PhysEmp

Florida: Restricted Practice, a Nurse Licensure Compact member. Florida requires NPs to practice under a supervisory protocol with a physician. Since 2020, NPs who meet eligibility requirements may register for autonomous practice limited to primary care, including family medicine, general pediatrics, and general internal medicine; the requirements include, within the preceding five years, at least 3,000 supervised hours of clinical practice and graduate-level coursework, or the equivalent, in differential diagnosis and pharmacology.

Indiana: Reduced Practice, a Nurse Licensure Compact member. Indiana NPs must practice under a collaborative agreement with a physician.

Massachusetts: Full Practice, has enacted but not implemented the Nurse Licensure Compact. Massachusetts grants full practice authority to NPs once they attest to the Board of Registration in Nursing that they have completed at least two years of supervised practice; until then, a qualified healthcare professional, who may be a physician or an experienced NP, supervises their prescribing. NPs applying by reciprocity who have at least two years of NP practice outside Massachusetts, independent or supervised, may instead prescribe without supervision once they attest to that experience.

Wisconsin: Reduced Practice, a Nurse Licensure Compact member. Wisconsin NPs must practice in collaboration with a physician or dentist until the Board of Nursing verifies that they qualify for independent practice. Qualifying requires, among other things, 3,840 clinical hours in their role while working with a physician or dentist and at least 24 months since they began that practice.

Colorado: Full Practice, a Nurse Licensure Compact member. Colorado NPs can practice independently and prescribe medications, including controlled substances. NPs new to prescribing first receive provisional prescriptive authority and must complete a 750 hour prescribing mentorship with a physician or an advanced practice registered nurse who has full prescriptive authority within three years to earn full prescriptive authority.