20 Residency Personal Statement Examples that Matched

Landing a nurse practitioner residency program is a pivotal milestone in any nurse practitioner’s or medical professional’s career. With acceptance rates highly competitive—some nurse practitioner residencies accept fewer than 10% of applicants, according to data from the American Association of Colleges of Nursing (AACN)—crafting a strong personal statement is crucial. A well-written residency personal statement can be the key factor that sets an applicant apart from equally qualified peers.

In this guide, you’ll find example excerpts taken from 20 sample residency personal statements that helped candidates secure spots in competitive programs. We’ll also break down what makes a personal statement successful and offer practical tips for writing your own compelling narrative.

What Makes a Strong Residency Personal Statement?

A residency personal statement should serve as a clear, concise, and authentic reflection of your professional journey, motivations, and aspirations. A strong statement typically includes:

  • Personal Motivation: A compelling story or reason behind choosing the specialty
  • Professional Experience: Specific clinical experiences that influenced career goals
  • Skills and Strengths: Highlighting relevant strengths with real examples
  • Program Fit: A clear explanation of why the applicant is a good match for the specific program
  • Future Goals: How the residency aligns with long-term career aspirations

Crafting a compelling personal statement requires more than simply recounting your experiences. It demands reflection, focus, and a clear narrative that captures your unique journey and aspirations. Before reviewing real examples, it's helpful to understand the key principles behind writing a strong residency statement.

General Tips for Crafting Your Statement

Before diving into examples, here are a few important writing strategies:

  • Be Authentic: Committees can easily spot generic or insincere statements.
  • Stay Focused: Stick to 750-850 words unless the program specifies otherwise.
  • Use Specific Examples: Instead of saying “I am passionate about family care,” describe a formative patient interaction.
  • Tailor to the Program: Mention specific features about the residency that appeal to you.
  • Edit Thoroughly: Grammar and clarity matter. Ask mentors or colleagues for feedback.

Now that you understand the foundational strategies for writing a standout residency personal statement, let’s take a closer look at real examples that helped applicants successfully match with competitive programs. Use these examples as inspiration while crafting your own unique story.

20 Residency Personal Statement Examples that Matched

Here are real-world examples of personal statements that successfully matched candidates to their desired residency programs. (Names and identifying details have been removed or altered slightly for confidentiality.)

1. Family Nurse Practitioner Residency

“Growing up in a rural community where access to healthcare was limited inspired my commitment to providing comprehensive primary care. I seek to continue this mission by becoming a family nurse practitioner who advocates for rural populations.”

2. Acute Care Nurse Practitioner Residency

“My clinical rotations in the ICU fueled my passion for acute care. I thrive in fast-paced environments where critical thinking and compassion intersect, and I am eager to refine these skills through an acute care residency.”

3. Psychiatric-Mental Health NP Residency

“After volunteering at a mental health crisis center during nursing school, I realized my deep interest in supporting individuals through complex mental health challenges. A PMHNP residency will allow me to develop the skills necessary to address mental health disparities in underserved communities.”

4. Pediatric NP Residency

“Caring for children on the oncology floor taught me resilience, compassion, and the importance of family-centered care. Pursuing a pediatric residency will help me provide holistic, empathetic care to young patients and their families.”

5. Emergency Medicine NP Residency

“The adrenaline of emergency medicine excites me, but it is the opportunity to provide stability during moments of crisis that truly drives my passion. I look forward to honing my skills in triage and rapid decision-making through an EM residency.”

6. Women’s Health NP Residency

“During my OB-GYN rotation, I recognized a calling to empower women through education, preventive care, and compassionate clinical practice. A women's health residency will allow me to deliver comprehensive care across the lifespan.”

7. Cardiology NP Fellowship

“When my grandfather suffered a myocardial infarction, I realized the critical role of cardiovascular health and prevention—sparking my dedication to cardiology care. I am committed to advancing my expertise in cardiac patient management.”

8. Oncology NP Residency

“Oncology patients’ resilience and optimism, even during difficult treatments, have inspired my commitment to this field. I seek to deepen my clinical knowledge and emotional resilience through an oncology-focused residency program.”

9. Geriatric NP Residency

“My experience working in long-term care facilities highlighted the importance of holistic, dignity-focused care for the elderly. I am determined to specialize in geriatric care and advocate for aging populations through advanced practice.”

10. Critical Care NP Fellowship

“The fast-paced, multidisciplinary approach required in critical care settings aligns perfectly with my strengths and professional goals. A critical care fellowship will prepare me to confidently manage complex, high-acuity cases.”

11. Orthopedic NP Residency

“I developed a keen interest in musculoskeletal health during my surgical rotations, where restoring mobility directly improved patients’ quality of life. An orthopedic NP residency will allow me to combine surgical knowledge with patient-centered rehabilitation care.”

12. Pain Management NP Fellowship

“My time in a pain clinic opened my eyes to the necessity of balancing pain relief with responsible prescribing practices. A pain management fellowship will enable me to deliver compassionate, evidence-based care to patients coping with chronic pain.”

13. Primary Care NP Residency

“Primary care offers the unique opportunity to build lasting relationships and guide patients through every stage of health. I am excited to develop broad clinical expertise and promote preventive care through a primary care residency.”

14. Neurology NP Fellowship

“Caring for patients with complex neurological conditions challenged and enriched my clinical reasoning skills, sparking a passion for neurology. I aim to contribute to advancements in neurological patient care and research.”

15. Infectious Disease NP Residency

“My interest in infectious disease grew during global health rotations, witnessing firsthand the impact of timely interventions on community health. An infectious disease residency will enhance my ability to manage complex infections with global implications.”

16. Hospice and Palliative Care NP Residency

“Providing end-of-life care taught me that compassion, presence, and effective symptom management are critical to honoring patients’ final journeys. I seek a hospice and palliative care residency to deepen these essential skills.”

17. Surgical NP Residency

“The operating room’s structured, high-stakes environment drew me to surgical practice, where every decision has a profound impact. A surgical residency will help me refine both technical proficiency and perioperative patient care.”

18. Dermatology NP Residency

“During my dermatology rotation, I was amazed at how skin health often reflects deeper systemic conditions, driving my dedication to comprehensive care. A dermatology residency will expand my skills in both medical and cosmetic dermatology.”

19. Addiction Medicine NP Fellowship

“Witnessing the devastating effects of substance use disorders and the profound healing that recovery offers fueled my dedication to addiction medicine. I am committed to supporting recovery journeys through an addiction medicine fellowship.”

20. Community Health NP Residency

“Working at a free clinic highlighted disparities in healthcare access and strengthened my resolve to serve vulnerable populations. A community health residency will enable me to deliver equitable, culturally competent care.”

Final Tips for Success

Your personal statement is your opportunity to go beyond the resume. It should convey passion, commitment, and a clear understanding of your chosen specialty. Take the time to tailor each application and demonstrate why you are not only a strong candidate, but the right fit for the program's culture and mission.

Applying to competitive residency programs can feel overwhelming, but a thoughtful, authentic personal statement can open the door to incredible opportunities. By showcasing your unique experiences, reflecting genuine enthusiasm, and clearly articulating your goals, you can make a lasting impression that sets you apart in a highly competitive field.

Sources

A stuffed bear holds a heart while wearing a stethoscope around its neck.

Pediatric Acute Care Nurse Practitioner DNP

In today's complex healthcare landscape, demand for pediatric acute care nurse practitioners (PACNPs) is steadily rising. According to the U.S. Bureau of Labor Statistics, nurse practitioner roles are projected to grow 38% from 2022 to 2032, much faster than the average for all occupations. This growth is driven by increasing pediatric hospital admissions, workforce shortages, and a heightened focus on specialized care for children with critical conditions.

