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Telehealth compliance for Nurse Practitioners

For NPs practicing across state lines, one compact (APRN Compact) currently apply. Below: which states are live, which have only enacted the compact, and where a full state license is still required.

The applicable compact is not yet issuing privileges anywhere. 5 states have enacted it into law, but no state is yet issuing multistate authority under it. Verify the current status at the compact’s official site before assuming coverage.

Applicable interstate compacts

APRN Compact
5 enacted, not yet live

5 states have enacted this compact into law, but no state is yet issuing privileges. Verify current status at APRN Compact’s official site before assuming coverage.

Note: Compact activates when 7 states enact; currently 5. Official site publishes no roster — corroborated via WY Board of Nursing.

Learn more about the APRN Compact →

State-by-state status

Every row links to that state's full compliance page. Numbers reflect current data/compacts.json — not memory or press releases.

StateStatusVia
AlabamaFull license required—
AlaskaFull license required—
ArizonaFull license required—
ArkansasFull license required—
CaliforniaFull license required—
ColoradoFull license required—
ConnecticutFull license required—
DelawareEnacted, not liveAPRN Compact (awaiting issuance)
District of ColumbiaFull license required—
FloridaFull license required—
GeorgiaFull license required—
HawaiiFull license required—
IdahoFull license required—
IllinoisFull license required—
IndianaFull license required—
IowaFull license required—
KansasFull license required—
KentuckyFull license required—
LouisianaFull license required—
MaineFull license required—
MarylandFull license required—
MassachusettsFull license required—
MichiganFull license required—
MinnesotaFull license required—
MississippiFull license required—
MissouriFull license required—
MontanaFull license required—
NebraskaFull license required—
NevadaFull license required—
New HampshireFull license required—
New JerseyFull license required—
New MexicoFull license required—
New YorkFull license required—
North CarolinaFull license required—
North DakotaEnacted, not liveAPRN Compact (awaiting issuance)
OhioFull license required—
OklahomaFull license required—
OregonFull license required—
PennsylvaniaFull license required—
Puerto RicoFull license required—
Rhode IslandFull license required—
South CarolinaFull license required—
South DakotaEnacted, not liveAPRN Compact (awaiting issuance)
TennesseeFull license required—
TexasFull license required—
UtahEnacted, not liveAPRN Compact (awaiting issuance)
VermontFull license required—
VirginiaFull license required—
WashingtonFull license required—
West VirginiaFull license required—
WisconsinFull license required—
WyomingEnacted, not liveAPRN Compact (awaiting issuance)

Frequently asked: telehealth compliance for Nurse Practitioners

What interstate compact applies to Nurse Practitioners?

The APRN Compact. Compact status varies by state — see the state-by-state table above for current coverage.

Which states currently have live privileges for NPs?

Zero states currently have live compact privileges for this credential family. See the compact status above for enactment-only states.

What do I do in a state where the compact does not apply?

You need a full state license issued by that state’s licensing board. TeleVerify flags every session whose patient state you don’t hold a license (or live compact privilege) in.

How do I verify current compact status before treating a patient?

Check the specific state’s TeleVerify compliance page — it aggregates licensing board rules, compact membership, and consent/prescribing rules verified against source data. Every session you run through TeleVerify re-verifies these rules against the patient’s live location.

Verify NPs coverage before every session

TeleVerify checks your credentials against each patient's state at session start, generates a signed compliance record, and flags gaps before they become audit findings.

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