Starting a Private Practice as a Nurse Practitioner – Full Practice Vs. Restricted Practice
As a Nurse Practitioner (NP), starting a private practice can be a great opportunity to have greater control over patient care, working independently, and increasing earning potential. However, the requirements for a Nurse Practitioner Private Practice can differ depending on the state in which you are located. Some states have full practice authority, while others have restricted practice authority. Full practice authority allows NP’s to practice independently, including developing plan of care for new patients, and diagnosing, treating, and prescribing medications without physician oversight. Restricted practice authority requires NP’s to work under the direct supervision of a physician, which can limit their autonomy. Whereas, Reduced practice states are in the middle and require a collaborating physician but do not require a direct supervision.
Full Practice Authority States
According to the AANP, “Full practice authority is the authorization of nurse practitioners to evaluate patients, diagnose, order and interpret diagnostic tests, and initiate and manage treatments – including prescribed medications – under the exclusive licensure authority of the state board of nursing.” This allows NP’s to perform these duties without direct physician supervision.
States with Full Practice Authority are listed below:
- New Hampshire
- New Mexico
- New York
- North Dakota
- Rhode Island
- South Dakota
- Washington State
Reduced Practice Authority States
Reduced practice states allow NP’s to function without the direct supervision of a physician, however, they do still need a collaborating agreement with a physician.
- New Jersey
- West Virginia
Restricted Practice Authority States
In restricted practice states, state practice and licensure laws restrict the ability of NP’s to practice independently. As per the laws of these states, NPs are mandated to have direct supervision from a physician to deliver healthcare services to patients. And supervising physicians must regularly evaluate patient records as a part of their collaborative agreements.
The following states have restricted Nurse Practitioner’s Practice Authority:
- North Carolina
- South Carolina
Shape The Future: Start Your Private Practice Today!
Being a nurse practitioner with your own private practice can have a profound impact on your professional life and help shape the future of healthcare delivery. Healthcare providers who choose this path can enjoy increased autonomy and a promising career, all while continuing to serve others. With an increasing number of states granting full practice authority to nurse practitioners, the field is opening up for nurse practitioners.
If you are a nurse practitioner looking to start your own practice, reach out to TriumpHealth to discuss how our Practice start-up services can help you begin your journey towards setting up your own practice.