A Doctor of Nursing Practice (DNP) in Pediatric Acute Care prepares nurses to provide life-saving interventions and lead in fast-paced clinical environments like pediatric intensive care units and emergency departments. This guide offers a comprehensive look at the Pediatric Acute Care Nurse Practitioner DNP degree, highlighting what to expect in the program, how to apply, and the career possibilities that await.

What is a Pediatric Acute Care Nurse Practitioner (PACNP)?

Understanding the role of a PACNP is the first step toward this rewarding career. These advanced practice registered nurses (APRNs) are essential to managing complex, acute, or life-threatening pediatric conditions.

Scope of Practice

PACNPs are trained to deliver comprehensive and high-level care to pediatric patients experiencing acute or life-threatening conditions. Their preparation includes advanced diagnostic reasoning, clinical decision-making, and procedural competencies tailored specifically for the pediatric population. By mastering these core skills, PACNPs are equipped to function autonomously in critical care settings, collaborate effectively with multidisciplinary teams, and ensure the best possible outcomes for children across a wide range of complex clinical scenarios.

  • Conduct comprehensive health assessments
  • Order and interpret diagnostic tests
  • Develop and implement treatment plans
  • Perform procedures such as intubation and central line insertions
  • Collaborate with multidisciplinary teams for holistic care

Work Environments

PACNPs often work in a variety of high-acuity healthcare settings where their advanced training can be fully utilized. These environments demand quick decision-making, deep clinical knowledge, and the ability to collaborate effectively with a multidisciplinary team. Whether managing critically ill infants in intensive care or responding to pediatric emergencies, PACNPs are essential to ensuring timely and effective interventions for their young patients. Common practice settings include:

  • Pediatric intensive care units (PICUs)
  • Pediatric emergency departments
  • Inpatient hospital settings
  • Specialty pediatric clinics (e.g., oncology, cardiology)

Why Pursue a DNP in Pediatric Acute Care?

Earning a DNP offers significant advantages over a master’s degree, especially for nurses looking to lead, innovate, and practice at the highest level of pediatric care. This section outlines the top reasons to consider this advanced degree.

Key Benefits

BenefitDescription
Advanced Clinical SkillsGain hands-on experience in managing critical pediatric conditions with a systems approach.
Leadership DevelopmentPrepare to lead healthcare teams and drive policy and organizational change.
Increased Job OpportunitiesDNPs are in high demand, particularly in academic and high-acuity medical centers.
Future-Proofing Your CareerStay competitive as the American Association of Colleges of Nursing (AACN) advocates for the DNP as the standard for APRN preparation.

DNP Program Overview: Curriculum & Clinicals

Pediatric Acute Care DNP programs blend rigorous academics with immersive clinical experiences. These programs are designed to build deep expertise in both patient care and healthcare systems.

Program Structure

Most DNP programs require 70–90 credit hours and at least 1,000 post-baccalaureate clinical hours. The curriculum typically includes:

Core DNP Courses

  • Evidence-Based Practice
  • Healthcare Policy and Ethics
  • Informatics and Data Management
  • Organizational and Systems Leadership

Pediatric Acute Care Specialization Courses

  • Pediatric Pathophysiology & Pharmacology
  • Pediatric Diagnostics and Procedures
  • Acute & Critical Care Management in Pediatrics
  • Neonatal and Pediatric Resuscitation

Clinical Rotations

Students rotate through diverse settings, including:

  • Pediatric ICUs
  • Emergency departments
  • Specialty pediatric clinics

These rotations are supervised by experienced preceptors and help students gain real-world skills and confidence.

DNP Scholarly Project

Every student completes a capstone project that applies evidence-based practice to solve a real clinical issue. Example: A student might develop a protocol to reduce emergency department wait times for pediatric asthma patients.

Admission Requirements

Prospective students must meet rigorous admissions criteria to ensure readiness for doctoral-level study. Here's what you'll typically need:

RequirementDetails
Educational BackgroundBSN or MSN from an accredited institution
LicensureActive RN license (APRN license if applicable)
GPAMinimum of 3.0 on a 4.0 scale
Work Experience1–2 years in pediatric or acute care nursing
Recommendations2–3 letters from academic or professional references
Personal StatementExplains goals, motivation, and fit for the program
GRE ScoresOften optional, depending on the program

Online vs. On-Campus DNP Programs

Today's nurses need flexible educational options. Fortunately, many DNP programs now offer online or hybrid formats that accommodate working professionals.

Comparison Table: Online vs. On-Campus DNP Programs

FeatureOnline ProgramsOn-Campus Programs
FormatFully online or hybrid with intensivesIn-person classes and clinicals
FlexibilityHigh – ideal for working nursesLower – may require relocation or time off
Clinical PlacementOften arranged locally with supportAssigned by university partners
Peer InteractionVirtual discussion forums, Zoom callsFace-to-face collaboration
Technology RequirementStrong internet, webcam, and computerStandard classroom tools

When choosing a program, ensure it is accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN) and offers strong clinical placement support.

Certification and Licensure

Graduates are eligible to sit for the Pediatric Acute Care Nurse Practitioner certification exam offered by the Pediatric Nursing Certification Board (PNCB). This certification is essential to practice and is recognized nationwide.

Licensure requirements vary by state but generally include:

  • PNCB certification
  • Graduate transcript
  • Proof of supervised clinical hours
  • Continuing education commitments

Career Outlook and Salary

The job outlook for DNP-prepared PACNPs is exceptionally strong, particularly in children's hospitals and academic medical centers.

Practice Settings

PACNPs find roles in high-impact environments such as critical care and emergency settings where quick thinking, clinical expertise, and the ability to manage rapidly evolving health situations are essential. Their specialized training enables them to care for pediatric patients with serious illnesses, trauma, or post-surgical complications. In these demanding environments, PACNPs are integral to decision-making and often serve as clinical leaders who coordinate care, implement evidence-based protocols, and provide support to families during challenging times. These roles not only require advanced clinical skills but also emotional resilience and strong communication abilities.

  • Pediatric Intensive Care Units (PICUs)
  • Emergency Departments
  • Pediatric Cardiology and Neurology Clinics
  • Hospitalist and Specialty Practices

Salary Expectations

Role/SettingAverage Annual Salary Range
Urban Children’s Hospital PACNP$130,000 – $150,000
Rural Hospital PACNP$110,000 – $130,000
Pediatric Specialty Clinic$125,000 – $145,000

Salaries can vary based on experience, location, and credentials. Those with leadership or teaching responsibilities may earn more.

Professional Development and Continuing Education

Lifelong learning is essential in pediatric acute care. PACNPs must complete regular continuing education to maintain certification and stay updated on best practices.

Opportunities for Growth

The Pediatric Acute Care DNP opens doors to advanced roles and specialized career tracks beyond direct clinical care. With this credential, practitioners can shape the future of pediatric healthcare through leadership, innovation, and mentorship. Whether you’re interested in influencing healthcare policy, advancing pediatric education, or leading high-level initiatives in hospital systems, the opportunities are vast and impactful.

  • Post-graduate fellowships in pediatric critical care
  • Roles in healthcare administration and leadership
  • Academic appointments and clinical teaching positions

Joining professional groups such as the National Association of Pediatric Nurse Practitioners (NAPNAP) provides access to webinars, journals, and conferences tailored to pediatric APRNs.

Is a Pediatric Acute Care DNP Right for You?

