States Recognizing Advanced Practice Under
Independent Acts, Separate Titles of Advance Practice Acts, or Regulations


2000 Chart


alaska - kansas | kentucky - north dakota | ohio - wyoming | legend | end notes





Alaska - Kansas

Title
AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS
ANP
X(1) X














AP














X

APN


X(2)
X
X





X


APRN





X(3)




X




ARNP






X
X





X X(4)
CHNP

















CNM X X X X X X

X X X X X X
X X X
CNMWP

















CNP

















CNS



X X X X
X(5)


X
X X X
CNS/

PMH











X






CRNA X

X X X X X X X X X
X
(6) X X
CRNP

















ERNP

















FNP
X X



X









FPNP

















GNP
X




X









M/CHNP

















M/GNP

















MHNP






X









MNP

















M/SNP

















NA/ENP

















NC

















NMW X



X(7) X







X(8)

NNP
X X














NP

X
X X X
X
X

X
X
X
NPA

















NS

















O/G NP
X X



X









PCNP

















P/MHNS
X




X









PNP
X




X









PNA

X














RNP


X(9)













SNP
X X














WHNP
X

















Kentucky - North Dakota

Title
KY LA ME MD MA MI MN MS MO* MT NE NV NH NJ NM NY NC ND
ANP





X X



X




AP

















APN
X


X

x(10)

X





APRN
X X





X







ARNP X(11)








X
X



X
CHNP

















CNM X X
X X
X X X
X
X

X(12) X(13)
CNMWP

















CNP

















CNS X X X X X(14) X(15) X X X

X
X X
X X
CNS/

PMH



















CRNA X X X X X X X(16) X X
X X X X X X(17) X(18) X
CRNP

















ERNP











X




FNP





X X



X
X


FPNP

















GNP





X X



X




M/CHNP











X




M/GNP

















MHNP



X












MNP

















M/SNP

















NA/ENP

















NC
















X
NMW



X
X


X
X



X
NNP





X X



X




NP X X
X X X X X X

(19)
X X X X X
NPA









X






NS



X(20)




X






O/G NP





X X









PCNP






X



X




P/MHNS


X







X



X
PNP





X X









PNA
X









X




RNP

















SNP





X




X




WHNP






X



X





Ohio - Wyoming

Title
OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY
ANP

X





X(21)

X X


AP
X














APN









X




X
APRN










X




ARNP
X










X


CHNP

X






X





CNM X X X

X X X X X X(22) X
X X(23) X(24) X
CNMWP











X X


CNP
















CNS X X X

X X

X(25) X
X

X X
CNS/

MPH


















CRNA X(26) X X

X X X X X X

X X(27) X X
CRNP


X












ERNP











X



FNP

X





X

X X


FPNP











X



GNP

X





X

X X


M/CHNP









X
X



M/GNP
















MHNP

X













MNP











X



M/SNP









X





NA/ENP









X





NC
















NMW X X


X(28)






X X(29)

NNP








X

X X


NP X(30)
X

X X X X X(31) X


X X(32) X
NPA











X



NPA
















NS









X





O/G NP










X X



P/MHNS




X



X





PNA












X


PNP

X





X

X X


RNP


(33)
X



X





SNP








X

X X


WHNP

X





X

X X




legend

X = indicates state recognized authority

* = indicates certification of NA under separate title in nursing practice act

# = indicates separate licensure for nurse midwives under separate title, new independent act or inclusion under the medical practice act

ANP = Adult Nurse Practitioner NA/ENP = Nursing Administrator/Educator Nurse Practitioner
AP = Advanced Practitioner NA/ENP = Nursing Administrator/Educator Nurse Practitioner
APN = Advanced Practice Nurse NC = Nurse Clinician
APRN = Advanced Professional Registered Nurse NMW = Nurse Midwife
ARNP = Advanced Registered Nurse Practitioner NNP = Neonatal Nurse Practitioner


CHNP = Community Health Nurse Practitioner
NP = Nurse Practitioner
CNM = Certified Nurse Midwife NPA = Nurse Practitioner, Anesthetist
CNMWP = Certified Nurse Midwife Practitioner NS = Nurse Specialist
CNP = Certified Nurse Practitioner

O/GNP = Obstetrics/Gynecological Nurse Practitioner
CNS = Clinical Nurse Specialist

