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Recertification Basics for NPs, PAs, CRNAs and CAAs

Advanced practice clinicians usually answer to two clocks, one from the state board and one from the national certifying body.

Last reviewed November 1, 2026. General information, not legal or compliance advice.

Two systems

State boards decide who may practice and renew, and often set their own CME or continuing competency rule. National certifying bodies set a separate maintenance program, which a state may or may not rely on.

Recorded cycles

ProfessionProgram recordedCycleHoursNote
PANCCPA certification maintenance2 years100100 CME hours per 2-year cycle, at least 50 Category 1, within a 10-year certification maintenance cycle that ends with an exam or alternative assessment. Confirm current NCCPA model.
CRNANBCRNA Continued Professional Certification4 years1004-year cycle: about 60 Class A credits and 40 Class B credits, plus required Core Modules and assessments. Confirm current NBCRNA requirements.
NPAANPCB / ANCC recertification5 years100AANPCB: 100 CE hours including 25 pharmacology hours, plus 1,000 practice hours. ANCC: 75 CE hours including 25 pharmacology, plus practice hours and other categories. Certification body rules differ.
CAANCCAA CDQ2 years4040 CME hours per 2-year cycle, at least 20 Category 1, with a Continuing Demonstration of Qualifications exam on a longer cycle (about 6 years). Confirm with NCCAA.

These entries are summaries for planning and are not verified against the certifying bodies. Confirm the current model with each one.

Tracking tips

Related

Nurse practitioners should also read the compact guide, and PAs the PA compact guide.

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