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APRN Compact

The APRN Compact lets Advanced Practice Registered Nurses — nurse practitioners (NPs), certified registered nurse anesthetists (CRNAs), certified nurse midwives (CNMs), and clinical nurse specialists (CNSs) — practice across member states under one multistate APRN license. As of 2026-05 the compact is in early rollout — three states are issuing multistate licenses, with several more enacted but pending implementation.

Who can apply

The APRN Compact is open to advanced practice registered nurses who hold an active, unencumbered APRN license in a member state and meet the compact's uniform licensure requirements: graduation from an accredited APRN program, current national certification in the APRN role, no disciplinary action, and the federal/state fingerprint background check required by the underlying Nurse Licensure Compact (most APRNs in member states will also hold an NLC multistate RN license).

The compact is tied to home-state residency. NPs with primary residency outside a member state cannot hold an APRN multistate license through this compact.

Member states

The APRN Compact has been enacted by 5 states (Delaware, North Dakota, South Dakota, Utah, Wyoming) but none are currently issuing multistate APRN licenses as of 2026-06. The compact activates only when 7 states enact — with 5 enacted today, implementation has not begun anywhere. Check aprncompact.com for updates.

Members: Currently implementing: Delaware, North Dakota, South Dakota. Enacted but not yet implementing: Alabama, Kansas, Maryland, Utah, Virginia, Wyoming (subject to further commission action).

last_verified: 2026-05 · sourced from data/compacts.json

How to apply

Applications go through the APRN Compact Commission's portal once your home state begins implementation. You verify your APRN license and certification, confirm your NLC multistate RN license (if applicable), and request the multistate APRN license.

Apply via the APRN Compact →

Fees and processing time

The compact privilege fee varies by home state board. Processing time depends on home-state implementation status; in currently implementing states, expect 2-6 weeks. Confirm current fees and timing directly with the APRN Compact. last_verified: 2026-05.

How TeleVerify uses the APRN Compact

When your NPI lookup returns an APRN credential (NP, CRNA, CNM, CNS, DNP, FNP, PMHNP, AGNP, WHNP, etc.), TeleVerify auto-detects APRN Compact eligibility and asks you to confirm your home state and multistate APRN license status. Once confirmed, sessions where the patient is in a currently implementing member state are tagged compliant_compact. Sessions in non-implementing states (the vast majority) still route through the direct state-license pathway. TeleVerify also surfaces NLC multistate RN coverage separately for RN-scope work.

Frequently asked questions

Why isn't the APRN Compact issuing licenses anywhere yet?
The compact text requires seven states to enact and implement before broad activation. Only Delaware, North Dakota, and South Dakota are currently issuing multistate APRN licenses; several more have enacted the compact in statute but are awaiting the threshold trigger. Check aprncompact.com for the current count.
How is the APRN Compact different from the Nurse Licensure Compact?
The NLC covers the RN and LPN/LVN credentials and is widely adopted (41+ states). The APRN Compact covers the advanced practice level (NP, CRNA, CNM, CNS) and is in early rollout. An NP in an NLC state can use NLC multistate authority for RN-scope work, but APRN-scope work requires either an APRN Compact license or individual state APRN licenses.
Does the APRN Compact include prescriptive authority?
Yes — APRN licenses include prescriptive authority where the underlying state grants it. The compact does not change a state's scope-of-practice rules (full vs. reduced vs. restricted practice); it only extends geographic reach.
What if I'm an NP in a state that hasn't implemented the compact yet?
You need individual state APRN licenses for any cross-state practice. The compact is not usable in your state until your home state implements its portion.
How does TeleVerify know I have a multistate APRN license?
You confirm in your provider profile. We attest the status at signup and on every profile update; the license is verifiable via Nursys.
Does the APRN Compact apply to telehealth specifically?
No — it's a full APRN license, not telehealth-specific. Once you hold the multistate license (in an implementing state), you can practice in person or via telehealth across implementing states under whatever telehealth rules apply locally.
What's the relationship between the APRN Compact, the NLC, and the IMLC?
They are three independent compacts covering different credential tiers. The IMLC covers physicians (MD, DO), the NLC covers RN/LPN, and the APRN Compact covers advanced practice nurses. Many NPs in member states hold all three coverages — IMLC does not apply, but NLC for RN work + APRN Compact for NP work.
⚖️ Reference information — not legal advice. Always confirm current requirements with your compliance officer, state licensing board, or a telehealth attorney before relying on this for clinical or business decisions.

Related TeleVerify resources

Framework
How telehealth compliance works
The six pillars that decide whether a session is defensible.
Tool
Preview your coverage
Map your APRN + NLC + direct-license footprint.
Compact
Nurse Licensure Compact
The companion compact for RN-scope work.
State
Delaware telehealth compliance
APRN Compact implementing state.
Help
FAQ and support
Common questions about compliance verification.