As a medical professional, nurse practitioners must adhere to specific requirements and regulations. Although many providers have similar rules, there are variations to be aware of.
Whether you want to become an NP or need a refresher on state regulations, we’re here to help. Throughout this guide, discover what it takes to become an NP, how to maintain licensure, and other regulatory requirements.
Requirements for Becoming an NP
Before becoming licensed as a nurse practitioner, prospective nurses must meet certain requirements. First, they must obtain the appropriate education and training by:
- Earning a bachelor’s degree in nursing
- Passing the National Council Licensure Examination to earn an RN license
- Enrolling in a graduate nursing program and choosing a focus area
- Graduating from the program and passing the National NP Certification Board Exam
After each of these steps is complete, a nurse can apply for licensure as an NP. Those certified NPs will apply for licensure with their state board of nursing. State requirements for nurse practitioners vary, as outlined by the American Association of Nurse Practitioners.
Additionally, NP candidates must confirm completion of their training by earning credentials from the American Nurses Credentialing Center. Keep in mind that NPs, like most providers, have to renew their licenses and certifications periodically.
What About Board Certification?
Board certification requires an advanced degree, a set number of practice hours, and a specialty certification exam. Again, requirements can vary by state or specialty area.
Once the program is complete, NPs can take a certification exam to earn a title in their specialty area. Recertification requirements may vary, but often include practice hours, continuing education, or exams.
Regulations for NPs
Once licensed and certified, nurse practitioners must follow specific regulations. Many of these rules focus on practice authority, or what an NP is and isn’t allowed to do as part of their clinical responsibilities. Here are the three levels of practice authority for NPs:
- Full practice authority: In states where NPs have full practice authority, they can evaluate patients, order tests and treatments, and prescribe medications. These actions don’t require physician oversight.
- Reduced practice authority: NPs in states with reduced practice authority can perform many of the same functions as those with full authority. However, they must have physician oversight for certain actions, such as prescribing medications.
- Restricted practice authority: Restrictive practice requires NPs to receive direct supervision from a physician for many clinical care decisions.
Once again, nurse practitioner regulations vary by state. It’s crucial to remain aware of NP rules and regulations throughout your career, as they may change over time.
Regulatory Challenges for Non-Physicians
Non-physician practitioners, including NPs and PAs, face a variety of regulatory challenges. These can occur at the state or federal level, with recent examples including:
- Telehealth compliance laws
- Continuing medical education (CME) requirements
- NP and PA roles and responsibilities
- Reimbursement concerns
All practitioners should stay up to date with the latest developments in medical regulations and healthcare as a whole. Resources that can help you stay in the know include:
- The American Association of Nurse Practitioners
- The American Academy of Physician Associates
- The American Medical Association
- The American Nurses Association
- Your state nursing board
Another easy way to stay up to date on the latest in healthcare is to attend CME conferences.
The AANPCP and ANCC accept AMA PRA Category 1 Credits™ from organizations accredited by the ACCME, such as American Medical Seminars.
Browse our upcoming seminars today to find relevant courses!
