New York measures a nurse practitioner's independence in hours already worked. Past the line the Education Law sets, the written arrangement with a physician stops being a condition of practicing here.

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Practicing under the threshold

Under the threshold, a nurse practitioner works with a written practice agreement with a physician and written practice protocols behind it. The physician reviews charts at least once every 3 months, both names go up at the practice site, and one physician may hold agreements with no more than 4 nurse practitioners outside their own practice site. The State Education Department describes the arrangement as collaboration and says it does not require a nurse practitioner to practice under physician supervision.

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When does a New York nurse practitioner stop needing a practice agreement?: The line sits at more than 3,600 hours of practice. Education Law 6902 says a nurse practitioner practicing for more than three thousand six hundred hours shall not be required to comply with the requirements of paragraph (a), relating to collaboration with a physician, a written practice agreement and written practice protocols. Hours are the whole test. The text in force runs until July 1, 2030, and the version that replaces it on that date will ask practitioners past the threshold for an attestation about their collaborative relationships.
Is a New York nursing license ever a multistate license?: No, and nothing is in motion to change that. The State Education Department states plainly that New York is not a compact state, and the compact's own map data records no pending NLC legislation here. A nurse coming from a compact state applies for licensure by endorsement, the route the compact points applicants to non-member states at.
Which agency stands behind a New York nurse aide certificate?: The Department of Health issues it. The State Education Department approves the school that teaches the program and stops there, so a program advertising itself as state approved is telling you about the school, not about any certificate at the end of it.