North Carolina Board of Nursing


Advanced Practice Registered Nurse

Certified Nurse Midwife

Approval to Practice Annual Renewal

If your RN license is due to be renewed this year, you must renew your RN license before you can renew your CNM approval to practice.

Certified Nurse Midwife Approval to Practice Annual Renewal:

  • $50 per physician renewed


Valid forms of payment:

  • Credit or debit card; MasterCard or Visa only 
  • Electronic Check

You may print your confirmation page following successful completion and payment. This document serves as your official receipt.

Notice: Please read all information before starting the application process. The link for the application is located at the bottom of this page.

Certified Nurse Midwife Guidelines

Additional Requirements & Information

You are required to renew your approval(s) to practice by the last day of your birth month each year [See Rule 21 NCAC 32M.0106 or 21 NCAC 36.0806]. If you do not renew by the last day of your birth month, your approval to practice is automatically placed on inactive status at midnight of the last day of the expiration month. You will be required to reapply for approval to practice and will need to complete the subsequent approval to practice application.

You will receive a postcard notice 90 days prior to expiration of your approval to practice. If you wish to place your approval to practice on inactive status, visit your Nurse Gateway.

You will be allowed to print your Certified Nurse Midwife annual renewal certificate from the Nurse Gateway.

You will need the following to apply:

  • An active NC RN license or Another compact state RN license (license # and expiration date)
Note: Please be sure you indicate the correct status of volunteer position or non-volunteer position for each approval.

Computer Requirements and Conditions:

  • Printer along with Adobe Reader 
  • Your browser must be set to accept cookies
  • Pop-up blockers disabled or temporarily allow pop ups for this application 
  • Have Javascript enabled 
  • Internet Explorer 6.0 or higher with compatibility mode activated
  • Application will time-out after 20 minutes of inactivity
WARNING: For security reasons, be sure to exit the application when you have completed and submitted your request. The NC Board of Nursing cannot be held responsible for unauthorized access to information you have entered in the browser if you do not exit this application. 

Begin Application Process:

Review the Terms and Conditions listed above and click "I Agree" to continue your application process.

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