States NPs can work independently

Specialties NP

Published

Hello all.

My husband and I are talking about the states in which NPs can work independently, and how nurses continue to lobby and get legislation passed in more and more states. For some reason, I'm thought there was a link to view a list of those states, but I'm not finding it now. If there is such link, can anyone please post it? (I even did an allnurses search!). If not, which states do you know of--definitively--that allow NPs to work completely autonomously?

Thank you!!!

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Specializes in Education, FP, LNC, Forensics, ED, OB.

hello, np wannabe,

check here:

http://www.acnpweb.org/i4a/pages/index.cfm?pageid=3465

http://www.medscape.com/viewarticle/440315

(note: ga now has rx privis)

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thanks, siri!!

i was actually looking for the first link you sent, specifically. i knew i had seen it here!

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Specializes in Education, FP, LNC, Forensics, ED, OB.

Both are found in this rather lengthy thread:

https://allnurses.com/forums/f34/what-best-worst-states-practice-np-58258.html?highlight=States+independant+practice

Glad to be of assistance.

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Hello all.

My husband and I are talking about the states in which NPs can work independently, and how nurses continue to lobby and get legislation passed in more and more states. For some reason, I'm thought there was a link to view a list of those states, but I'm not finding it now. If there is such link, can anyone please post it? (I even did an allnurses search!). If not, which states do you know of--definitively--that allow NPs to work completely autonomously?

Thank you!!!

This really needs to be updated and stickied. Looking at my notes and the ACNP site here are the states that NP's can practice without any physician involvement (please post any corrections here):

Arizona

Alaska

Idaho

Iowa

Montana

New Hampshire

New Mexico

Oregon

Wyoming

The following states require a collaboration agreement to prescribe:

Colorado

Michigan

New Jersey

North Dakota

Oklahoma

Rhode Island

Tennesee

West Virginia

Maine requires two years supervised experience prior to independent practice.

The following states are unclear reading their nurse practice act

DC - supervision to prescribe but may be by an NP?

Hawaii - Appropriate working relationship with a physician (defacto collaboration?)

Utah - Consulting relationship - requires physician license and DEA - seems to be the same as collaboration agreement?

Note that a number of states require either time as an NP or additional pharmacology classes to prescribe. Also some states have fairly restrictive formularies for NP's which may or may not be regarded as unrestricted practice.

Also note that a collaborating physician is needed for medicare billing.

David Carpenter, PA-C

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Specializes in Education, FP, LNC, Forensics, ED, OB.

We have this discussion in the thread I referred to above (is a sticky thread):

https://allnurses.com/forums/f34/what-best-worst-states-practice-np-58258.html

When there are updated links, will post as we can.

Thanks, David.

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You need to take a look at a yearly publication called the Pearson Report. It lists all the states legislation, NP rights, billing, and so much more info. I do believe you have to pay like $20 for the report. It's worth it, all you need to know and then some...

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You need to take a look at a yearly publication called the Pearson Report. It lists all the states legislation, NP rights, billing, and so much more info. I do believe you have to pay like $20 for the report. It's worth it, all you need to know and then some...

Actually you can download if free here:

http://www.webnp.net/ajnp.html

It says you have to register, but worked fine without registering.

David Carpenter, PA-C

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Specializes in PICU.

Actually you can download if free here:

http://www.webnp.net/ajnp.html

It says you have to register, but worked fine without registering.

David Carpenter, PA-C

Thanks for that website core0!

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This really needs to be updated and stickied. Looking at my notes and the ACNP site here are the states that NP's can practice without any physician involvement (please post any corrections here):

Arizona

Alaska

Idaho

Iowa

Montana

New Hampshire

New Mexico

Oregon

Wyoming

The following states require a collaboration agreement to prescribe:

Colorado

Michigan

New Jersey

North Dakota

Oklahoma

Rhode Island

Tennesee

West Virginia

Maine requires two years supervised experience prior to independent practice.

The following states are unclear reading their nurse practice act

DC - supervision to prescribe but may be by an NP?

Hawaii - Appropriate working relationship with a physician (defacto collaboration?)

Utah - Consulting relationship - requires physician license and DEA - seems to be the same as collaboration agreement?

Note that a number of states require either time as an NP or additional pharmacology classes to prescribe. Also some states have fairly restrictive formularies for NP's which may or may not be regarded as unrestricted practice.

Also note that a collaborating physician is needed for medicare billing.

David Carpenter, PA-C

Thank you, David. That is a really nice summation. It looks like you really put some time into it, and I appreciate that.

Thank you again.

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