Choosing this path is a major decision. The ideal candidate is a highly motivated nurse who excels in high-pressure situations and is passionate about caring for children with critical needs.

Speak with current PACNPs, connect with program directors, and consider your long-term career vision. If you are driven by a desire to lead, innovate, and make a difference in pediatric health, this degree is an excellent choice.

Step Into the Future of Pediatric Care

Becoming a Pediatric Acute Care Nurse Practitioner with a DNP is more than an educational goal—it's a mission to improve lives. With advanced training, you'll be ready to handle the complexities of modern pediatric care and influence the future of healthcare delivery.

Now is the time to act. Explore accredited DNP programs, build your application, and move confidently toward a career where your knowledge, compassion, and leadership will make a lasting impact.

Sources

An emergency room with a sign above the door reading Ambulances Only

How to Become an Emergency Nurse Practitioner in 3 Steps

Every year, more than 130 million patients seek care in U.S. emergency departments. They arrive with everything from sprained ankles and deep lacerations to STEMI heart attacks, overdoses, and multi-system traumas—often all in the same eight-hour shift. That volume now collides with an expected shortage of up to 35,000 emergency physicians by 2034, according to the Association of American Medical Colleges. Nurse practitioners (NPs) are filling the gap. The U.S. Bureau of Labor Statistics (BLS) projects NP employment will grow 45 percent between 2022 and 2032, while median NP pay already exceeds $132,000.

If you thrive on split-second decisions and the controlled chaos of an ED, earning an Emergency Nurse Practitioner (ENP) credential can raise both your autonomy and your earning power. Glassdoor lists the average ENP base salary at $118,700, and Level I trauma centers often advertise starting pay above $ 140k with shift differentials. The three-step roadmap below—graduate education, clinical practice, and national certification—shows how to transition from a bedside RN to a board-certified ENP without sacrificing work–life balance.

What Does an Emergency Nurse Practitioner Do?

Emergency nurses (NPs) assess, diagnose, and manage acute injuries and illnesses in hospital emergency departments, urgent care centers, and freestanding emergency departments (EDs). Their hybrid scope blends primary-care breadth with high-acuity depth:

  • Initial stabilization: triage, airway management, and ACLS/PALS algorithms
  • Diagnostics: ordering and interpreting labs, X-rays, CT scans, and bedside ultrasound
  • Procedures: suturing, fracture reduction, wound debridement, foreign-body removal, lumbar puncture, chest-tube insertion, and procedural sedation
  • Pharmacologic management: rapid-sequence-intubation meds, thrombolytics, vasoactive drips, broad-spectrum antibiotics
  • Care coordination: trauma bay hand-offs, in-house admissions, or safe discharge with follow-up

ENP vs. FNP vs. AGACNP

Family nurse practitioners (NPs) focus on longitudinal primary care, and Adult-Gerontology Acute Care NPs concentrate on in-hospital care for adults. ENPs, by contrast, train for episodic, all-ages emergencies where the mantra is "rule out worst case—now." They must think in minutes (sometimes seconds), lead resuscitations, and manage undifferentiated complaints ranging from sepsis to pediatric head trauma.

Step 1. Complete the Right Graduate Education

Most future ENPs begin with an MSN or DNP that focuses on the Family Nurse Practitioner (FNP) population. FNP eligibility is required because the American Academy of Nurse Practitioners Certification Board (AANPCB) layers its ENP specialty exam on top of FNP credentials. You have two academic options:

ENP Concentration Embedded in Your Degree

Choose an FNP program that integrates emergency-specific courses, such as Trauma Management, Emergency Pharmacology, and Procedural Skills for the ED—plus 600–700 supervised emergency clinical hours. These programs usually run 48–50 credits over seven or eight semesters and include two or three on-campus skills residencies for ultrasound, suturing, and simulation mega-codes.

SemesterCore CoursesEmergency-Focused Courses
1Advanced Pathophysiology
2Advanced Health Assessment
3Primary Care of Families IEmergency Pharmacology
4Primary Care of Families IITrauma Across the Lifespan
5Evidence-Based PracticePoint-of-Care Ultrasound
6Capstone ProjectENP Clinical Practicum I (240 hrs)
7ENP Clinical Practicum II (240 hrs)

Post-Master's ENP Certificate

Already an FNP? A 15- to 21-credit certificate allows you to continue working while adding the emergency skill set in as little as 12 months. Admissions requirements typically include:

  • Unencumbered RN and APRN licenses
  • 3.0 or higher graduate GPA
  • One year of current ED or urgent-care experience (varies by school)

Program snapshot

TrackCreditsED Clinical HoursCampus IntensivesTypical Tuition
Post-MSN ENP Certificate186002 weekend labs$16 k–$20 k

Compare additional options in our online FNP program directory to find the best fit for your timeline and budget.

Step 2. Accumulate Hands-On Emergency Experience

AANPCB offers three eligibility routes; the most common—Option 1: Practice Hours—requires:

  • 2,000 hours of direct ED practice as an FNP within the past five years
  • 100 emergency-specific CE hours, at least 30 covering advanced procedures

Strategies to Log Hours Efficiently

Clinical SettingKey AdvantagesTypical Challenges
Level I Trauma CenterComplex cases, high procedural volume, in-house specialistsFast pace, steep learning curve
Rural Critical-Access HospitalBroad autonomy, overlapping ED/inpatient rolesLimited specialty backup; heavy tele-consult
Urgent-Care NetworkHigh patient throughput; ortho & derm proceduresLimited exposure to major trauma
NP Emergency FellowshipStructured mentorship, guaranteed case mix, board-review sessionsFellowship stipend often below staff-NP salary

Many graduates pursue 12-month NP emergency residencies at academic medical centers. Fellowships bundle 2,000-plus hours of mentored clinical time with weekly didactics on toxicology, disaster medicine, and point-of-care ultrasound (POCUS), fulfilling both practice and CE requirements in one year.

Step 3. Earn National Certification and State Licensure

AANPCB ENP-C Exam at a Glance

Exam FeatureDetails
Question Count150 total (135 scored, 15 pilot)
Domains CoveredCardiovascular, Respiratory, Trauma, Neurologic, Infectious Disease, Procedures, Pediatrics, Pharmacology
Testing FormatComputer-based at PSI centers; four-hour window
Fees (2025)$365 AANP members / $465 non-members
Passing StandardScaled score of 500 (range 200–800)
RecertificationEvery five years: 1,000 clinical hours + 100 CE hours or re-exam

After you pass, request primary-source verification be sent to your state board. Practice authority varies:

  • Full — Evaluate, diagnose, and prescribe independently (e.g., Washington, Arizona)
  • Reduced — Collaborative agreement for one element of practice (e.g., New York)
  • Restricted — Supervising physician required for most care elements (e.g., California)

Consult our state-by-state NP licensure guide before signing any employment contract. In certain states ENP-Cs can serve as Level IV trauma team leaders; others limit procedural-sedation privileges.

Continuing Education and Professional Development

Emergency care evolves rapidly—new sepsis bundles, airway algorithms, and ultrasound protocols emerge yearly. Keep your skills sharp by:

Salary and Job Outlook for Emergency NPs

RoleAverage SalaryData Source (2025)
All Nurse Practitioners (Median)$132,050BLS
Emergency Nurse Practitioner$118,700Glassdoor
ED NP — Level I Trauma Center, Chicago$142,400Hospital HR postings
Travel ENP Contract (13 weeks)$3,100–$3,400 wk + housingAya Healthcare

Top-Paying States for NPs (All Specialties)

CaliforniaNevadaWashingtonNew JerseyOregon
$161,540$148,670$145,400$145,030$144,950

High wages reflect 24/7 shift differentials, signing bonuses, and rural-access incentives. Demand is strongest in rural EDs, coastal hurricane zones, and urban trauma centers where boarding times stretch resources.

