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NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement that may differ depending on your location. There are several sources of restrictions to NP practice such as state laws and federal regulations which include who may prescribe controlled substances and which substances NPs can prescribe, as well as the various reimbursement agencies. It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside your scope of practice may be anything from a fine, suspension or revocation of your license, civil lawsuit, or even criminal charges.


Use the provided template (File 1) to compare and contrast the three major regulatory practice models for NPs: 

1. Supervisory

2. Collaborative

3. Independent. 

Please keep this assignment in the template format provided. 

This Assignment requires credible and up to date resources for each category. 

Include in each model at least one state that represents the scope of practice you are discussing. 

For example, Texas requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. In order to apply and receive a DEA license to prescribe controlled substances, you must be approved by the state you are practicing in to prescribe these medications.

Practice Models








List the name of a State

that is representative of

each regulatory model.

Evaluate how each model

affects the NPs scope of

practice? (include, if

applicable, the use of

protocols, formulary,

written agreements, direct

versus indirect supervision,

referral policy, patient care,

review of medical

documentation, and

payment reimbursement.

How does the model of

practice serve as a barrier

to access to care?

Compare/contrast the

prescriptive privileges of

each model and example


Compare/ Contrast how

each model impacts payer

status for the NP.

Compare/Contrast how

these models may impact

NP job satisfaction.