It’s the PA recertification exam, which must be taken by the end of your 10th certification year. It can be taken in your final 2 years of certification (years 9 and 10). The PANRE is shorter than the PANCE, with 240 multiple-choice questions administered in four blocks of 60 questions. You have 60 minutes to complete each block.
The NCCPA is completing the Alternative to PANRE pilot in December 2020 and is no longer taking applicants. At this time, the traditional PANRE is the only option.