North Carolina Board of Nursing


Advanced Practice Registered Nurse

Nurse Practitioner

Nurse Practitioner Initial Approval to Practice:

  • $100 per physician for NP non-volunteer status (NP paid position) or,
  • $20 per physician for NP volunteer status (NP non-paid position)


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.

Initial Approval to Practice (Rule 21NCAC 32M.0804 or 21NCAC 36.0804)

Approval to practice means authorization by the Medical Board and the Board of Nursing for a Nurse Practitioner to perform medical acts within her or his area of educational preparation and certification under a collaborative practice agreement with a licensed physician.

This application is for the NP applying for approval to practice for the first time in North Carolina who has already been issued NP registration or has submitted the NP Registration application.

The nurse practitioner shall not practice until notification of approval to practice has been received from the Board of Nursing. The approval letter and certificate will be emailed to you upon FINAL approval to practice.

You will need the following to apply:

  • An active permanent NC RN license or another compact state RN license valid for practice in NC (compact license information must first be submitted on the “Compact State Application” located in the Nurse Gateway)
  • Registration as an NP in NC
  • Physician Name or Physician License Number / Physician Email Address
  • Practice name / address / office phone / fax / county name (if NC)

In addition to the online application, submission of additional documents to the NC Board of Nursing may be required. These may include:

  • ID Document
  • Updated copy of national NP certification (ANCC, AANP, PNCB, AACN, NCC)
  • Disclosure of any malpractice claims to be reported and submitted to the Board of Nursing on the Claims Information Form, if applicable.
Note: Please be sure you indicate the correct status of your position as either volunteer or non-volunteer for each approval.

For more information about your NP approval, including prescriptive authority and other important topics, please click here.

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.

I agree to the terms and conditions