Real-World Challenges and Quick Wins

Common HurdlePractical Solution
Securing preceptorsTap alumni and LinkedIn; offer to cover malpractice tail for physician mentors
Shift-work fatigueNegotiate block schedules (three-on/four-off) and on-site sleep pods for night staff
Violence in the EDComplete Crisis Prevention Institute (CPI) training; advocate for security staffing
Certification anxietyForm peer study groups, use AANP flashcards, and sit for the exam within 30 days of a review course

Career Advancement Paths

  • Trauma NP or ED Team Lead: Manage resuscitation bays and mentor new ENPs
  • Flight/Transport NP: Provide critical care in rotor- or fixed-wing aircraft; requires CAMTS or equivalent training
  • Academic Faculty: Teach in MSN/DNP ENP tracks and precept students
  • Tele-Emergency NP: Deliver real-time consults to rural EDs via high-definition video—a rapidly expanding post-pandemic field

Where Emergency NPs Work

Employer TypeExample Organizations
Level I Trauma CentersMassachusetts General Hospital, Harborview Medical Center
Pediatric EDsChildren's Hospital of Philadelphia, Texas Children's Hospital
Rural Critical-Access HospitalsLincoln County Hospital (KS), Delta Health (CO)
National Urgent-Care ChainsCarbon Health, CityMD, GoHealth
Government & MilitaryVeterans Health Administration, U.S. Army Health Clinics
Global Humanitarian OrgsMédecins Sans Frontières, Team Rubicon

Next Steps: Launch Your ENP Career

  1. Compare accredited ENP-ready programs in our directory to find out about tuition, clinical hour requirements, and on-campus intensives.
  2. Map out your 2,000 practice hours—consider a one-year fellowship if you crave structured mentorship, or moonlight in urgent care while finishing school.
  3. Schedule the AANPCB ENP-C exam for a date that keeps momentum high, then celebrate your new initials with your first independently led resuscitation.

Ready to begin? Explore current online ENP programs or benchmark offers using our NP Salary Guide—then leap into emergency-care leadership.

Sources

  1. U.S. Bureau of Labor Statistics. Nurse Practitioners: Occupational Outlook Handbook (2025).
  2. Association of American Medical Colleges. The Complexities of Physician Supply and Demand (2024).
  3. American Academy of Nurse Practitioners Certification Board. ENP Certification Qualifications (2025).
  4. Glassdoor. Emergency Nurse Practitioner Salaries (accessed May 2025).
  5. Emergency Nurses Association. Workforce Injury and Violence Report (2024).
  6. American Academy of Emergency Nurse Practitioners. Scope of Practice for ENPs (2024).

Nurse Practitioner Practice Authority

Nurse Practitioners (NPs) are advanced-practice registered nursing professionals who can perform some of the same duties as medical doctors. Their scope of practice is defined by the state in which they practice, with some states requiring supervision from a physician. Be sure to understand whether your state has full practice authority (FPA) or supervised practice authority and what that entails before making a final decision regarding your career path.

Definition: What Is Practice Authority?

Full practice authority is the highest level of practice granted to NPs in the states that allow them to practice without physician supervision. According to the American Association of Nurse Practitioners (AANP), there are three distinct categories of FPA versus supervised practice authority, as follows:

Full Practice

In 28 states, as well as the District of Columbia, nurse practitioners have full practice authority. This means that NPs can evaluate, diagnose, and order diagnostic tests. They can also manage patient treatment by prescribing medications under the state Board of Nursing. This FPA model is recommended by the National Council of State Boards of Nursing as well as the National Academy of Medicine. The U.S. Department of Veterans Affairs (VA) has also permitted full practice authority to APRNs including nurse practitioners.

Reduced Practice

Under this form of supervised practice authority, state laws reduce the role of NPs in one or more aspects of their practice. Under reduced practice status, NPs must collaborate with another health provider, typically a physician, to provide patient care. Some states may also limit the setting in which nurse practitioners can practice.

Restricted Practice

Under restricted practice authority, a state’s licensure laws restrict an NP’s ability to act in one or more elements of their practice. Nurse practitioners require career-long supervision or team management in order to provide care.

Practice Authority by State

Knowing your state’s level of practice authority will give you a better idea of what kind of role you’ll be able to perform as an NP. Check the map below to find out what kind of nurse practitioner practice authority your state permits:

Source: AANP

Pros and Cons of Being an NP with Full Practice Authority

According to the U.S. Bureau of Labor Statistics, there is a great need for nurse practitioners, with job growth projected at 38% through 2032, far higher than the average for all jobs. With a national average salary of over $62 per hour (as of 2023), there are many perks to this job. However, there are also other pros and cons associated with being an NP with full practice authority.

Pros of Being a Nurse Practitioner with FPA

  • We already mentioned the lucrative salary associated with the role, which makes this a solid job choice. 
  • NPs receive the same professional recognition as physicians and perform many of the same roles. Nurse practitioners can head departments, serve on boards, teach, and become provosts.
  • There are tangible and intangible rewards for working in medicine and those who want to give to others can truly make a difference. As an RN, there is much to gain from transitioning to a nurse practitioner role, including a wider scope of practice. 

Cons of Being a Nurse Practitioner with FPA

  • As an NP with an expanded role, you can expect to work long hours. This can make it hard to coordinate family time and pursue other interests and may result in chronic fatigue.
  • There is currently a shortage of nurses and doctors, meaning that nurse practitioners typically carry a large patient load on a daily basis. Overwork can lead to stress and anxiety. 
  • FPA NPs often perform the same care as physicians but make much less money. This makes the role less attractive to some RNs considering their next career move. 

If you are considering a career as a nurse practitioner, consider the practice authority in your state and think about shadowing a current NP. Extensively research what the job involves so that you can make an informed decision.

How Does an NP with Full Practice Authority Differ from a Physician's Assistant or Medical Doctor?

While nurse practitioners with FPA have a high level of responsibility and perform duties that overlap with other medical professionals, there are many differences between the roles of an NP versus a physician assistant (PA) or Medical Doctor. Consider the broad overview of each of these roles below:

MD

The term physician denotes two degree types, an MD (doctor of medicine) or a DO (doctor of osteopathic medicine). The following general responsibilities will vary based on a doctor’s specialty:

  • Diagnosing and treating illness or injury
  • Documenting medical histories
  • Updating charts with current findings and treatment changes
  • Prescribing diagnostic tests for other healthcare professionals to conduct
  • Reviewing test results
  • Prescribing treatment plans
  • Addressing concerns that patients have regarding their health

NP

Nurse practitioners start as RNs and take additional training to become NPs. Besides the duties of a regular RN, nurse practitioners perform the following functions:

  • Ordering and interpreting diagnostic tests, including X-rays and lab work
  • Treating acute and chronic conditions such as high blood pressure, diabetes, injuries and infections
  • Prescribing medications (with FPA or under supervision)
  • Co-ordinating patients' care
  • Counseling patients on disease prevention and positive lifestyle choices

PA

Physician assistants follow a separate educational path from NPs or MDs. Their duties may include:

  • Taking a client’s medical history
  • Conducting exams
  • Ordering and interpreting tests
  • Developing treatment plans
  • Treating illnesses
  • Writing prescriptions
  • Counseling on preventive care
  • Making hospital and nursing home rounds
  • Assisting in surgery

Whereas an NP with full practice authority can work independently, PAs require formal supervision by a physician. The doctor doesn’t have to be present, but the PA must be able to reach the doctor by telecommunication.

