Advanced Practice Registered Nurse (APRN)
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Nurse Practitioner

Registration Only
Initial Approval to Practice
Registration and Initial Approval to Practice
Renew Approval
Reinstate Approval to Practice
Add Physician
Physician Maintenance
Request Inactive Status
Update Compact Registered Nurse License for Nurse Practitioner - Expiration Date

Registration Only

Fee Information: $25.00

FEE IS NON-REFUNDABLE

Valid Forms of Payment:

  • Credit or Debit Card; MasterCard or Visa only 
  • Electronic Check (E-Check)*
    • *Per N.C.G.S. 25-3-506, a $35.00 processing fee will be charged for a Electronic Check (E-Check) refused by the bank due to insufficient funds or closed account.

You will need the following to apply:

  • An active permanent North Carolina Registered Nurse (RN) license or another Compact State Registered Nurse license valid for practice in North Carolina (Compact license information must first be submitted on the “Compact State Application”).

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

  • Identification Document (Form available upon submission of application)
  • Official transcript and/or Nurse Practitioner education documents
  • Primary source verification of National Nurse Practitioner Certification (ANCC, AANP, PNCB, AACN, NCC)
  • Licensure Biography (verification) of Nurse Practitioner license/practice in other states, if applicable. (Form available upon submission of application)

Initial Approval to Practice

Fee Information: $100.00 (Per Physician for Nurse Practitioner Non-Volunteer status -- Paid Position) or, $20.00 (Per Physician for Nurse Practitioner Volunteer Status -- Non-paid Position)

FEES ARE NON-REFUNDABLE

Valid Forms of Payment:

  • Credit or Debit Card; MasterCard or Visa only 
  • Electronic Check (E-Check)*
    • *Per N.C.G.S. 25-3-506, a $35.00 processing fee will be charged for a Electronic Check (E-Check) refused by the bank due to insufficient funds or closed account.

Rule 21 NCAC 32M.0104 or 21 NCAC 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 Nurse Practitioner applying for approval to practice for the first time in North Carolina who has already been issued Nurse Practitioner registration or has submitted the Nurse Practitioner 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 North Carolina Registered Nurse (RN) license or another Compact State Registered Nurse license valid for practice in North Carolina (Compact license information must first be submitted on the “Compact State Application”)
  • Registration as a Nurse Practitioner in North Carolina
  • Physician Name or Physician License Number and Physician Email Address
  • Practice Information (Practice Name, Practice Address, Office Phone, Email)

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

  • Identification Document (Form available upon submission of application)
  • Updated copy of National Nurse Practitioner 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.

Registration & Initial Approval to Practice

Fee Information: $25.00 (Registration) plus, $100.00 (Per Physician for Nurse Practitioner Non-Volunteer status -- Paid Position) or, $20.00 (Per Physician for Nurse Practitioner Volunteer Status -- Non-paid Position)

FEES ARE NON-REFUNDABLE

Valid Forms of Payment:

  • Credit or Debit Card; MasterCard or Visa only 
  • Electronic Check (E-Check)*
    • *Per N.C.G.S. 25-3-506, a $35.00 processing fee will be charged for a Electronic Check (E-Check) refused by the bank due to insufficient funds or closed account.

This application is for the Registered Nurse applying for registration and initial approval to practice as a Nurse Practitioner.

In order to practice as a Nurse Practitioner (NP), a Registered Nurse (RN) must obtain Nurse Practitioner 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 and 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:

  • An active permanent North Carolina Registered Nurse (RN) license or another Compact State Registered Nurse license valid for practice in North Carolina (Compact license information must first be submitted on the "Compact State Application")
  • Physician Name or Physician License Number and Physician Email Address
  • Practice Information (Practice Name, Practice Address, Office Phone, Email)

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

  • Identification Document (Form available upon submission of application)
  • Official transcript and/or Nurse Practitioner education documents
  • Primary source verification of National Nurse Practitioner Certification (ANCC, AANP, PNCB, AACN, NCC)
  • Licensure Biography (verification) of Nurse Practitioner 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 , if applicable.

