Pulmonology NP salary: by setting, subspecialty, state, and experience

LS
By Lindsay Smith, AGPCNP
Updated August 18, 2026

Reviewed for clinical accuracy · Methodology: NIH, NCBI, AANP guidelines

Pulmonology nurse practitioners earn a national average of approximately $125,000–$150,000 per year, with significant variation driven by whether the NP carries ICU cross-training responsibilities. Pulmonology NPs who practice in the MICU or combined pulmonary/critical care service earn 10–20% more than outpatient-only counterparts – the same premium pattern seen in cardiology NPs who cross-train in the cardiac ICU. The BLS all-NP median for May 2025 was $132,300 (SOC 29-1171), with a 10th percentile of $101,340 and a 90th of $174,420; pulmonology NPs across all settings track close to that baseline, with ICU-integrated roles and high-cost-of-living markets pushing total compensation meaningfully above it.

Entry-level pulmonology NPs (new graduate to 2 years) typically start at $100,000–$115,000. NPs with 5+ years of subspecialty experience, ICU cross-training, and positions in academic medical centers or high-cost-of-living states regularly earn $145,000–$165,000+. This guide breaks down salary by subspecialty, work setting, state, and experience, and covers the compensation mechanisms – procedural premiums, wRVU models, critical care stipends – that standard salary guides miss. For the career pathway and certification details, see the companion how to become a pulmonology nurse practitioner guide.

Salary overview

Metric Value Source / notes
BLS all-NP median (May 2025) $132,300 SOC 29-1171; all NP specialties combined. P10 $101,340, P90 $174,420
Pulmonology NP national range (all settings) $115,000–$155,000 Outpatient clinic through academic ICU-integrated roles
ICU/critical care cross-trained pulmonology NP $138,000–$165,000 MICU/pulmonary critical care combined roles; academic medical centers
Outpatient pulmonology clinic NP $115,000–$140,000 Community clinic and practice-based; COPD, asthma, ILD management
Sleep medicine NP (within pulmonology division) $115,000–$133,000 Sleep lab and outpatient sleep clinic; lower call burden than inpatient pulm
Entry-level pulmonology NP (0–2 years) $100,000–$115,000 New graduate; typically outpatient or supervised inpatient setting
Senior pulmonology NP (10+ years) $150,000–$172,000+ Lead NP, ICU cross-training, academic center wRVU productivity bonus

Methodology note: The BLS does not publish pulmonology-specific NP salary data. SOC 29-1171 covers all NPs combined. Figures above are derived from BLS OEWS state-level data (May 2025), disclosed-salary pulmonology NP job postings, aggregated salary data from ZipRecruiter, Glassdoor, and Salary.com, and survey data from the AANP, MGMA, and ACNP practice compensation reports. Individual offers vary by employer, geography, and credential set.

Salary by work setting

Work setting is the primary driver of salary variation for pulmonology NPs. The ICU integration factor produces the largest gap within the specialty.

Work setting Typical annual salary Compensation model Notes
Academic medical center (AMC) – MICU/pulmonary critical care $138,000–$168,000 Base salary + shift differential + call stipend; some wRVU productivity bonuses at large AMCs Highest compensation tier; combines pulmonary and critical care work; significant procedural skill development; call expectations
Academic medical center – outpatient pulmonology clinic $128,000–$155,000 Base salary; wRVU bonus at high-volume AMC practices Complex disease management (ILD, PAH, lung cancer workup); access to subspecialty development; typically no ICU call
Community hospital (pulmonology service) $122,000–$148,000 Straight salary; shift differential for acute care roles Broader generalist pulmonary scope; consult service plus some MICU coverage common; less subspecialty depth than AMC
Outpatient pulmonology clinic (community/private practice) $115,000–$140,000 Salary; some RVU bonus structures in multi-physician group practices COPD, asthma, general pulmonary management; lower ceiling but more predictable schedule
Sleep medicine lab / sleep clinic $115,000–$133,000 Salary; some programs add per-study stipend for overnight PSG coverage Distinct from inpatient pulm; predominantly outpatient and daytime; lower base but better lifestyle tradeoff than MICU roles
Long COVID / post-acute sequelae clinic $118,000–$142,000 Salary; health system employed Emerging post-2020 setting; multidisciplinary teams; primarily outpatient; demand grew substantially after 2021
VA / federal health system $120,000–$150,000 Title 38 salary scale; full federal benefits package Full practice authority within VA; PSLF-eligible; NHSC loan repayment available at qualifying facilities; structured advancement
Locum tenens / travel NP $155,000–$195,000 (annualized gross) Day rate or contract rate; housing and travel stipends included in total package Gross rate comparison overstates net: travel NPs bear their own benefits costs; assignment gaps between contracts reduce actual annualized income; pulmonology locum assignments more common for outpatient/clinic coverage than MICU