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Nurse Practitioner Accreditation Organizations

Completing an online nurse practitioner program is an exciting time for nurses who want to improve their career potential or change their career fields. Nurses who plan to work in a particular sub-specialty or want to enjoy a better salary should understand the importance of accreditation and how to choose an accredited online nurse practitioner program.

Discover the reasons why accreditation is important when you pursue an online nurse practitioner program.

Accreditation – What Is It?

Accreditation of an online nurse practitioner program helps to ensure the integrity and quality of the program. It supports the interests of nursing education, the nursing practice in general, the interests of the public, and public health. It also serves as a non-governmental and external peer review process. Accrediting agencies operate according to nationally recognized standards and serve as a means of supporting continuous growth and continuous improvement in collegiate nursing programs.

Nursing program accrediting agencies develop the criteria and standards for nursing program accreditation and foster trust in the accrediting process. They ensure autonomy and fairness in deliberations related to the decision-making process. Accrediting agencies serve as a means of recognizing those educational institutions and nursing programs that meet and exceed the criteria and standards set for accreditation. They encourage nursing programs, including those offering online nurse practitioner programs, to develop graduates that are both capable nursing professionals as well as socially responsible citizens.

Accrediting Organizations for Online Nurse Practitioner Programs

There are two nursing accrediting organizations: the Accreditation Commission for Education in Nursing (ACEN) and the Commission on Collegiate Nursing Education (CCNE). Both agencies are equal in terms of properly accrediting online nurse practitioner programs. Each organization has a set of goals and a mission that focuses on being a supportive partner in the strengthening of nursing education programs, including nurse practitioner programs.

The ACEN and the CCNE also focus on valuing and fostering innovation in programs to be accredited, and with the accreditation process. Both organizations have some differences in how they state their mission and goals, yet the accreditation standards are the same.

Accreditation Commission for Education in Nursing (ACEN)

The ACEN is recognized as an accrediting body for nursing education by the U.S. Department of Education, along with the Council for Higher Education Accreditation (CHEA).

The Accrediting Commission for Education in Nursing abides by strict accreditation requirements for an online nurse practitioner program. The ACEN accreditation extends to online programs, along with traditional classroom learning environments. The ACEN also considers the nurse practitioner program’s compliance with the established criteria and standards in the context of the mission and philosophy of the particular nurse practitioner program.

ACEN accreditation, including online nurse practitioner programs, includes factors such as:

  • Specialized accreditation is mandatory for education programs that prepare nurses for the advanced practice role of a nurse practitioner
  • ACEN accreditation heightens faculty member and administrator awareness of areas needing improvement
  • The ACEN meets the mandated accreditation requirements of many state regulatory agencies for licensure and requirements set by many nurse practitioner employers
  • The organization requires that a college, university, or program offering a nurse practitioner program demonstrates its ability to meet the necessary educational quality standards.

Commission on Collegiate Nursing Education (CCNE)

The Commission on Collegiate Nursing Education (CCNE) is an accrediting body that helps ensure the quality and integrity of baccalaureate, graduate, and residency programs in the nursing field. The agency encourages and supports ongoing self-assessment, improvement, and growth of nursing programs, including online nurse practitioner programs.

Some points regarding how the CCNE provides accreditation activities for online nurse practitioner programs include:

  • Maintains integrity through fairness, honesty, and consistency
  • Assesses and identifies the NP programs that engage in effective educational practices
  • Holds online nurse practitioner programs accountable by ensuring that the program offers a demonstrated mission, goals, and appropriate outcomes that prepare students to fulfill their expected role as nurse practitioners

Is Accreditation the Same as Approval from My State’s Board of Nursing?

Accreditation serves a different function when compared to a state Board of Nursing (BON). The state Board of Nursing gives a particular nursing school or program approval to operate within the specific state. A BON provides authorization for the educational institution to enroll and graduate students.

Students who complete a program with their state’s Board of Nursing approval can potentially sit for certification and licensure exams. These points make the state BON an essential tool for prospective online nurse practitioner students.

Nursing program accreditation is facilitated by a national accrediting agency approved by the U.S. Department of Education. Accreditation ensures that the online nurse practitioner program adheres to the high levels of the particular profession.

Another difference between accreditation and approval is that the state Board of Nursing’s approval is required by law. In contrast, accreditation of a nursing program is a voluntary process. It is recommended that students choose an online nurse practitioner program that is both state BON-approved and properly accredited.

What Happens if I Don’t Choose an Accredited Online Nurse Practitioner Program?

Although accreditation is voluntary, there are advantages to completing an accredited online nurse practitioner program. Graduating from an accredited program indicates that you completed the requirements of a high-quality online nurse practitioner program that has been evaluated and vetted professionally.

If you do not choose an accredited program, several downfalls and possible consequences exist. Many states now require that an NP’s degree come from a program with specialized accreditation recognized by the U.S. Department of Education. Nurses who complete an unaccredited online nurse practitioner program risk being:

  1. Unable to transfer nursing credits
  2. Ineligible to take certification exams
  3. Rejected by potential employers

Nurses who graduate from an accredited program typically enjoy higher salaries and improved career options than nurses who do not complete an accredited program.

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Guide to Enrolling In an Online Nurse Practitioner Program

Deciding on an online nurse practitioner program is just the first step of the journey. Getting that acceptance letter and figuring out how to pay for your program should be your next goal. Our tips below will help you through the application process and lay out your best options for paying for your online NP education. Having a plan for each of these important steps will help you transition into your program as smoothly as possible.

Applying For an Online Nurse Practitioner Program

Nurses who are serious about applying for an online nurse practitioner program need to know how to apply for school – don’t let something silly such as forgetting to pay a fee or dropping the ball on requesting transcripts keep you from achieving your dreams. The process begins with researching schools and examining the application process.

Prerequisites

Each institution and program has specific prerequisites. In order to receive an acceptance letter, students may need to have a specific GPA, type of licensure, or score on an entrance exam. Prerequisites vary based on the institution, program level, and specialization.

For example, applicants for an MSN program may need to hold a BSN from an accredited institution and have at least a year of clinical experience. Students may need to submit their resume or CV as well as sealed official transcripts from all other schools they have attended. Programs may also require written statements, letters of reference, interviews, and video essays.

Some programs may allow provisional acceptance for students. This means that institutions grant approval based on the fulfillment of prerequisites during the student’s first semester in school. In some cases, an MSN program may admit an RN with a bachelor’s degree in a separate field, but this student may have to take additional coursework. If you don’t meet all the requirements for your school of choice, it may be worth looking into whether provisional acceptance is an option for you.

Filling Out the Application

Prospective students should be as thorough as possible when filling out the application. Some tips to make the process easier include:

  • Pay attention to application periods and deadlines – you will want to be sure you have the application completely filled out, all fees paid, and all required documents delivered to the school within the application period and before the deadline passes
  • Prepare a professional resume, ask for recommendation letters, and request official transcripts ahead of time
  • Five weeks before the application, start requesting transcripts and references if required
  • The application will also likely come with a fee – be sure you don’t forget to submit payment for any fees associated with the application

Filling out the application can be direct and straightforward, but nurses who want to stand out in the process can go above and beyond by:

Shadowing a Nurse Practitioner

Shadowing your favorite nurse practitioner for a few days can help you stand apart from other students. First, you can reference the time you spent shadowing your NP in your application. This shows how serious and determined you are. Second, your NP can write a recommendation on your behalf to really make your application shine.

