Nurse Practitioner Scope of Practice: Understanding NP Authority

Nurse Practitioner (NP) Scope of Practice

NPs are advanced practice registered nurses with graduate education (MSN/DNP) and national certification. They diagnose, treat, prescribe, and manage acute/chronic conditions.

State Practice Authority (2023 Overview)

States fall into three categories:

• Full Practice (26 states + DC): NPs evaluate, diagnose, order/interpret tests, initiate treatment, and prescribe independently (e.g., AZ, CO, ME, OR, WA).
• Reduced Practice (16 states): NPs require a collaborative agreement with a physician for at least one element of practice (e.g., AL, AR, IL, PA).
• Restricted Practice (8 states): NPs require career‑long supervision/delegation by a physician (e.g., CA, FL, GA, TX).

Note: Regulations evolve; verify current status via state board of nursing.

Trend

Movement toward full practice authority to address primary‑care shortages.