North Carolina Board of Nursing


Advanced Practice Registered Nurse

Nurse Practitioner

Nurse Practitioner Registration & Initial Approval Application:

  • $25 for registration plus,
  • $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.

Registration & Initial Approval Information

In order to practice as a Nurse Practitioner, an RN must obtain NP Registration and Approval to Practice with their collaborating/supervising physician.  The Certificate of Registration will be emailed to you once all documents have been received and the application has been processed. The one-time Registration does not allow you to practice as a Nurse Practitioner in North Carolina; the Initial Approval to Practice application must also be reviewed/approved.

Initial Approval to Practice applications are reviewed and approved jointly by the North Carolina Board of Nursing and the North Carolina Medical Board. The nurse practitioner shall not practice until notification of approval to practice has been received from the Board of Nursing. The approval letter will be emailed to you upon FINAL approval to practice.

You will need the following to apply:

  • A 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)
  • Physician Name or Physician License Number / Physician Email Address
  • Practice name / address / office phone / fax / NC county name

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

  • ID Document (form available upon submission of application)
  • Official transcript and/or NP education documents
  • Primary source verification of national NP certification (ANCC, AANP, PNCB, AACN, NCC)
  • Licensure Biography (verification) of NP license/practice in other states, if applicable (form available upon submission of application)
  • Disclosure of any malpractice claims to be reported and submitted to the Board of Nursing on the Claims Information Form.

Detailed instruction are provided at the end of the application.

Note: Please be sure you indicate the correct status of your position as either volunteer or non-volunteer for each approval.

Nurse Practitioner Laws & Rules

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.

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