Questions about APRN practice in NC

sleepwalker, MSN, NP · Oct 20, 2023

Don't work in NC but I have family there and I wouldn't consider working in that state just because it's a restricted practice state. Not interested in being micromanaged and having to have an expensive collaborative agreement.

https://www.AANP.org/advocacy/state/state-practice-environment

CeciF, MSN, APRN · Oct 27, 2023

@sleepwalker I am currently in a restricted practice state as well so it's not something I'm unfamiliar with.

Are you saying I have to pay someone to be in a collaborative agreement? I have never had to pay a doc to be in a collaborative agreement. Could you tell me more about that? Is that an NC requirement?

HarleyvQuinn, MSN, RN, NP · May 3

sleepwalker said:

Don't work in NC but I have family there and I wouldn't consider working in that state just because it's a restricted practice state. Not interested in being micromanaged and having to have an expensive collaborative agreement.

https://www.AANP.org/advocacy/state/state-practice-environment

Currently licensed in and working in NC. I don't have to pay for the collaborative agreement as it's through my workplace. Honestly, I wouldn't consider it micromanaging, either. We have both a primary collaborating physician and a secondary and they're both available any time there is a question and we have several scenarios they want us to always run past one of them. Both physicians are easy to talk to and love to teach. I've actually enjoyed the practice environment that I'm working in greatly and continue to expand my knowledge and skill base by working with these two physicians, the other NPs, and the PAs I work with. This is an urgent care setting. I think it all really depends on where you work and the culture of that workplace.

Brooke MM. · Jun 13

HarleyvQuinn said:

Currently licensed in and working in NC. I don't have to pay for the collaborative agreement as it's through my workplace. Honestly, I wouldn't consider it micromanaging, either. We have both a primary collaborating physician and a secondary and they're both available any time there is a question and we have several scenarios they want us to always run past one of them. Both physicians are easy to talk to and love to teach. I've actually enjoyed the practice environment that I'm working in greatly and continue to expand my knowledge and skill base by working with these two physicians, the other NPs, and the PAs I work with. This is an urgent care setting. I think it all really depends on where you work and the culture of that workplace.

Any tips for how to complete my NP NC initial approval to practice if I haven't landed a job yet? I am licensed in WA and my certification is good until 2027, however I haven't started working as an NP yet after having placenta previa and staying home with the baby for a bit. Ready to go back to work but, man! So many roadblocks here in NC.

HarleyvQuinn, MSN, RN, NP · Jun 14

Brooke MM. said:

Any tips for how to complete my NP NC initial approval to practice if I haven't landed a job yet? I am licensed in WA and my certification is good until 2027, however I haven't started working as an NP yet after having placenta previa and staying home with the baby for a bit. Ready to go back to work but, man! So many roadblocks here in NC.

You can get an initial endorsement to NC, which will have the vast majority of the paperwork done and is what takes most of the time if you submit all their requirements ahead of time. Employers often look for at least this much to be done. Once you are employed, they will supply you with the supervising physician's information that you would then submit to the BON for the final full approval for NP practice. That's how I went about it, anyway. The DEA licensing also requires your supervising physician's information, I believe, and took longer to obtain initial certification. Credentialing is just a giant pain across the board.