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Nurse Practitioners: State Practice Environment
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 ALABAMA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Undefined

Perform Autonomous Practice: 
Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Defined by governing authority

 

Alabama Nurse Practitioner State Restrictions

 ALASKA

See and Diagnose Patients: Full Practice

Prescribe Schedule II Drugs: Full permission

Perform Autonomous Practice: 
Full Practice 

  • Recognized as primary care providers

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Alaska Nurse Practitioner State Restrictions

 ARIZONA

See and Diagnose Patients: Full Practice

Prescribe Schedule II Drugs: Reduced

  • Based on population area of focus/certification

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Full

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

Arizona Nurse Practitioner State Restrictions

 ARKANSAS

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Undefined

Perform Autonomous Practice: 
Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Defined by governing authority

 

Arkansas Nurse Practitioner State Restrictions

 CALIFORNIA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Full Permission

Perform Autonomous Practice: 
Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

California Nurse Practitioner State Restrictions

 COLORADO

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced 

  • 3 years clinical experience
  • On an advanced-practice registry
  • Have a responsible prescribing plan

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider:Full

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

Colorado Nurse Practitioner State Restrictions

 CONNECTICUT

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe based on relationship with physician

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider:Full Permission

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Connecticut Nurse Practitioner State Restrictions

 DELAWARE

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Must complete a minimum of 30 hours in advanced pharmacology within last 2 years

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

Serve as a Member of Medical Staff: 
Reduced

  • Defined by facility bylaws

 

Delaware Nurse Practitioner State Restrictions

 FLORIDA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Only prescribe certain drugs specified in protocol

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Florida Nurse Practitioner State Restrictions

 GEORGIA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Only prescribe based on specialty of collaborative physician & GA Composite Medical Board authority

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Current medical staff must review new credentialing applicants

 

Georgia Nurse Practitioner State Restrictions

 HAWAII

See and Diagnose Patients: Full Practice

Prescribe Schedule II Drugs: Reduced

  • Must complete advanced pharmacology course

Perform Autonomous Practice: Full permission

Act as a Primary Care Provider: Full permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Undefine

 

Hawaii Nurse Practitioner State Restrictions

 IDAHO

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • Depending on specialty, must complete pharmacology CE for 10 hours every 2 years

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Idaho Nurse Practitioner State Restrictions

  ILLINOIS

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Depends on relationship with collaborating physician and completion of pharmacology course
  • Only prescribe in 30-day amount

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Illinois Nurse Practitioner State Restrictions

  INDIANA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Depends on relationship with collaborating physician and certain number of hours in pharmacology course 

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Indiana Nurse Practitioner State Restrictions

  IOWA

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • Depending on specialty and Board of Pharmacy Examiners registration

Perform Autonomous Practice: Full permission

Act as a Primary Care Provider: Full permission

Serve as a Member of Medical Staff: 
Reduced

  • Depends on license/school of attendance

 

Iowa Nurse Practitioner State Restrictions

  KANSAS

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Depends on specialty and only for certain drugs
  • May prescribe controlled substances by filling CSVF with state BON

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Full Permission

  • May join medical staffs

 

Kansas Nurse Practitioner State Regulations

  KENTUCKY

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Depends on relationship with collaborating physician
  • KASPER account needed to prescribe 30-days-worth of controlled drugs

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Restricted

  • May not join medical staff

 

Kentucky Nurse Practitioner State Regulations

  LOUISIANA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Restricted

  • Can’t prescribe schedule II-controlled substances for chronic pain, intractable pain, or obesity

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Requires physicians recommendation

 

Louisiana Nurse Practitioner State Regulations

  MAINE

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • Depends on specialty 
  • May prescribe certain drugs after completing a pharmacology course or after a certain amount of prescribing experience
  • May also certify patients for medical marijuana

Perform Autonomous Practice: Full permission

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Full Permission

  • May join medical staffs

 

Maine Nurse Practitioner State Regulations

  MARYLAND

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe legend drugs with a certification to a practice as a CRNP

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Undefined

 

Maryland Nurse Practitioner State Regulations

  MASSACHUSETTS

See and Diagnose Patients: Full Practice

Prescribe Schedule II Drugs: Reduced

  • Authorization of practice guidelines written by collaborating physician needed
  • Prescribe certain drugs after completing pharmacology education
  • Amounts and refills limited

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission 

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Full Permission

  • May join medical staff

 

Massachusetts Nurse Practitioner State Regulations

  MICHIGAN

See and Diagnose Patients: Restrictedduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Can prescribe certain drugs under the authority of collaborating physician
  • Only prescribe a limited amount of schedule-II drugs in hospitals

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • May be selected by the board of trustees and subsidiary board for acceptance to  medical staff

 

Michigan Nurse Practitioner State Regulations

 

  MINNESOTA

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs depending on relationship with collaborating physician

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

Minnesota

  MISSISSIPPI

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Can apply for controlled substance authority after practicing for a certain number of monitored hours by the BON

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Mississippi Nurse Practitioner State Regulations

  MISSOURI

See and Diagnose Patients: Restricted Practice

Prescribe Schedule II Drugs: Reduced

  • Only authorized to prescribe hydrocodone combination products

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Restricted

  • May not join medical staff

 

Missouri Nurse Practitioner State Regulations

  MONTANA

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after completing advanced pharmacology course