The critical care premium in detail

The 10–20% salary premium for ICU cross-trained pulmonology NPs reflects two compounding factors. First, the scarcity premium: NPs who can independently manage mechanically ventilated patients, titrate vasopressors, and manage hemodynamic instability in the MICU are a smaller subset of the pulmonology NP pool. Inpatient programs with MICU NP coverage gaps pay more to secure and retain these NPs than they pay for outpatient clinic coverage. Second, the on-call and shift differential component: MICU coverage typically includes nights, weekends, and holiday rotation, each of which adds direct compensation.

At academic medical centers with combined pulmonary/critical care services, experienced NPs carrying both outpatient clinic and MICU responsibilities can earn $155,000–$175,000 total compensation annually when base salary, shift differential, call stipend, and wRVU bonus are combined. This is broadly comparable to the EP lab or cardiac surgery NP premium in cardiology – both reflect the ICU environment’s demand for advanced procedural and hemodynamic management capability.

Sleep medicine: salary versus lifestyle tradeoff

Sleep medicine NPs within pulmonology divisions consistently earn slightly less than inpatient pulmonology counterparts – the $115,000–$133,000 range versus $130,000–$155,000+ for hospital-based roles. The tradeoff is schedule quality. Sleep medicine NPs work predominantly daytime, outpatient hours. Night coverage for polysomnography studies is often handled by sleep technologists rather than NPs, reducing overnight call obligations. Overnight PSG supervision expectations vary by program, but most sleep clinic NPs report more predictable scheduling than their MICU-based colleagues.

For NPs drawn to respiratory medicine but not to the ICU or hospital environment, sleep medicine offers a sustainable long-term practice trajectory with competitive compensation and a lifestyle profile closer to primary care than acute care. Demand is growing – sleep disorder prevalence is high and climbing, CPAP adherence management programs increasingly use NPs as the primary clinician, and telehealth sleep medicine is an expanding employment channel.

Bronchoscopy assist and procedural involvement

Pulmonology NPs who participate in bronchoscopy procedures or endobronchial ultrasound (EBUS) may earn additional wRVU credit in productivity-based compensation models. The mechanism is comparable to gastrointestinal NPs who assist with endoscopy: procedure assists generate billable wRVUs, and practices with wRVU-based compensation reward higher procedural volumes. At high-volume academic bronchoscopy programs, procedural NP involvement can add $8,000–$20,000 to annual compensation above base salary. Bronchoscopy assist experience also strengthens candidacy for senior pulmonology NP roles at academic centers.

Salary by subspecialty focus

Subspecialty focus Typical annual salary Key premium drivers
MICU / critical care (pulmonary/critical care hybrid) $138,000–$168,000 ICU environment premium; shift differential; call stipend; ventilator management expertise
General outpatient pulmonology (COPD, asthma, mixed) $118,000–$145,000 Volume and panel size; wRVU bonus at high-volume practices; biologic management expertise (asthma)
Interstitial lung disease (ILD) / rare lung disease $125,000–$155,000 Subspecialty expertise in antifibrotic management; academic center concentration; complex disease complexity and wRVU credit
Pulmonary hypertension (PAH) $125,000–$155,000 Rare disease expertise; vasomodulatory therapy management (prostacyclins, ERAs, PDE5 inhibitors); academic and specialty center employment
Sleep medicine (within pulmonology) $115,000–$133,000 Lower than inpatient pulm; favorable lifestyle tradeoff; growing PAP management demand; telehealth expansion
Cystic fibrosis (CF) $120,000–$148,000 CF Foundation care center employment; CFTR modulator management expertise (elexacaftor/tezacaftor/ivacaftor); longitudinal care model
Pediatric pulmonology $118,000–$148,000 Pediatric acute care NP (CPNP-AC) requirement; children's hospital employment; PICU cross-training premium