Volunteering

Everyone loves seeing worthy extracurricular actions, like volunteering. While this may not be required, it certainly catches the attention of admissions officers. Plus, it’ll give you relevant and valuable experience while you plan out your career and get your application ready.

Interviews and Personal Essays

Most schools require personal essays or a written statement of goals as part of the application process. Students should use these essays to describe their strengths and the skills they can bring to the program, as well as why they are pursuing this program in the first place.

Take your time and be thoughtful with personal essays and goal statements. Make sure you have caught any grammar or spelling mistakes, and consider having a friend or colleague proofread it for you. A few drafts may be needed before you land on the final version, so allow yourself plenty of time for these written requirements.

If a school requires prospective students to interview with a faculty member (either in person or via phone/video chat), they should prepare. Searching for questions commonly asked during these interviews and preparing answers based on personal experience is important.

Tips for standing out during your interview:

  • Be confident. Nurses should be able to display reliability, stability, and confidence at all times. Your interviewer will be able to pick up nervous habits and mannerisms. It may help to practice in front of a mirror or with friends until you feel secure.
  • Be assertive. Interviews are an excellent opportunity to showcase your kindness, compassion, and strength of will. Make eye contact and answer questions with cheer and friendliness.
  • Communicate effectively. Nurses need to be able to communicate with other healthcare professionals and patients. Patients lose faith in their nurse when their nurse seems unsure, ends each statement like a question, and doesn’t take control of a situation.
  • Don’t rush the interview process. Prospective students should take their time and answer all questions thoughtfully. This is your opportunity to show the faculty that you will be an asset to their program.
  • Be professional. Like a job interview, show up on time (or better yet – early!), wear professional clothing, and have copies of your resume and references on hand. If you are doing a phone or video interview, be sure that your surroundings are appropriate and quiet, and that your technology (phone, computer, internet, etc.) is working properly. Prepare any questions you may have for the faculty regarding the program – this is also your chance to interview them to be sure the program is the right fit for you.

Acceptance/Denial Letters

Acceptance and denial letters generally arrive faster than they once did, and are often delivered electronically instead of via a mailed letter. In many cases, these letters arrive in just a couple of weeks – most schools will have information on when their acceptance letters are sent on their website. For those who receive a denial, it is often worth asking about waitlist options and examining any missing prerequisites or exam scores – some schools may offer provisional acceptance if the student can complete the missing courses or exam within the first few semesters of the program.

How to Pay for an Online Nurse Practitioner Program

Many students still need some form of financial assistance to get through an online nurse practitioner program. Fortunately, students have access to scholarships, loans, grants, and other financing options. Having an idea of your online program’s costs will help you plan out the best way to pay for it without going broke.

Scholarships

Scholarships are available for those entering NP programs, including those available solely online. Typically, scholarships are reserved for those pursuing a degree-based program. The American Association of Nurse Practitioners, for example, offers scholarships for students pursuing an NP education at a variety of degree levels.

Some organizations require students to write an essay to obtain a scholarship, while other prizes are merit-based and take into consideration grades and academic achievements.

Loans

Loans can be a good option for some students. Private and federal student loans are both available, and each has different benefits. For example, federal loans may come with loan forgiveness in the future, and these loans also come with varying options of repayment.

Student loans have some downsides. You may find yourself in a position where paying back these loans can be a struggle, especially if you have loans from a previous BSN or MSN. It’s a good idea to consider all the pros and cons of loans (including comparing interest rates) before deciding on this option.

Grants

Grants are like scholarships in that you do not have to pay them back. Grants are often given by organizations, trusts, and other entities, sometimes to groups and other organizations. Individual students can also apply for grants.

Cash/Savings

Some students opt to pay cash upfront or set up a payment plan with the institution itself. This helps students avoid loans, including interest. Students can pay upfront for their education and not have to worry about debt in the future.

Paying with cash can have some downsides. For example, some schools that allow students to set up payment plans will charge a fee. Of course, paying now rather than later also means that most students need to work while going to school and doing their clinical hours for the program.

Work Reimbursement

Certain employers may provide various programs to help nursing students advance their careers. Tuition reimbursement helps those who want to continue their education while working. Employers benefit when their nurses go to school to further their education, so many are willing to reimburse tuition for prospective NPs. If your employer offers tuition reimbursement, be sure to collect all the information and stipulations on this option before you move forward with it, as some employers will require you to commit to working for them for a certain period of time upon completion of the program – or risk having to pay back the tuition yourself. Being clear about the rules will help you avoid any surprises down the line.

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Nurse Practitioner Licensing & Certification

After completing a Bachelor’s of Science in Nursing (BSN) degree and perhaps gaining some experience as an RN, many nurses are ready to take their careers to the next level by becoming licensed and certified Nurse Practitioners (NPs). This means completing a nurse practitioner or advanced practice nursing program (with many online program options available) to obtain a Master’s of Science in Nursing (MSN) or higher.

The state in which a nurse resides, as well as their career ambitions, may necessitate the need to complete a Doctor of Nursing Practice (DNP) degree or a Ph.D. in a related field, but the MSN is typically the next step after securing the BSN.

Becoming Licensed as a Nurse Practitioner

The requirements to become a licensed nurse practitioner vary by state. There is a campaign that may lead all states to coordinate their licensing requirements in the future. As of today, many states have not conformed, so it's important that nurses check requirements for their state before starting the journey from RN to NP.

Many states ask RNs to apply for Advanced Practice Registered Nurse certification, otherwise known as APRN. An APRN is an RN who has completed educational programs beyond the BSN and is permitted to perform a wider range of clinical duties, including delivering more direct care to patients with or without the supervision of a doctor.

Nurse practitioners fall under the umbrella term APRN (though APRNs can be more than nurse practitioners, as outlined by the APRN Consensus Model). Some states have nurse practitioner certifications while others refer to it as APRN certification. Either way, the qualifications vary from state to state and may change at any time.

For example, RNs need the following qualifications to apply for Texas APRN certification:

  • $100 – $150 fee, depending on the need for prescriptive authority
  • RN license
  • Completion of an accredited advanced practice nursing educational program
  • National certification in the correct role and patient population (should match the completed advanced practice nursing program)
  • At least 400 hours of experience working in the role correlated to the advanced practice nursing program
  • At least 20 contact hours of continuing nursing education

Compare that to Utah, where RNs must submit fingerprint cards, national certification, and transcripts from qualifying MSN or DNP programs. The transcripts must reflect a specific list of coursework to qualify.

Steps to Nurse Practitioner Licensure

To get a general idea of what it takes to become a nurse practitioner, nurses can consider the following steps that lead to state licensing:

  1. Complete an accredited online nurse practitioner or advanced practice registered nurse educational program. Nurses should select a program that will meet all licensing requirements for the state in which they want to practice.
  2. Secure national certification. We'll talk more about this in a moment.
  3. Obtain experience in the chosen specialization, if required by the state. Nurses may want to work as an RN for a while even if it isn't required because it will deliver the hands-on expertise needed to work as a successful NP.
  4. Gather all documentation needed to prove the nurse’s qualifications for state licensing.
  5. Complete the application for state licensing and send in all supporting documentation. Many states now make it easy to apply online.

Nurse Practitioner Certification

After completing an online nurse practitioner educational program, nurses are required to select an area of specialization. These will correlate with the NP degree program concentration, examples include Adult-Gerontology, Pediatrics, Psychiatric-Mental Health, and others. This will determine the role they may take when entering the field as an NP and what population of patients they may serve.