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers


Serve as a Member of Medical Staff: 
Full Permission

  • May join medical staff

 

Montana Nurse Practitioner State Regulations

  NEBRASKA

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after completing pharmatherapeutics course

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Nebraska Nurse Practitioner State Regulations

  NEVADA

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • Depending on protocol with collaborating physician may prescribe certain drugs after advanced pharmatherapeutics course

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Full Permission

  • May join medical staff

 

Nevada Nurse Practitioner State Regulations

  NEW HAMPSHIRE

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after completing educational requirement

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Undefined

 

New Hampshire Nurse Practitioner State Regulations

  NEW JERSEY

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after pharmacology course

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • May be accepted into medical staffs based on same requirements of physician acceptance

 

New Jersey Nurse Practitioner State Regulations

  NEW MEXICO

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after verification and specified number of hours and work experience

Perform Autonomous Practice: Full Permission 

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Full Permission

  • May join medical staff

 

New Mexico Nurse Practitioner State Regulations

  NEW YORK

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after completing education requirement in pharmatherapeutics and completing specified number of practice hours with collaborating physician

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Full Permission

  • May join medical staff

 

New York Nurse Practitioner State Regulations

  NORTH CAROLINA

See and Diagnose Patients: Restricted Practice 

Prescribe Schedule II Drugs: Reduced

  • Depends on education and certification/may prescribe limited amounts of legend drugs and controlled substances

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff:  
Full Permission

  • May join medical staff

 

North Carolina Nurse Practitioner State Regulations

  NORTH DAKOTA

See and Diagnose Patients: Full Practice

Prescribe Schedule II Drugs: Reduced

  • Can prescribe certain drugs after completing an educational requirement in pharmacotherapy, physical assessment, and pathophysiology 

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Full Permission

  • May join medical staff

 

North Dakota State Restrictions

  OHIO

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after completing an educational requirement in pharmacology, prescribing, and controlled substance prescribing

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

Ohio Nurse Practitioner State Regulations

  OKLAHOMA

See and Diagnose Patients: Restricted Practice 

Prescribe Schedule II Drugs: Reduced

  • Depends on specialty, can only prescribe certain drugs after completing an educational requirement in pharmacotherapeutic management in the last three years 

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

Oklahoma Nurse Practitioner State Regulations

  OREGON

See and Diagnose Patients: Full Practice

Prescribe Schedule II Drugs: Reduced

  • Depends on scope of practice
  • Can prescribe certain drugs after completing a specified number of hours in pharmacology education

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Full Permission 

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • May join medical staff

 

Oregon Nurse Practitioner State Regulations

  PENNSYLVANIA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs depending on relationship with collaborating physician/specialty 

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Restricted

  • Can't join medical staff

 

Pennsylvania Nurse Practitioner State Regulations

  RHODE ISLAND

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May be certified to prescribe schedule II-controlled substances

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

Rhode Island NP State Regulations

  SOUTH CAROLINA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs as long as they sign the prescription and provide their BON assigned prescriptive authority number, where they practice and collaborating physician’s information

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Undefined

 

South Carolina NP State Regulations

  SOUTH DAKOTA

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe a limited amount of controlled substances under certain situations

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

South Dakota NP State Regulations

  TENNESSEE

See and Diagnose Patients: Restricted Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe a limited amount of schedule II drugs with preauthorization

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Restricted

  • Can't join medical staff

 

Tennessee NP State Regulations

  TEXAS

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after completing advanced educational pharmacotherapeutic requirements

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

Texas NP State Regulations

  UTAH

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe drugs after completing an educational requirement

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • May join medical staff

 

Utah NP State Regulations

  VERMONT

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after completing an educational requirement in advanced pharmacotherapeutics

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • May join medical staff

 

Vermont NP State Regulations

  VIRGINIA

See and Diagnose Patients: Restricted Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs after completing an educational requirement in pharmacology or pharmacotherapeutics and after telling a patient they’re a Nurse Practitioner

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Reduced

  • Determined by facility bylaws

 

Virginia NP State Regulations

  WASHINGTON

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribed certain drugs after a specified number of hours of experience and pharmacotherapeutics education

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Full Permission

  • Recognized as primary care providers

Serve as a Member of Medical Staff: Full Permission

  • May join medical staff

 

Washington NP State Regulations

  WEST VIRGINIA

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • May prescribe certain drugs depending on relationship with the collaborating physician

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Full Permission

Recognized as primary care providers

Serve as a Member of Medical Staff: Full Permission

  • May join medical staff

 

West Virginia NP State Regulations

  WISCONSIN

See and Diagnose Patients: Reduced Practice 

Prescribe Schedule II Drugs: Reduced

  • Depends on area of practice/ may prescribe certain drugs after completing an educational requirement in pharmacology or therapeutics

Perform Autonomous Practice: Restricted

  • Must collaborate with physicians

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: 
Restricted

  • Can't join medical staff

 

Wisconsin NP State Regulations

  WYOMING

See and Diagnose Patients: Full Practice 

Prescribe Schedule II Drugs: Reduced

  • Educational requirement in pharmacology and clinical pharmacotherapeutics

Perform Autonomous Practice: Full Permission

Act as a Primary Care Provider: Undefined

Serve as a Member of Medical Staff: Reduced

  • Determined by facility bylaws

 

Wyoming NP State Regulations

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