Is there a compact for PAs?
Yes, the PA Compact. As published by the PA Compact as of August 28, 2026, no states were actively issuing privileges yet. Check pacompact.org for current status; this page is not updated automatically.
NP and PA multi-state licensing: what applies today
PAs, NPs and physicians each have a different multi-state licensing picture. Confirm the current status with each state board before relying on any compact.
PAs
The PA Compact is an interstate occupational licensure compact for physician assistants; member states agree to recognize a valid, unencumbered license from another member state through a compact privilege.
As published by the PA Compact: “As of August 28, 2026, there are 29 Compact Member States” and “No states are actively issuing privileges yet.” Check pacompact.org for current status; this page is not updated automatically.
NPs and APRNs
NCSBN describes an APRN compact that “will increase access to care by allowing APRNs to practice seamlessly across member states.”
NPs should confirm with each state board whether the APRN Compact is in effect there. This page does not claim that it is.
Physicians
Physicians (MD and DO) can use the Interstate Medical Licensure Compact. See physician licensing by state.
Checklist for facilities and clinicians
- License: an active license for the state where care is delivered, confirmed with that state board.
- DEA registration, where prescribing controlled substances is part of the role.
- Collaboration or supervision agreements: requirements are set by state law and vary by state.
- Certification: PAs keep NCCPA certification current; see NCCPA: continuing medical education.
Sources
Frequently asked questions
Can NPs use the APRN Compact?
NPs should confirm with each state board whether the APRN Compact is in effect there. This page does not claim that it is.
Do collaboration or supervision rules differ by state?
Yes. Collaboration or supervision agreement requirements are set by state law and vary by state.
Does the IMLC cover NPs and PAs?
No. The IMLC covers physicians only.