History of NPAM
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History of NPAM

The Nurse Practitioner Association of Maryland (NPAM) is the unifying voice for all nurse practitioners in the state. The organization provides consistency and expertise in guiding the profession. It also provides information and serves as an advocate for those outside the nurse practitioner (NP) role. Through NPAM, NPs can accomplish as a group what they cannot as individuals, thereby decreasing the barriers to practice and expanding the NP role.  See About NPAM or scroll down to see how far we've brought the role of the nurse practitioner over the last decades.

NPAM’s Board of Directors is comprised of volunteers. The board consists of a President, Past President, President-Elect, Secretary, Treasurer, Conference Committee Chairperson, Legislative Committee Chairperson, Membership/Pubic Relations Committee Chairperson, and District Directors. Board positions are elected with the exception of the Conference, Legislative and Membership/Public Relations Committee Chairpersons, which are appointed positions. Nurse Practitioner Alternatives, a management company, assists with the many administrative duties necessary for running a professional organization.

NPAM is very grateful to the leadership from the Executive Committee, but in particular for the leadership of our Presidents. Please find below the list of NPs who have dedicated their time to guiding NPAM as it works to protect NP practice in Maryland

1993 - 94 Janet Selway
1994 - 95 Janet Selway
1995 - 96 Janet Selway
1996 - 97 Margie Koehler
1997 - 98 Laurie Scudder
1998 - 99 Pat Papa
1999 - 2000 Joan Stanley
2000 – 01 Marilyn Edmunds
2001 - 02 Kerry Palakanis
2002 - 03 Deborah Baker
2003 - 04 Teresa Yeo
2004 - 05 Elaine Crain
2005 - 06 Liz Schilling, Deb Baker
2006 - 07 Carolyn Buppert
2007 - 08 Jane Kapustin
2008 - 09 Diana Heffner
2009 -10 Sandi Nettina
2010 -11 Sandi Nettina
2011 -12 Susan Delean Botkin
2012 -13 Shannon Idzik
2013 -14 Tonya Appleby
2014 -15 Andrea Schram
2015 -16 Dale Jafari
2016 -17 Veronica Gutchell

For a brief history of NPAM-at-a-Glance
AANP Historical Timeline

The nurse practitioner role was developed following the successful piloting of the master’s-level Pediatric Nurse Practitioner Program at the University of Colorado by nursing faculty member Dr. Loretta Ford and her physician colleague Dr. Henry K Silver. Many NP programs were subsequently developed as continuing education and master’s degree programs.


The first NP program was implemented in Maryland, a nine-month Adult Nurse Practitioner Certificate Program followed by a one-year internship.


The first four students were admitted into the first master’s-level Adult Nurse Practitioner Program at the University of Maryland. Other continuing education programs were established at other hospitals and schools within the next few years.


Nurse practitioners in Maryland recognized that the Nurse Practice Act would need to be amended if they were to be able to practice. The Maryland State Nurses Association (MNA) represented nurse practitioners who joined their Primary Care Special Interest Council. Enabling legislation would have passed on the first attempt, however regulations could not be agreed upon because NPs refused to allow the term "supervision" to be used to describe their relationship with physicians. The legislation expired.


New legislation passed, which described a collaborative relationship between NPs and physicians. Other legislation required a guarantee reimbursement for services.


NPAM became an independent professional organization. While the MNA had been instrumental in representing NPs and helping pass legislation, MNAs mandate to represent all nurses in Maryland diluted their ability to represent NPs exclusively. The decision to form an independent organization was motivated by the desire to better meet the needs of NPs in solving complex issues that are unique to nurse practitioners. These issues, including legislation, scope of practice, and reimbursement, are still relevant today.
NPAM hires lobbyist and legal counsel William Pitcher, Esq.


William Pitcher, Esq. guides NPAM in passing legislation that allows nurse practitioners to be named to the provider panels of HMOs.


NPAM begins providing exceptional continuing education opportunities for members and other NPs in Maryland and surrounding states through the Mid-Atlantic Regional Conference for Nurse Practitioners (MARC-NP).


Legislation passes designating the appointment of an Advanced Practice Nurse to the Maryland Board of Nursing.


Legislation passes enabling nurse practitioners to sign birth and death certificates, advanced directives, and applications for handicapped license tags—all tasks that had previously been carried out by physicians but which lie well within the domain of primary care nurse practitioners.

NPAM offers two mini-MARC conferences. These are high quality, single day conferences held in two different areas of the state with a focus on sports medicine.


NPAM spearheaded legislation that eliminated the bulky written collaborative agreement that had to be approved by a joint committee of the Board of Nursing and the Board of Physicians.  The new process is an attestation statement that is filed with and approved by the Board of Nursing.  This new system streamlined job changes.


Julie Stanik Hutt CRNP, long time NPAM member, is elected as the Maryland State Representative to AANP.


In January of 2013, an Executive Director was hired part-time to provide administrative support to the Board of Directors, assist with overseeing the management of the Association, and to represent NPAM in the community and at meetings of stakeholders.

Major revisions to the NPAM Bylaws were made and approved by membership in December, 2013.


Tonya Appleby CRNP, NPAM member and Past President, is elected as the Maryland State Representative to AANP.

NPAM leads the charge to repeal the Attestation requirement and assists with writing a bill along with various stakeholders.
On May 12, 2015 Governor Larry Hogan signs HB999, Certified Nurse Practitioners - Authority to Practice into law, repealing the attestation requirement. This bill requires those NPs who have never practiced to name a mentor on their application with the Maryland Board of Nursing for the first 18 months of practice as a nurse practitioner.

The first NP Lobby Night is organized and held in Annapolis on March 14, 2016. Legislation passes which includes NPs as certifying providers as it relates to laws governing medical cannabis. Other legislation passes which sets up a 5 year pilot project that allows for a tax incentive to NPs who precept students in rural areas of Maryland.



The membership of NPAM is divided into geographic districts across the state. Each district is led by a district director who is elected every two years and is allowed to serve six consecutive years according to NPAM bylaws. NPAM currently has more than 700 members and is divided into nine regional districts where special educational and networking activities are held. Members may attend district meetings in either their homes or work district.

NPAM’s Board of Directors is comprised of volunteers. The board consists of a president, past president, president-elect, secretary, treasurer, legislative chairperson, conference chairperson, and district directors. Board positions are elected with the exception of the legislative and conference chairpersons, which are appointed positions. Nurse Practitioner Alternatives, a management company, assists with the many administrative duties necessary for running a professional organization.

NPAM is recognized nationally as an active, successful organization. The legislative statutes that authorize NP practice and reimbursement – passed because of NPAM – have served as model legislation for other states. The use of professional lobbyists and association managers has increased the sophistication of the NP representation and has expanded the benefits that can be provided to members.

Become part of the history….
As with any professional organization, its power is increased when the membership numbers are the largest. NPAM wants all NPs in Maryland to join. We invite nonmembers to contact us to discuss how they can join!


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