State salary table

State Annual salary range (all settings) Notes
California $152,000–$192,000 UCSF, Stanford, UCLA, Cedars-Sinai; restricted practice state (physician supervision required; AB 890 creates a limited 103/104 pathway that is not full practice authority); highest NP wages nationally; LA and Bay Area COL premium
New York $145,000–$182,000 Columbia, NYU Langone, Weill Cornell, Northwell; NYC metro premium; full practice authority, with the sunset extended to July 1, 2030 – see below
Massachusetts $142,000–$175,000 Mass General, Brigham and Women's, Beth Israel Lahey; strong union and academic compensation structures; Boston COL premium
Washington $140,000–$172,000 University of Washington Medical Center, Swedish Medical, Providence; Pacific Northwest wages among highest nationally
Alaska $140,000–$170,000 High BLS NP wages reflecting geographic premium; Providence and regional hospital systems; rural access demand
New Jersey $138,000–$168,000 Rutgers Robert Wood Johnson, Hackensack Meridian, Atlantic Health; NYC metro spillover wages
Oregon $135,000–$165,000 OHSU, Legacy Emanuel, Providence; full practice authority; Portland metro premium
Connecticut $135,000–$162,000 Yale New Haven, Hartford HealthCare, Trinity Health New England; high COL; academic and community hospital concentration
Nevada $132,000–$158,000 Full practice authority; University Medical Center, Renown Regional; Las Vegas metro growth market
Minnesota $130,000–$158,000 Mayo Clinic (Rochester and Minneapolis campuses), M Health Fairview, Allina Health; strong AMC compensation structures
Maryland $130,000–$158,000 Johns Hopkins, University of Maryland, MedStar Health; DC metro wages; academic pulmonary program concentration
Colorado $128,000–$155,000 UCHealth, National Jewish Health (major respiratory center), Children's Hospital Colorado; full practice authority; Denver metro premium
Virginia $125,000–$152,000 Inova Health, VCU Health, UVA; Northern Virginia metro commands premium; growing health system consolidation
Illinois $125,000–$152,000 Northwestern Medicine, University of Chicago Medicine, NorthShore; Chicago metro premium
Texas $125,000–$155,000 UT Southwestern, Houston Methodist, Baylor Scott and White, MD Anderson (thoracic oncology adjacency); no state income tax; large AMC systems
Pennsylvania $122,000–$150,000 Penn Medicine, Penn State Health, UPMC; academic pulmonary program concentration; Philadelphia and Pittsburgh markets
Ohio $120,000–$148,000 Cleveland Clinic Respiratory Institute, Ohio State Wexner, University Hospitals; strong AMC pulmonary programs
Michigan $118,000–$145,000 University of Michigan, Spectrum Health, Beaumont; Detroit and Ann Arbor markets
Arizona $118,000–$146,000 Mayo Clinic (Scottsdale), Banner University Medical, Valleywise Health; full practice authority; Phoenix metro growth
North Carolina $116,000–$143,000 Duke Pulmonary, UNC Pulmonary and Critical Care, Atrium Health Wake Forest; Research Triangle premium
Florida $115,000–$142,000 Mayo Clinic Jacksonville, Tampa General, Orlando Health; no state income tax; large COPD and respiratory disease burden in aging population
Georgia $113,000–$140,000 Emory Healthcare, Grady Health, Piedmont Healthcare; Atlanta metro premium
Tennessee $112,000–$138,000 Vanderbilt Pulmonary and Critical Care, TriStar Health; Nashville and Memphis markets
Wisconsin $112,000–$137,000 UW Health, Froedtert and MCW, Gundersen Health; Milwaukee and Madison markets
Indiana $110,000–$135,000 IU Health, Franciscan Health, Parkview; lower COL; community hospital and AMC pulmonary mix
Missouri $110,000–$134,000 Barnes-Jewish Hospital / Washington University, Saint Luke's, SSM Health; St. Louis and Kansas City AMC markets
Louisiana $108,000–$132,000 Ochsner Health, LSU Health, Tulane; New Orleans metro premium; lower state wages vs Gulf Coast average
Alabama $106,000–$130,000 UAB Pulmonary, Allergy and Critical Care Medicine (nationally recognized program); Huntsville Hospital; lower labor market wages overall
Mississippi $103,000–$126,000 University of Mississippi Medical Center; rural pulmonary coverage demand; lowest NP wages in region

State salary estimates are derived from BLS OEWS SOC 29-1171 state-level data (May 2025) adjusted for the pulmonology specialty premium and inpatient versus outpatient setting mix. Individual employer offers vary; figures represent midpoint expectations across all pulmonology NP roles in each state.

