Avera Health

South Dakota: Full Practice, a Nurse Licensure Compact member. South Dakota NPs need a written collaborative agreement with a physician, certified nurse practitioner or certified nurse midwife licensed in South Dakota until they have completed 1,040 hours of licensed practice. After that, they can practice without a collaborative agreement.

Iowa: Full Practice, a Nurse Licensure Compact member. Iowa NPs have independent practice and prescriptive authority.

Minnesota: Full Practice, outside the Nurse Licensure Compact. Minnesota NPs must first practice at least 2,080 hours under a collaborative agreement with a physician or with an advanced practice registered nurse who has at least three years of practice, and NPs who provide services other than primary care or mental health services must complete those hours in a setting where advanced practice registered nurses and physicians work together. After that, they may practice independently.

North Dakota: Full Practice, a Nurse Licensure Compact member. North Dakota NPs have independent practice authority.