Pennsylvania State Policy Fact Sheet


American Association of Nurse Practitioners - Pennsylvania State Policy

Nurse Practice Act: 63 P.S. § 211

Regulatory Structure: Reduced Practice

State law constrains patient access to NP care. NPs are required by law to maintain a regulated collaborative agreement with a physician for at least one element of NP practice.
63 P.S. § 212

Regulatory Agencies

NP practice is regulated by the Board of Nursing.
63 P.S. § 212.1

Licensure Requirements

State law requires an RN license, a graduate degree in an NP role and national certification.
63 P.S. § 218.1

Continuing Education*

State law requires 30 CE hours every two years. See the Board of Nursing for details.
63 P.S. § 218.1

Malpractice Insurance

Malpractice insurance is required for Pennsylvania NPs.
63 P.S. § 218.7

Medical Staff Membership**

NPs are not permitted to join medical staffs.
28 PA ADC § 107.2

Primary Care Providers

NPs are defined in law as primary care providers.
28 PA ADC § 9.678

Signature Recognition on Items of Patient Care

  • Physical Therapy: Pennsylvania NPs are authorized to refer to physical therapy.
    63 P.S. § 218.2
  • Parking Permits: Pennsylvania NPs are authorized to provide proof of disability for disabled parking permits.
    75 Pa.C.S.A. § 1338
  • Death Certificates: Pennsylvania NPs are authorized to sign death certificates.
    35 P.S. § 450.502
  • Provider Orders for Life-sustaining Treatment (POLST): Pennsylvania's POLST form may be signed by an NP.
    Pennsylvania Department of Health

*Contact hours in specific topics may be required. Please contact your state’s Board of Nursing for current information.
**Medical staff membership refers to governing and voting privileges and is not reflective of clinical or admitting privileges within institutions.

Updated November 2017

Download the Pennsylvania State Policy Fact Sheet