How to increase your salary as a pulmonology NP

ICU cross-training and MICU responsibility is the single most impactful salary lever in pulmonology. NPs who complete a post-graduate pulmonary/critical care fellowship or who deliberately seek hospital-based roles with MICU cross-coverage earn $15,000–$25,000 more annually than outpatient-only counterparts. If you are in an outpatient pulmonology role and considering a salary increase, transitioning to a combined clinic/MICU role – or completing a critical care fellowship – is the most direct route.

CCRN certification (AACN) is commonly attached to a certification differential in the low thousands of dollars annually at hospital systems that pay one, and is preferred for senior-level MICU/pulmonary critical care NP positions. Be precise about eligibility, because it is more demanding than career guides usually suggest. The direct-care CCRN (Adult) requires either 1,750 hours of direct care of acutely or critically ill adult patients in the previous two years, with 875 of those in the most recent year, or 2,000 hours across five years with 144 in the most recent year. Hours spent as an APRN, preceptor, manager or educator count only where you are providing direct care or supervising at the bedside. The exam fee is $260 for AACN members and $375 for non-members. That structure means an outpatient-only pulmonology NP will generally not accrue qualifying hours, so CCRN is a lever for the inpatient track rather than a universal one – and prior ICU experience during RN practice does not create a standing eligibility window after NP graduation, since the hours must fall inside the lookback period.

Bronchoscopy and procedural involvement at practices using wRVU compensation models adds measurable income. Pulmonology NPs who assist with bronchoscopy, EBUS, or thoracentesis procedures generate additional wRVU credit above standard clinic visit volumes. At high-volume bronchoscopy centers, this can add $8,000–$20,000 annually in wRVU productivity bonus.

Locum tenens assignments offer the highest gross hourly rates in the specialty. Outpatient pulmonology clinic coverage is the most common locum tenens assignment type, with annualized gross rates of $155,000–$195,000. As noted in the work settings table, the gross figure overstates net – locum NPs bear their own benefits costs and face assignment gaps. Locum work suits NPs who have already built subspecialty skills and want a high-income phase while maintaining schedule flexibility.

NHSC Loan Repayment Program: Pulmonology NPs practicing at qualifying rural or federally designated Health Professional Shortage Area (HPSA) facilities are eligible for National Health Service Corps loan repayment. Under the FY2026 guidance, the standard NHSC Loan Repayment Program award is up to $75,000 for a two-year full-time commitment for clinicians delivering primary care at an NHSC-approved site, and up to $50,000 for other eligible disciplines, with continuation contracts available beyond the initial term and a supplemental award of up to $5,000 for demonstrated Spanish-language proficiency. Awards are competitive and prioritized by the site’s HPSA score. One caveat worth flagging: whether a pulmonology role qualifies as primary care at an NHSC-approved site is a site-and-scope determination, so confirm the designation with the employer before assuming the higher tier. Full details at nhsc.hrsa.gov.

Full practice authority states: NPs in states with full practice authority (27 states plus the District of Columbia as of the AANP state practice environment map, 05/2026 revision, with 12 reduced-practice and 11 restricted-practice states making up the remaining 23) earn somewhat more on average than peers in reduced-practice states, reflecting broader independent billing authority and labor market dynamics. If geographic flexibility is possible, practice authority status is a legitimate salary factor. Note that California – the highest-paying state in the table above – is a restricted-practice state: AB 890 created a phased 103/104 pathway with a three-year transition-to-practice requirement, which does not amount to full practice authority.

New York’s status carried a caveat through the first half of 2026, and it has since been resolved. Its full practice authority rests on the 2022 Nurse Practitioner Modernization Act, which waived the collaborative-relationship requirement for NPs with 3,600 or more hours of qualifying practice, and that waiver carried a July 1, 2026 sunset. S2360, the standalone bill that would have removed the sunset permanently, never left the Senate Higher Education Committee. The waiver survived through the budget instead: Governor Hochul signed A10007C, the FY2027 budget legislation, on May 28, 2026, moving the sunset to July 1, 2030. Pulmonology NPs in New York with 3,600+ qualifying hours continue to practice without a written collaborative agreement through that date. Confirm the current requirement directly with the New York State Education Department before relying on independent practice.

