Bulletin Number
        July 21, 1999
Direct inquiries to

         Ministry of Health
         Processing Office

(address below)
       Nurse Practitioners       
Subject      Delegation to Registered Nurses Extended Class - RN(EC)

The services of RN(EC)’s (or ‘nurse practitioners’) are NOT insured benefits under the Ontario Health Insurance Plan (OHIP) and cannot be billed to OHIP by physicians who employ or supervise RN(EC)’s. Professional services such as consultations, assessments, counseling, psychotherapy etc. must be personally performed by the physician who claims for the service. Such services cannot be claimed if delegated or performed by an RN(EC) and, with the exception of certain team fees identified in the Schedule of Benefits, cannot be claimed even if delegated to another physician.

Physicians, however, are permitted to claim for common office procedures such as immunizations, ear syringing or suture removal that have historically been delegated to any registered nurse in a physician’s private office. In those circumstances, the nurse must be an employee of the physician and all criteria in the Schedule of Benefits General Preamble, paragraph B.10 must be satisfied.

RN(EC)’s are assigned OHIP registration numbers for the purposes of referring patients for certain diagnostic tests (e.g. mammography) and such tests can be claimed by the physician who performs the test. However, the OHIP registration numbers assigned to RN(EC)’s are ONLY for referral purposes and cannot be used to claim for services provided by or delegated to the RN(EC). (See Bulletin 4310 – Nurse Practitioner Referrals – April 14, 1998).

Office locations
30 Poyntz St.
L4M 3P2
119 King St. W
P.O. Box 2280, Stn. A
L8N 4C8
220-808 Robertson St.
P9N 1X9
1055 Princess St.
P.O. Box 9000
K7L 5A9
Canada Life Square
Main Floor
235 King St. E.,
N2G 4N5
217 York St., 5th FloorP.O. Box 5700
Terminal A
N6A 1B7
201 City Centre Dr.
P.O. Box 7020, Stn. A
L5A 3M1
North Bay
101-447 McKeown St.
P1B 9S9
Exec. Tower,
Oshawa Centre.
419 King St. W.
P.O. Box 635 L1H 8L4
Fuller Building
75 Albert Street
K1P 5Y9
Owen Sound
981 2nd Avenue E.
N4K 2H5
550 Lansdowne St. W.
K9J 8J8
St. Catharines
59 Church St
3rd Floor
L2R 3C3
452 Christina St. N.
N7T 5W4
Sault Ste. Marie
Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
199 Larch St.,
Suite 801
P3E 5R1
Thunder Bay
435 James St. S. ,
Suite 113
P7E 6T1
38 Pine St. N., Ste. 110
P4N 6K6
2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
1427 Ouellette Ave.
N8X 1K1
Head Office
P.O. Box 38
Kingston, ON
K7L 5J2