Elevance Health (Anthem)

New York: Full Practice, outside the Nurse Licensure Compact. NPs in New York with 3,600 hours of practice or fewer must practice in collaboration with a physician under a written practice agreement and written practice protocols. NPs with more than 3,600 hours of practice are currently exempt from those requirements.

Tennessee: Restricted Practice, a Nurse Licensure Compact member. Tennessee requires physician supervision for NPs.

Texas: Restricted Practice, a Nurse Licensure Compact member. Texas requires NPs to have a prescriptive authority agreement with a supervising physician.

Virginia: Restricted Practice, a Nurse Licensure Compact member. Virginia NPs must maintain a practice agreement documenting collaboration and consultation with a patient care team physician. An NP with the equivalent of at least three years of full-time clinical experience can apply for a license designation to practice without a practice agreement.