DNP degree – Some health systems pay a modest differential ($3,000–$6,000 per year) for DNP-credentialed NPs. Academic appointments and clinical faculty roles also tend to require or prefer the DNP. The ROI on DNP completion depends on how quickly the differential recoups the education cost and time investment.

Pulmonology NP salary vs other NP specialties

NP specialty National average range Notes
Pulmonology NP (ICU cross-trained) $138,000–$168,000 MICU/pulmonary critical care hybrid; call and shift differential included
Cardiology NP (procedural: EP/cath/CT surgery) $145,000–$185,000 Highest non-CRNA NP specialty; procedural premiums drive the top end
Emergency NP $130,000–$155,000 ED shift differential; nights/weekends premium; high-volume episodic care
Oncology NP $135,000–$145,000 Academic cancer center wRVU models; AOCNP credential differentiating
Pulmonology NP (outpatient only) $115,000–$140,000 Broadly at or near general NP median; setting-limited ceiling without ICU cross-training
Family NP (FNP, general) ~$132,300 BLS all-NP median (SOC 29-1171, May 2025); baseline for specialty premium comparisons
Nephrology NP $125,000–$165,000 Transplant NPs at the top; dialysis center NPs near baseline; comparable to outpatient pulm
CRNA ~$236,590 Separate APRN category; different degree model; anesthesia scope

For a full all-specialty NP salary comparison, see the nurse practitioner salary guide. For CRNA compensation, see the CRNA salary guide. For a peer specialty comparison in critical care-adjacent practice, see the cardiology NP salary guide.

Job outlook and demand drivers

BLS projections

The Bureau of Labor Statistics projects nurse practitioner employment to grow 40.1% over the 2024–2034 period – the fastest rate of any healthcare occupation – with roughly 29,500 NP job openings per year across the decade. Two figures are commonly confused here. The 40.1% growth rate and the 29,500 annual openings are NP-specific (SOC 29-1171). The Occupational Outlook Handbook publishes a separate, lower set of numbers – 35% growth and about 32,700 annual openings – for the combined category of nurse anesthetists, nurse midwives, and nurse practitioners, which is a broader occupational group and not the NP series. For a job seeker, the openings-per-year number is the more practical one because it counts replacement demand alongside net new positions. The projection does not break out pulmonology NP positions separately, but the underlying demand drivers for pulmonology NPs are strong and converging.

Post-COVID demand surge

Pulmonology and respiratory NP job postings increased substantially between 2020 and 2023. COVID-19 created two demand channels that persisted past the acute pandemic phase:

  1. Long COVID (post-acute sequelae of SARS-CoV-2 / PASC) clinics – Health systems stood up dedicated multidisciplinary long COVID programs in 2021–2023. The primary symptoms driving long COVID clinic referrals are respiratory (persistent dyspnea, reduced exercise tolerance, abnormal pulmonary function) and neurological. Pulmonology NPs are a core staffing component of long COVID programs at academic medical centers and large health systems. This is a net-new employment setting that did not exist before 2020.

  2. MICU staffing pressure – COVID-19 drove significant RN and NP attrition in intensive care settings. Health systems that had previously relied on physician-only MICU coverage accelerated NP integration into critical care as a staffing strategy. This structural shift increased pulmonology/critical care NP demand beyond the pre-COVID baseline.

Aging population and chronic respiratory disease burden

COPD is a leading cause of death in the United States and the dominant diagnosis in outpatient pulmonology practice. It is frequently described as the third leading cause of death, which reflects an older ranking; in CDC’s 2023 mortality data COPD was the fifth leading cause, accounting for 141,733 deaths. Age-adjusted COPD prevalence among US adults was 3.8% in 2023, rising steeply with age – from 0.4% among adults aged 18 to 24 to 10.5% among those 75 and older – which is the demographic gradient that drives the specialty’s long-run demand. Asthma currently affects about 8.6% of US adults and 6.5% of children, with severe refractory asthma managed increasingly with biologic agents that require NP-level prescribing and monitoring. ILD and pulmonary fibrosis prevalence is rising, with an aging population and increased environmental and occupational exposures driving diagnosis rates.