Nurses need to secure national certification by passing a national certification exam, and each specialty has its own examination. Nurses should do this before applying for state licensing because most states want to see proof of certification before approving a license application.

In most cases, certification is reserved for nurses with at least a valid RN license and a specialized NP degree from an accredited educational institution. Qualifications may also include completion of a certain number of clinical hours. As always, it is imperative that prospective NPs check all the guidelines and requirements for the certification exam they intend to take.

Available national certification boards include:

Nurse Practitioner Certification Exam Tips

You've completed your graduate degree and are ready to become certified as a nurse practitioner in your specialty of choice – the only thing left to do is pass the certification examination. Tests can be nerve-wracking, but you can improve your chances of success by following these tips to prepare for exam day:

  1. Work through a study book for your NP certification exam and take all available practice tests. The more you test your knowledge, the more confident you will feel going into the exam. You can find at least one review book online for most NP certification examinations.
  2. Learn deep breathing techniques to calm your nerves. Test anxiety can slow your thinking and make it difficult to focus on the exam. Taking deep breaths to slow your heart rate and center your mind on the task at hand can help.
  3. Give yourself time to study. If you schedule your exam immediately after finishing your educational program, you may not have time to prepare for the test. Don't assume that you will remember everything if you act fast. It's important to give yourself at least three or four weeks of dedicated study. Pick a realistic test date if you have trips or other distractions planned.
  4. Make sure you're well-hydrated and rested during your study period as well as on exam day. You're more likely to get in productive study hours and sleep soundly the night before the exam if you're on a consistent sleep schedule before that final night of rest.
  5. Team up with someone else studying for the same certification exam. Not only can you quiz one another, but you'll have someone to vent to when the intense study schedule and anxiety becomes too much. Your family and friends may not understand what you're going through.
  6. Don't stay up late cramming the night before the exam. If you don't know the information by then, you're not likely to retain it during an intense all-nighter. It's better to have a healthy meal, de-stress as much as possible, and get a good night of sleep.
  7. Make sure you know where the exam is held in advance. You don't want to get lost or follow Google around in circles while your start time ticks by. Plan to leave early so that time doesn't become an added stress.
  8. Wear comfortable clothing that looks professional. You don't want wardrobe malfunctions or discomfort while sitting for long periods, but you also want to feel like a well-trained professional who is ready to ace a big exam.

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How to Become a Nurse Practitioner

Online Requirements and How to Become a Nurse Practitioner

Many RNs in the United States wish to enroll in online specialty nurse practitioner (NP) programs to increase their employment options, the scope of practice, and salary. Online NP programs, in particular, can make this endeavor much easier for working RNs and those with families or otherwise busy schedules. All NP students must hold a current, unencumbered license as a registered nurse (RN) before applying to a particular university or online nurse practitioner program. Prospective students must also comply with all pre-requisite requirements and professional requirements.

How to Enroll in an Online Nurse Practitioner Program

Some considerations before enrolling in an online Nurse Practitioner program include the cost of tuition per credit hour or course, the length of a particular program, and the attributes of the nurse practitioner program offered by the school. Students must also decide if they want to pursue a Master's of Science in Nursing (MSN), a Post-Master’s Certificate (for RNs who already hold an MSN degree), or a Doctor of Nursing Practice (DNP). Each of these pathways can lead to a nurse practitioner specialty degree, but require different time commitments and prerequisites, so nurses should consider their long-term career goals before deciding on the degree level they wish to obtain.

Another important element of enrolling in an online nurse practitioner program is making sure that you comply with all state requirements and admissions requirements for your university of choice, including the requirements of the specific nurse practitioner program you wish to enroll in.

Step 1: Admissions Requirements

Nurses must meet all admissions requirements before enrolling in an online nurse practitioner program. Schools will often have prospective students apply to the school, and then to their NP program of choice.

While admissions requirements will vary based on state, school, degree level, and other factors, most requirements for online NP programs include the following:

  • Proof of BSN or MSN degree completion from an accredited school (submission of transcripts)
  • Minimum of at least one year of full-time clinical experience as a registered nurse
  • Minimum of 3.0 GPA on 4.0 scale
  • Active, unencumbered licensure as an RN
  • Professional letters of recommendation
  • Essay or other personal statement may be required

Step 2: Find an Accredited Online Nurse Practitioner Program

Completing a non-accredited program means that you will not meet the requirements for nurse practitioner licensure in any state. Furthermore, nurses who complete a program that is not properly accredited will likely not be able to find work, even upon nurse practitioner program completion. The bottom line is that it's just not worth the risk to enroll in an online NP program that does not have proper accreditation.

Nurse practitioner programs throughout the U.S. are typically accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN).

Online Nurse Practitioner Programs by State

To see online nurse practitioner program options near you, select your state below. Find more information about degree levels and specialty availability.

Step 3: Nurse Practitioner Specialty Tracks and Online Curriculum

There are several specialty tracks available for nurse practitioners to focus on the area of care that they have a passion for. The following are the most popular NP specializations:

While most online programs are offered in an entirely web-based format (with the exception of clinical requirements), some NP programs are offered in a hybrid format. This means that there are some limited face-to-face requirements. Most course requirements are still completed online.

Online coursework for nurse practitioner programs will vary based on the specialty track chosen and the degree level. However, almost all NP programs will require the following courses (often referred to as the "3 P's"):

  • Advanced Physical/Health Assessment
  • Advanced Pathophysiology
  • Advanced Pharmacology

Step 4: Scheduling Options

Scheduling options refer to the ability to complete a program in the format that a nurse needs or prefers, and whether there is flexibility in the delivery of the course. Some students need part-time program options, while other nurses are able to complete a full-time program.

The advantage of enrolling in an online nurse practitioner program includes the flexibility of moving through coursework. Most programs allow students to study on their own time and to fit courses in when it's convenient. Occasionally, courses will be delivered in asynchronous format, where students and instructors are online at the same time. Many programs contain a mix of synchronous and asynchronous online courses.

Step 5: Licensing and Certifications

Licensing for nurse practitioners takes place at the state level and signifies that the NP is legally allowed to practice within that state. Each state's Board of Nursing will have specific requirements for becoming licensed as an NP and maintaining that license.

Certification happens at the NP specialty level and typically requires passing an examination. For example, upon completing a Pediatric Nurse Practitioner program, a student would want to take the Certified Pediatric Nurse Practitioner (CPNP) exam through the Pediatric Nursing Certification Board. Check with the American Association of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC) for more NP credentialing information.

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Nurse Practitioner Salary – By Specialty & State

Upon completing an accredited and approved online nurse practitioner program, an NP can expect to enjoy a rewarding career that allows for considerable opportunities to provide hands-on care and treatment in today’s growing healthcare field. In addition, the financial rewards of obtaining an advanced degree as a nurse practitioner are greater than in a number of other industries. According to the Occupational Outlook Handbook compiled by the Bureau of Labor Statistics (BLS), the median pay for nurse practitioners in 2022 was $125,900 per year, compared to $81,220 per year for registered nurses

Compare Nurse Practitioner Salary By State & City

This tool will allow you to easily search and compare the average salaries of nurses for many cities and locations across the U.S. You can search by city and state. Salary data is provided through the BLS.

