Is Missouri in the PA Compact?
Missouri is listed by the PA Compact as a member state (as of August 28, 2026). Check pacompact.org for current status; this page is not updated automatically.
Missouri and the PA Licensure Compact
Missouri is listed by the PA Compact as a member state (as of August 28, 2026). Per the PA Compact, no states were issuing privileges yet at that date.
PA Compact facts
- PA Compact status
- Listed by the PA Compact as a member state (as of August 28, 2026)
- Privileges
- Per the PA Compact, no states were issuing privileges yet at that date
Check pacompact.org for current status; this page is not updated automatically.
What a PA should do for Missouri
- Keep your home-state license in good standing.
- Confirm current requirements with the Missouri licensing board.
- Check pacompact.org for current compact status.
The FSMB directory is only a starting point for finding a board: it lists medical boards, so PAs should confirm which board licenses PAs in that state.
Neighbors
6 of the 8 bordering states are PA Compact members: Arkansas, Iowa, Kansas, Nebraska, Oklahoma, Tennessee.
- Arkansas — member.
- Illinois — not listed as a member.
- Iowa — member.
- Kansas — member.
- Kentucky — not listed as a member.
- Nebraska — member.
- Oklahoma — member.
- Tennessee — member.
The count is the number of named qualifying neighbors out of all listed land/river neighbors. Open-water-only and point-only contacts are excluded; a neighboring status does not grant practice authority here.
In this state, in context
BLS OEWS May 2025 annual mean employee wages — physicians, all other: $237,330; nurse practitioners: $130,970; physician assistants: $137,710. The physician row is the broad “physicians, all other” category, not an average for all physicians or a particular specialty. These are employee wage estimates, not total compensation or contract rates.
Missouri physicians, all other pay · Missouri nurse practitioners pay · Missouri physician assistants pay · Missouri nurse anesthetists pay
Decision checklist for Missouri
- Treat the member listing as background; ask whether Missouri can currently issue the privilege you need.
- Resolve any question about the validity or encumbrance of the supporting license.
- Confirm destination-state practice obligations before relying on recognition of another member’s license.
The hub’s dated statement says no states were actively issuing privileges yet. Confirm current availability rather than treating a member listing as a permission to start.
Find your state board (FSMB directory) — this directory lists medical boards; confirm which board licenses PAs.
Sources
Frequently asked questions
Can a PA practice in Missouri on a compact privilege now?
Per the PA Compact, no states were issuing privileges yet as of August 28, 2026. Confirm with the Missouri licensing board.
Which rules apply when practicing in Missouri on a privilege?
PAs using a privilege must follow the laws and regulations of the state where they practice, in this case Missouri.
How many neighbors of Missouri are PA Compact members?
6 of the 8 bordering states are PA Compact members: Arkansas, Iowa, Kansas, Nebraska, Oklahoma, Tennessee.
Can the Missouri wage links establish permission to practice?
No. The linked BLS state wage estimates describe employee wages, not licensing, compact privileges or prescribing authority. Confirm the Missouri board’s requirements separately.