PCNP = Primary Care Nurse Practitioner
CNS/MPH=Psych/Mental Health Clinical Nurse Specialist P/MHNS = Psychiatric/Mental Health Nurse Specialist
CRNA = Certified Registered Nurse Anesthetist PNA = Pediatric Nurse Associate
CRNP = Certified Registered Nurse Practitioner PNP = Pediatric Nurse Practitioner


ERNP = Emergency Room Nurse Practitioner


RNP = Registered Nurse Practitioner


FNP = Family Nurse Practitioner


SNP = School Nurse Practitioner
FPNP = Family Planning Nurse Practitioner


GNP = Geriatric Nurse Practitioner


WHN = Women's Health Nurse Practitioner


M/CHNP = Maternal/Child Health Nurse Practitioner

M/GNP = Maternal/Gynecologic Nurse Practitioner
MHNP = Mental Health Nurse Practitioner
MNP = Medical Nurse Practitioner
M/SNP = Medical/Surgical Nurse Practitioner


end notes

1. Some Psychiatric/Mental Health Clinical Specialists are eligible to apply for ANP status in Alaska.

2. In Arkansas, APNs are CNMs, CNSs, CRNAs and NPs.

3. APRN licensure pertains only to prescribing privileges. Although CT statute names CRNAs, CNSs, and NPs as potential licensed prescribes, it does not define the full scope of practice of advanced practice nursing.

4. In Kansas, the term ARNP includes RCRNAs, CNMs, NPs, and CNSs. CRNAs also have an RNA statute that governs their practice.

5. Psychiatric Mental Health Clinical Specialist

6. CRNAs are not part of advanced practice definition but are in Nurse Practice Act. NPs, CNSs, and CNMWs are defined as advanced practice nurses.

7. Colorado's Medical Practice Act recognizes nurse midwives certified by the American College of Nurse Midwives.

8. Separate licensure for nurse midwives by placement under separate title; new independent act; or inclusion of title under the Medical Practice Act.

9. In Arkansas, RNPs are not eligible for prescriptive authority.

10. In Missouri, the term APN includes CRNA, CNM, CNP, C-CNS.

11. In our Nurse Practice Act and Regulations the term ARNP is used in conjunction with ARNP designated as a nurse anesthetist, nurse midwife, nurse practitioner or clinical nurse specialist.

12. Midwives in New York State have a separate practice act. CNMs must be licensed under both the Nursing and Midwifery Practice Acts.

13. Regulation by an autonomous Joint Midwifery Committee composed of 3 members each from BON and BOME, plus 2 CNMs and 2 physicians with experience with CNMs.

14. In Massachusetts, psychiatric CNSs

15. Those that can be certified as NPs, i.e. ANCC certified CNSs are eligible for Michigan Board of Nursing Certification as NPs.

16. Minnesota also recognizes two titles not on the chart: RNC, and RNCS.

17. CRNAs practice under Department of Health regulations which identify their credentials.

18. Board of Nursing rules ready for final adoption with effective date of 10/1/93 if adopted.

19. Nurse Practitioners are referred to as APNs in Nevada law.

20. Psychiatric only.

21. Texas recognizes four categories of APNs: NPs, CNSs, CNMs, and CRNAs and recognizes specialties within NP and CNS categories.

22. CNM's in Utah have their own separate Practice Act.

23. Separate licensure for nurse midwives, by placement under separate title; new independent act; or inclusion of title under the medical practice act.

24. Separate licensure for nurse midwives by placement under separate title; new independent act; or inclusion of title under the medical practice act.

25. Clinical Nurse Specialists must use specialty titles (e.g. psych. - CNS)

26. Ohio has title protection for NMs, NPs, CNSs, and NAs under 1996 amendments to the Nurse Practice Act. All advanced practice nurses, icluding NPs must be certified.

27. Separate licensure for midwives by placement under separate title, new independent act, or inclusion of title under the medical practice act.

28. Rhode Island state title for midwife is MW.

29. Separate licensure for nurse midwives by placement under separate title, new independent act, or inclusion of title under the medical practice act.

30. SUP>30Nurse Practitioners are recognized professionally but not recognized by statute.

31. Nurse Practitioners must use specialty titles (e.g. PNP).

32. Nurse Practitioners are regulated by administrative code, not defined by statute.

33. Pennsylvania uses the designation CRNP rather than RNP but the intent is the same.

© Data compiled by Winifred Y. Carson, ANA Nurse Practice Counsel


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