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. . In order to practice as a CNM, in addition to renewing the CNM approval, an RN license valid for practice in NC, must also be maintained.

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.

Renewal postcard notifications are mailed approximately 90 days prior to expiration of your approval to practice.

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

Additional Requirements & Information

See Rule 21 NCAC 32M.0106 or 21 NCAC 36.0806.

You are required to renew your approval(s) to practice by the last day of your birth month each year 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 on the last day of the expiration month.  You will be required to reapply for approval to practice and will need to complete the reinstatement approval to practice application.

Maintaining certification as a Certified Nurse-Midwife through American Midwifery Certification Board (AMCB) is also required. If you have renewed/updated your CNM certification since your last renewal, please provide an updated copy to the NC Board of Nursing.

If you wish to place any of your approvals to practice on inactive status, select the Remove Physician link in your Nurse Gateway.

You will be allowed to print your Certified Nurse Midwife annual renewal certificate from the Nurse Gateway (under the Files tab).

Certified Nurse Midwife Guidelines

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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