Renew Approval

Fee Information: $50.00 (Per Physician renewed for Nurse Practitioner Non-Volunteer status -- Paid Position) or, $10.00 (Per Physician renewed for Nurse Practitioner Volunteer status -- Non-paid Position)

FEES ARE NON-REFUNDABLE

Valid Forms of Payment:

  • Credit or Debit Card; MasterCard or Visa only 
  • Electronic Check (E-Check)*
    • *Per N.C.G.S. 25-3-506, a $35.00 processing fee will be charged for a Electronic Check (E-Check) refused by the bank due to insufficient funds or closed account.

Rule 21 NCAC 32M.0106 or 21 NCAC 36.0806

This application is for the Nurse Practitioner applying for renewal of approval to practice.

"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.

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.

A Nurse Practitioner with an inactive approval to practice status shall not practice as a Nurse Practitioner. Prior to practicing, you will be required to reapply for approval to practice and will need to complete the Approval to Practice Reinstatement application.

Maintaining certification as a Nurse Practitioner by a National Credentialing Body (ANCC, AANP, AACN, PNCB, NCC) is also required. If you have renewed/updated your National Nurse Practitioner Certification since your last renewal, provide an updated copy to the North Carolina Board of Nursing.

Reinstate Approval to Practice

Fee Information: $100.00 (Per Physician reinstated/added for Nurse Practitioner Non-Volunteer status -- Paid Position) or, $20.00 (Per Physician reinstated/added for Nurse Practitioner Volunteer status -- Non-paid Position)

FEES ARE NON-REFUNDABLE

Valid Forms of Payment:

  • Credit or Debit Card; MasterCard or Visa only 
  • Electronic Check (E-Check)*
    • *Per N.C.G.S. 25-3-506, a $35.00 processing fee will be charged for a Electronic Check (E-Check) refused by the bank due to insufficient funds or closed account.

This application is for the Nurse Practitioner applying for reinstatement of approval to practice.

"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.

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 North Carolina Registered Nurse (RN) license or another Compact State Registered Nurse license valid for practice in North Carolina (Compact license information must first be submitted on the "Compact State Application")
  • Physician Name or Physician License Number and Physician Email Address
  • Practice Information (Practice Name, Practice Address, Office Phone, Email)
  • Disclosure of any malpractice claims to be reported and submitted to the Board of Nursing on the Claims Information Form , if applicable.

Add Physician

Fee Information: $100.00 (Per Physician for Nurse Practitioner Non-Volunteer status -- Paid Position); $20.00 (Per Physician for Nurse Practitioner Volunteer Status -- Non-paid Position)

FEES ARE NON-REFUNDABLE

Valid Forms of Payment:

  • Credit or Debit Card; MasterCard or Visa only 
  • Electronic Check (E-Check)*
    • *Per N.C.G.S. 25-3-506, a $35.00 processing fee will be charged for a Electronic Check (E-Check) refused by the bank due to insufficient funds or closed account.

This application is for the Nurse Practitioner adding a new supervising Physician.

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.

Physician Maintenance

Fee Information: There is no fee for this process

This application is for the Nurse Practitioner to:

  • submit additional practice sites to your currently approved practice(s);
  • update the practice information (Practice Name, Practice Address, Office Phone, Email) for an existing approved Physician; or
  • remove an existing approved supervising Physician

Request Inactive Status

Fee Information: There is no fee for this process

This application is for the Nurse Practitioner requesting inactive status for all supervising Physicians.

Remove a single existing approved supervising Physician via the Physician Maintenance application.

Update Compact Registered Nurse License for Nurse Practitioner - Expiration Date

Fee Information: There is no fee for this process

This application is for the Nurse Practitioner to update/change the Registered Nurse information in the North Carolina Board of Nursing's records for another Compact State license. Once the application is submitted, we will verify the information with the Compact State.

If North Carolina is now your primary state of residence, you must apply for a North Carolina Registered Nurse license. Per 21 NCAC 36.0702(2), a nurse changing primary state of residence from one Compact State to another may practice in the new home state (new primary state of residence) with the prior home state’s license, for a period not to exceed 90 days.

Additional Documents

In addition to the online application, additional documents may be required for Registration or Approval to Practice and must be mailed to the North Carolina Board of Nursing. These may include:

Nurse Gateway

Last Changed 11-Aug-2020

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