.
    5. Aesthetic Endorsements – for injectables, fillers, and medspa procedures.

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How much is Insurance for Nurse Practitioners?

Professional Liability Insurance – Typical Annual Premiums (for $1M/$3M limits)

  • Employed NPs: $850–$1,200 annually.
  • Self-employed or independent NPs: $1,100–$2,000+
  • High-risk specialties (OB, ER, Pediatrics): $2,500–$4,500+.
  • Telehealth-only or part-time NPs: $500–$900 anually.

Factors that impact pricing

  • Specialty & Setting: OB, neonatal, and ER carry higher claim severity.
  • Scope & independence: Full-practice authority states increase exposure by 10–15%.
  • Claims history: Prior settlements elevate rates or require higher deductibles.
  • Procedures performed: Controlled substance prescribing, aesthetic, or emergency work may add surcharges.
  • Location: Premiums rise in states without tort reform (e.g., NY, FL, IL).
  • Policy structure: Occurrence policies cost 10–20% more upfront but eliminate tail costs later.

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High-Risk Procedures and their Impact on your Premiums

Certain NP roles—especially in women’s health, pediatrics, and urgent care—are statistically associated with higher litigation frequency and larger payouts. Carriers rarely deny coverage for licensed activities but may add endorsements, surcharges, or sub-limits for high-liability procedures:

Procedure / Practice Area Risk Factors Potential Insurance Impact
Prescribing Controlled Substances Includes opioids, stimulants, and high-risk medications like phentermine. Allegations often cite lack of monitoring, improper dosing, or addiction-related outcomes. +20–40% PL increase; carriers may require prescribing logs or PDMP checks. Possible exclusion if non-disclosed or used off-label without oversight.
Obstetric and Women’s Health Procedures Prenatal care and deliveries expose NPs to birth injury, delayed referral, or fetal distress claims—the highest indemnity severity among NP specialties. +40–60% PL surcharge; coverage sometimes limited to prenatal management unless certified in OB.
Neonatal or Pediatric Treatments High frequency of failure-to-diagnose and improper-assessment allegations (e.g., RSV, sepsis). Delegation errors and inadequate documentation are common claim triggers. +25–50% increase; denial possible if supervision or credentialing standards unmet.
Emergency & Urgent Care Procedures Rapid interventions, suturing, and acute care decisions raise misdiagnosis and triage-delay risks. Documentation quality and referral patterns heavily scrutinized. +20–35%; carriers may require evidence of advanced training or CME in emergency care.
Aesthetic / Invasive Procedures Injectables (e.g., Botox, fillers), laser treatments, and minor surgeries can trigger dissatisfaction or burn claims. Often outside traditional NP scope unless disclosed. +15–30%; may need separate medspa or cosmetic endorsement. Non-disclosure risks claim denial.
Medication Management in Senior Care Frequent polypharmacy, anticoagulants, and CNS depressants heighten adverse event risks in geriatric settings. +10–20%; lower if structured medication review programs and documentation audits in place.

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Other types of Insurance Nurse Practitioners need

 
General Liability Insurance

General Liability Insurance

General Liability covers medical expenses and attorney fees which result from bodily injuries and property damage that your facility or organization could be legally responsible for.
 
 
Business owner's policy (BOP insurance)

Business owner's policy (BOP) insurance

A Business Owner’s Policy (BOP) is a comprehensive insurance package designed for Medical Professionals with small to medium-sized businesses. It provides a blend of liability protection and property insurance.
 
 
Professional Liability Insurance

Professional Liability Insurance

Professional Liability Insurance overs any negligence or mistakes made by the individual nurse practitioners during their practice. It differs from General Liability insurance, which covers the practice itself. 
 
 
Commercial Auto Insurance

Commercial Auto Insurance

This is relevant for nurse practitioners who use a vehicle for practice-related tasks. This insurance covers you against auto accidents, theft, and other vehicle-related incidents.
 
 
workers compensation insurance

Workers Compensation Insurance

Workers Compensation Insurance is usually mandated by law. It protects nurse practitioner practices and employees in case of work-related injuries or illnesses.
 
 
Cyber Liability Insurance

Cyber Liability Insurance

Covers you against financial losses associated with data breaches, cyber attacks, and other cyber incidents. Insurers will usually conduct rigorous testing of your online system to fix vulnerabilities as part of this policy.
 

Why Work With Homewood

  • Specialists in advanced practice insurance—from family NPs to high-acuity specialists.
  • Access to 100+ national carriers including those offering telehealth, medspa, and independent practice options.
  • Guidance on claims-made vs. occurrence policies, tail, and entity coverage.
  • Proven ability to reduce premiums 10–25% through market comparison and risk alignment.
  • Personalized support for multistate licensure and scope-of-practice compliance.

Call 947-274-3093 or
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Ralph Schiller

Ralph Schiller

Ralph specializes in sourcing the most suitable insurance for Nurse Practitioners at the best price. You can call him or fill out the form and he will get your message directly.