These population-level trends produce consistent long-term demand for pulmonology NPs regardless of health policy cycles. Chronic pulmonary disease management is not optional, not easily substituted, and increasingly complex.

Sleep disorder demand

Obstructive sleep apnea (OSA) is far more common than the “30 million Americans” figure that circulates in career content. Modelling published in 2025 estimates roughly 83.7 million US adults aged 20 and over were living with OSA in 2024 – about 32.4% of that population – and more than 80% of cases are thought to be undiagnosed and untreated. The gap between that prevalence and diagnosed, treated volume is the structural reason sleep medicine capacity keeps expanding. Sleep medicine capacity – including both polysomnography testing and PAP management follow-up – has not kept pace with the diagnosed patient volume. Telehealth sleep medicine has expanded, and NPs are increasingly the primary clinician managing PAP adherence programs, home sleep test ordering, and OSA follow-up. This is a growing employment segment within the pulmonology division structure.

Salary by experience tier

Experience tier Typical annual salary Role characteristics
New graduate (0–2 years) $100,000–$115,000 Supervised outpatient pulmonology clinic or inpatient consult service; building subspecialty knowledge base under collaborative practice agreement
Early career (2–5 years) $115,000–$135,000 Independent outpatient practice; or entering MICU cross-training; CCRN eligibility and likely certification; developing biologic and antifibrotic management competency
Mid-career (5–10 years) $132,000–$155,000 Established subspecialty practice; MICU cross-training (if inpatient track); independent procedural involvement; emerging mentorship of junior NPs
Senior / lead (10–20 years) $148,000–$172,000 Lead pulmonology NP; APP team lead; academic center senior clinical NP; possible clinical faculty appointment; program development responsibilities
Director / chief APP $170,000–$200,000+ Director of APP Practice in pulmonary/critical care service; executive hybrid role; DNP + 15+ years; administrative scope alongside clinical practice

References

  1. US Bureau of Labor Statistics, “Occupational Employment and Wage Statistics: 29-1171 Nurse Practitioners,” May 2025 estimates (national median $132,300; 10th percentile $101,340; 90th percentile $174,420), released 2026.
  2. US Bureau of Labor Statistics, “Employment Projections: 2024–2034,” Employment Projections program, 2025. NP-specific (SOC 29-1171) projected growth of 40.1% and approximately 29,500 annual openings.
  3. US Bureau of Labor Statistics, “Occupational Outlook Handbook: Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners,” 2024–2034 projections for the combined APRN category (35% growth, ~32,700 annual openings) – a broader grouping than the NP-only series cited above. https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm
  4. ONET OnLine, “Summary Report for 29-1171.00 – Nurse Practitioners,” National Center for ONET Development, 2026. https://www.onetonline.org/link/summary/29-1171.00
  5. Centers for Disease Control and Prevention, National Center for Health Statistics, “Chronic Obstructive Pulmonary Disease Among Adults: United States,” 2023 prevalence and mortality data (age-adjusted adult prevalence 3.8%; 141,733 COPD deaths in 2023).
  6. Centers for Disease Control and Prevention, “Most Recent National Asthma Data,” 2024 (current asthma in 8.6% of adults and 6.5% of children).
  7. Benjafield, A.V. et al., “Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis,” The Lancet Respiratory Medicine, Vol. 7 No. 8, 2019, pp. 687–698.
  8. “Unmasking obstructive sleep apnea: estimated prevalence and impact in the United States,” Respiratory Medicine, 2025 (approximately 83.7 million US adults aged 20 and over with OSA in 2024; over 80% undiagnosed).
  9. American Association of Critical-Care Nurses, “CCRN (Adult) Certification – Direct Care Eligibility Pathway,” eligibility hours, exam fees and renewal requirements, 2026.
  10. Health Resources and Services Administration, “Fiscal Year 2026 National Health Service Corps Loan Repayment Program Application and Program Guidance.”
  11. American Association of Nurse Practitioners, “State Practice Environment,” AANP State Government Affairs, 05/2026 revision (27 states plus DC full practice, 12 reduced practice, 11 restricted practice). https://www.aanp.org/advocacy/state/state-practice-environment