I am a CNS in IL and I am considered an advanced practice nurse. In IL, the nurse practice act is the same for NP, CNM, CRNA and CNS. I have prescriptive authority, my own NTI number (for billing Medicare for my services) and actually am quite autonomous. I work for a large nephrology practice and round on chronic hemodialysis patients. I work with 15 MDs, a total of 8 midlevels and me!