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Telehealth compliance for Nurse Practitioners

For NPs practicing across state lines, 2 compacts currently apply. Below: which states are live, which have only enacted the compact, and where a full state license is still required.

Applicable interstate compacts

Nurse Licensure Compact
41 states live

Live in 41 jurisdictions plus 2 more enacted but not yet issuing privileges.

Note: GU partial: incoming compact nurses may practice; GU residents cannot yet obtain multistate licenses. DC is not a member.

Learn more about the Nurse Licensure Compact →

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
AlabamaCoveredNurse Licensure Compact
AlaskaFull license required
ArizonaCoveredNurse Licensure Compact
ArkansasCoveredNurse Licensure Compact
CaliforniaFull license required
ColoradoCoveredNurse Licensure Compact
ConnecticutCoveredNurse Licensure Compact
DelawareCoveredNurse Licensure Compact
District of ColumbiaFull license required
FloridaCoveredNurse Licensure Compact
GeorgiaCoveredNurse Licensure Compact
HawaiiFull license required
IdahoCoveredNurse Licensure Compact
IllinoisFull license required
IndianaCoveredNurse Licensure Compact
IowaCoveredNurse Licensure Compact
KansasCoveredNurse Licensure Compact
KentuckyCoveredNurse Licensure Compact
LouisianaCoveredNurse Licensure Compact
MaineCoveredNurse Licensure Compact
MarylandCoveredNurse Licensure Compact
MassachusettsEnacted, not liveNurse Licensure Compact (awaiting issuance)
MichiganFull license required
MinnesotaFull license required
MississippiCoveredNurse Licensure Compact
MissouriCoveredNurse Licensure Compact
MontanaCoveredNurse Licensure Compact
NebraskaCoveredNurse Licensure Compact
NevadaFull license required
New HampshireCoveredNurse Licensure Compact
New JerseyCoveredNurse Licensure Compact
New MexicoCoveredNurse Licensure Compact
New YorkFull license required
North CarolinaCoveredNurse Licensure Compact
North DakotaCoveredNurse Licensure Compact
OhioCoveredNurse Licensure Compact
OklahomaCoveredNurse Licensure Compact
OregonFull license required
PennsylvaniaCoveredNurse Licensure Compact
Puerto RicoFull license required
Rhode IslandCoveredNurse Licensure Compact
South CarolinaCoveredNurse Licensure Compact
South DakotaCoveredNurse Licensure Compact
TennesseeCoveredNurse Licensure Compact
TexasCoveredNurse Licensure Compact
UtahCoveredNurse Licensure Compact
VermontCoveredNurse Licensure Compact
VirginiaCoveredNurse Licensure Compact
WashingtonCoveredNurse Licensure Compact
West VirginiaCoveredNurse Licensure Compact
WisconsinCoveredNurse Licensure Compact
WyomingCoveredNurse Licensure Compact

Frequently asked: telehealth compliance for Nurse Practitioners

What interstate compact applies to Nurse Practitioners?

The Nurse Licensure Compact and 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?

40 jurisdictions currently issue live privileges. 1 more has enacted the applicable compact(s) but are not yet issuing privileges. See the state-by-state table above for the full picture.

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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