Both certifications are nationally recognized. This table exists to help you make an informed decision, not to tell you what to choose.
FNP-C: Recognized in Every State. Lower Fees. Faster Processing.
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Faster to Certified
Lower Cost
NPCB certification gave our team the credibility we needed to compete for federal contracts.
The renewal process is simple, transparent, and never leaves us guessing about deadlines.
Why NPCB for Your FNP-C
The Exam You Actually Prepared For
- 100% clinical, no theory, no research methodology
- 150 questions, 135 scored, 3-hour exam
- 81% first-time pass rate
- Administered at Prometric testing centers nationwide
Recognized Everywhere You Want to Practice
- All 50 U.S. state boards of nursing
- Medicare, Medicaid, the Veterans Administration
- Private health insurers
- Canada and Puerto Rico
- Dual-accredited: ABSNC and NCCA
Built by NPs, for NPs
- Founded by and aligned with AANP, the largest NP professional association in the U.S.
- ~85% of NPCB-certified NPs hold the FNP-C
- The only major certification body led by certified NPs
Comparing Your Options? Here's What to Know
Clinical knowledge only
Clinical + theory + research methodology
$240
$340
$315
$395
$120 every 5 years
$295 every 5 years
Consistently faster, current times posted at aanpcert.org/announcements
3–5 business days
Varies
ABSNC + NCCA
ANCC accreditation
Founded by and aligned with AANP
Part of ANA
All 50 states, Medicare, Medicaid, VA
All 50 states, Medicare, Medicaid, VA
Ready to Apply? Here's How It Works.
You may apply up to 6 months before program completion (MSN/postgraduate) or 12 months before (DNP). You do not have to wait until graduation day.
Most asked questions
Can I apply before I graduate?
Yes. MSN and postgraduate certificate students can apply up to 6 months before program completion. DNP students can apply up to 12 months before. You'll receive your Authorization to Test (ATT) once your program completion date is reached and your eligibility is confirmed.
What is on the FNP-C exam?
The FNP-C exam is clinical-only. It has 150 multiple-choice questions: 135 are scored and 15 are unscored pretest questions. You have 3 hours. Content covers patients across the lifespan, from newborn through older adult, in four knowledge areas: Health Assessment, Pathophysiology, Therapeutics, and Evidence-Informed Practice. There's no theory, research methodology, or nursing process content. The full blueprint is in the FNP Candidate Handbook.
How long does it take to get approved?
Complete applications are currently processed in about 3 business days, with current times posted at aanpcert.org. Processing starts once all required documents and payment are in. Your ATT is issued when your program completion date is reached. You then have 120 days to schedule and take your exam with Prometric.
Where do I take the exam?
At a Prometric testing center. After you receive your ATT, schedule through your NPCB account at aanpcert.org using the instructions in your ATT email.
Is the FNP-C recognized by state boards and payers?
Yes. The FNP-C is recognized by all U.S. state boards of nursing and by nurse regulators in Canada and Puerto Rico. It's accepted by Medicare, Medicaid, the Veterans Administration, and private insurers. NPCB programs are accredited by ABSNC and NCCA.
How does NPCB compare to other certification boards?
NPCB fees are lower for both initial certification and renewal. AANP members pay $240 to certify and $120 to renew every 5 years. Non-members pay $315 and $195. The exam is 100% clinical, and complete applications are currently processed in about 3 business days. NPCB was founded by and remains affiliated with AANP, the largest professional association for nurse practitioners.
Check Your Eligibility Before You Apply
- Completed or currently enrolled in an accredited graduate, postgraduate, or doctoral NP program with an FNP specialty focus
- Completed the three APRN core courses: advanced physical assessment, advanced pharmacology, and advanced pathophysiology
- 500+ faculty-supervised direct patient care clinical hours in the FNP specialty
- Current, active RN licensure in a U.S. state or territory
- Unofficial transcript submitted with application; official transcript required for certification release
Timing: Apply up to 6 months before MSN/postgraduate program completion, or up to 12 months before DNP completion.