I am confused about the the Board of Nursing requirment that the NP practice only in thieir certified specialties..If there is an NP that is certfied in another specialty under a collaborative aggreement will they be able to be reimbursed by major insurance carriers or quallify for insurance panels ? We have a few NP's new to our practice and recent graduates in other specialties who are being supervised by a psychiatrist. Do they need to be actively in a program that will give them this specialty certification.?  If the BON's requirement is to be certified in their academic and BC specialties will this new independent practice for NP impact carriers making a case that they will only reimburse for those who are providing services who are Board Certified in the area they are billing, ie, can a Board Certified geriatric NP bill for services in psychiatry provided they have a collaborative agreement with a psychiatrist?  If so, can an NP who then becomes an independent practitioner in five years switch to another specialty and continue to function as an independent provider ?

Ms. Klusman