ACNP autonomy?

hello all,

i am new to the board and have a question. my apologies if this has been answered before. ive applied to ACNP w/ hopes to start in august. i will be going to school in the south. my question, in states like oregon, wash, alaska, arizona and a few others, NPs can practice independently w/out physician involvement. is this only for NPs that specialize in primary care or all specialties, such as ACNP?

my goal is to have a great deal of autonomy in managing and treating patients. much of my experience has come w/in the ER setting and i see how NPs can be abused w/in the ER. my hopes is that this does not happen to me, as i have no desire to work in ER as an NP.

which area do ACNPs have a lot of freedom of practice? Trauma, CVSICU, ICU?

thanks a lot!