Select Career Type

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Salary by Nurse Practitioner Specialty

When a nurse practitioner specializes, they open up even more opportunities for their career and compensation. While each specialty will have different pay scales, many of them are in-demand areas of healthcare that can command lucrative salaries. The particular salary of a nurse practitioner who specializes depends on a number of factors, but the information below provides a broad overview of what can be expected. (Note: Glassdoor.com salaries don’t always distinguish between specialty levels)

Acute Care Nurse Practitioner Salary

With a specialization as an acute care nurse practitioner, you could earn well over $100,000 annually. Employers in the northeast portion of the United States, such as those located in New Jersey and Massachusettes, tend to pay higher-than-average salaries for those who hold an acute care nurse practitioner specialization. The southern states, notably Florida and Alabama, pay salaries that are below the national average. 

The table below represents the current median Acute Care Nurse Practitioner salaries according to three popular salary reporting websites:

Glassdoor.comPayscale.comSalary.com
Annual Salary$131,201$111,242$122,552
Hourly Wage$63.08$53.48$58.92
Figures current as of March 2024

Adult-Gerontology Nurse Practitioner Salary

Specializing as an adult-gerontology nurse practitioner pays, on average, a little over $100,000 annually. Possessing skills such as wound care and elder care could bump the salary. California, New Jersey, and Massachusettes are regions that often pay higher-than-average wages for this specialty. The Midwest — Kansas and Missouri for example — tend to pay lower than average. 

The table below represents current median Adult-Gerontology Nurse Practitioner salaries according to three popular salary reporting websites:

Glassdoor.comPayscale.comSalary.com
Annual Salary$117,532$107,530$106,566
Hourly Wage$56.51$51.70$51.23
Figures current as of March 2024

Emergency Nurse Practitioner Salary

The salary for an emergency nurse practitioner ranges between $99,044 and $134,720. Positions in San Jose, San Fransico, and New York tend to pay more than average. Tampa and Miami, however, pay below the average pay noted above for an emergency nurse practitioner. 

The table below represents current median Emergency Nurse Practitioner salaries according to three popular salary reporting websites:

Glassdoor.comPayscale.comSalary.com
Annual Salary$130,806$99,044$134,720
Hourly Wage$62.89$47.62$64.77
Figures current as of March 2024

Family Nurse Practitioner Salary

A family nurse practitioner makes an average salary of around $100,000. Major cities in states like New York and California tend to pay their family nurse practitioners more than average. In the South, wages are often average or slightly below average.

The table below represents current median Family Nurse Practitioner salaries according to three popular salary reporting websites:

Glassdoor.comPayscale.comSalary.com
Annual Salary$138,328$106,382$123,740
Hourly Wage$66.50$51.15$59.49
Figures current as of March 2024

Neonatal Nurse Practitioner Salary

Caring for the smallest and sickest babies as a neonatal nurse practitioner pays an average of well over $100,000 per year. New York, Washington, DC, and Philadelphia, PA offer above-average wages. Tampa and Miami are near the lower end of the pay scale. 

The table below represents current median Neonatal Nurse Practitioner salaries according to three popular salary reporting websites:

Glassdoor.comPayscale.comSalary.com
Annual Salary$114,259$117,418$137,460
Hourly Wage$54.93$56.45$66.09
Figures current as of March 2024

Pediatric Nurse Practitioner Salary

Specializing as a pediatric nurse practitioner can open doors and result in an average yearly salary of $98,787 to over $127,948. Those who have additional skills in acute care and the intensive care unit (ICU) can expect to earn even more. Boston, New York, Phoenix, and Philadelphia have higher average salaries for pediatric nurse practitioners. Southern states, such as Florida, often pay less. 

The table below represents current median Pediatric Nurse Practitioner salaries according to three popular salary reporting websites:

Glassdoor.comPayscale.comSalary.com
Annual Salary$127,948$98,787$119,900
Hourly Wage$61.51$47.49$57.64
Figures current as of March 2024

Psychiatric-Mental Health Nurse Practitioner Salary

For those who obtain their specialization as psychiatric-mental health nurse practitioners, the average salary is generally around $100,000. An entry-level position can expect a yearly salary of around $100,000 while those with 10 to 20 years of experience can earn around $120,000 per year. Los Angeles, San Jose, New York City, and Boston are among cities that pay psychiatric-mental health nurse practitioners the highest wages. Nashville, Little Rock, and Memphis, however, are at the lower end of the pay scale. 

The table below represents current median Psychiatric-Mental Health Nurse Practitioner salaries according to three popular salary reporting websites:

Glassdoor.comPayscale.comSalary.com
Annual Salary$127,041$119,352$118,710
Hourly Wage$61.08$57.38$57.07
Figures current as of March 2024

Women's Health Nurse Practitioner Salary

Opt to specialize as a women’s health nurse practitioner and expect an average salary in the $100,000 range. Obtaining skills in colposcopy or reproductive health can mean an increase in pay. A women’s health nurse practitioner who works in New York, New York could earn nearly 20 percent more than the average. Higher than average salaries might also be found in Houston, Boston, and Phoenix.

The table below represents current median Women’s Health Nurse Practitioner salaries according to three popular salary reporting websites:

Glassdoor.comPayscale.comSalary.com
Annual Salary$133,810$101,186$116,612
Hourly Wage$64.33$48.65$56.06
Figures current as of March 2024

Nurse Practitioner Salary Differences by Degree Type

The type of degree that a nurse practitioner holds can also have a bearing on the salary that is paid. Below is a comparison of some of the common degree types.

MSN-Educated Nurse Practitioners

An MSN-Educated Nurse Practitioner is ready to transition from being an RN with a BSN into advanced clinical practice, and is a common educational choice for those pursuing an online nurse practitioner degree. A salary of nearly $100,000, on average, can be expected for the nurse practitioner who has a Master's of Science in Nursing.

Post-Master’s Certificate Nurse Practitioners

Because a post-master’s certificate allows a current nurse practitioner to gain more knowledge and specialize (often in an additional area of care – for example, a Pediatric Nurse Practitioner may choose to earn a post-master’s nursing certificate in Psychiatric-Mental Health to shift their focus to providing mental health services to that population), it provides them with expanded career opportunities as well as salary increases. While the average salary differs depending on the particular specialization that is earned, it is more than those without additional knowledge.

DNP-Educated Nurse Practitioners

As a nurse practitioner with a Doctor of Nursing Practice (DNP), one possesses the highest degree possible within the specialty (alongside the less common Ph.D. in Nursing, which is aimed more at academia). A nurse practitioner who has been DNP-educated could earn an average of $135,830. States like Massachusetts, California and Oregon are the highest-paying for this type of degree.

What Else Affects Salaries for Nurse Practitioners?

In addition to the degree type and specialization type, there are other factors that can affect the salaries that nurse practitioners can expect. One of the most significant is the location of the employer. Historically, employers in the Northeast and West regions of the United States pay nurse practitioners more than those located in the South or Midwest. In addition to this, the employer type can also significantly impact salaries for NPs. According to the latest available data (May 2022) from the BLS, the top-paying industries for nurse practitioners include:

The level of experience a nurse practitioner has also plays a role in the salary they can expect. Those who begin with an entry-level position, or who are still early in their career, can expect to be paid less than those nurse practitioners who are experienced or late in their career.

Having different skills and certifications can also boost the pay scale of a nurse practitioner. Cardiology, critical care, and oncology are just three in-demand subspecialty skills that can increase the amount of pay. Emergency/trauma and neuroscience skills can also boost pay, but not as much.

Nurse Practitioner Salary Table By State & Metro Area

To get a more accurate idea of what nurse practitioner salaries are like in your area, see below for salary breakdowns by state and by metropolitan areas.

    Table data taken from BLS (http://www.bls.gov/oes/current/oes291171.htm)

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