It is a common occurrence that NPs who I talk with personally or read about in forums indicate they do not understand the possible roles they can serve as an adult gero acute care nurse practitioner. Most people see that certification and think “I don’t want to be an ICU NP; not choosing that path.” The purpose of this article is to highlight the many, many different pathways you can take with your AGACNP certification. Obviously, being an acute care NP I possess some bias, especially given my personal job acquisition experience (more on that later). Having disclosed that, I do want to add that I speak with around 50 NPs a year who represent primarily FNP and ACNP certifications and am aware of the national trends in hiring. Trust me when I say, I’d be willing to bet there are far more possibilities out there for you as an ACNP than you realize.