California Code of Regulations › Title 16 - Professional and Vocational Regulations › Division 14 - Board of Registered Nursing › Article 8 - Nurse Practitioners › Section 1482.3 - Requirements for a Nurse Practitioner Certification Pursuant to Business and Professions Code Section 2837.103

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) To obtain certification as a nurse
				practitioner pursuant to Section
				2837.103 of the code, an applicant
				shall hold a valid and active certification as a nurse practitioner in
				California and submit a completed application that includes the following:
(1) Applicant's full legal name ((Last Name)
				(First Name) (Middle Name) and/or (Suffix)),
(2) Other name(s) applicant has used or has
				been known by,
(3) Applicant's
				physical address,
(4) Applicant's
				mailing address, if different than the applicant's physical address. The
				mailing address may be a post office box number or other alternate
				address,
(5) Email address, if
				any,
(6) Applicant's telephone
				number,
(7) Applicant's Social
				Security Number or Individual Taxpayer Identification Number,
(8) Applicant's birthdate (month, day, and
				year),
(9) California registered
				nurse license number issued by the Board,
(10) California nurse practitioner
				certification number issued by the Board,
(11) Date of passage of the Board's national
				nurse practitioner board certification examination. Verification of this
				passage shall be provided directly to the Board by the organization that
				administered the examination.
(12)
				Proof of holding a certification as a nurse practitioner by a national
				certification organization accredited by the National Commission for Certifying
				Agencies or the Accreditation Board for Specialty Nursing Certification (ABSNC)
				as a nurse practitioner in the category listed in Section
				1481(a) in which
				the applicant seeks certification as a nurse practitioner pursuant to Section
				2837.103 of the code. Verification
				of this certification shall be provided directly to the Board by the issuing
				organization.
(13) Proof of
				completion of a transition to practice by submitting to the Board one or more
				attestations of a physician or surgeon, a nurse practitioner practicing
				pursuant to Section
				2837.103 of the code, or a nurse
				practitioner practicing pursuant to Section
				2837.104 of the code. Any
				physician or surgeon, a nurse practitioner practicing pursuant to Section
				2837.103 of the code, or a nurse
				practitioner practicing pursuant to Section
				2837.104 of the code submitting an
				attestation must specialize in the same specialty area or category listed in
				Section 1481(a) in which
				the applicant seeks certification as a nurse practitioner pursuant to Section
				2837.103 of the code and must not
				have a familial or financial relationship with the applicant.
(A) For purposes of this subdivision,
				"transition to practice" means 4600 hours or three full-time equivalent years
				of clinical practice experience and mentorship that are all of the following:
(i) Completed in California.
(ii) Completed within five years prior to the
				date the applicant applies for certification as a nurse practitioner pursuant
				to Section
				2837.103 of the code.
(iii) Completed after certification by the
				Board of Registered Nursing as a nurse practitioner.
(iv) Completed in direct patient care in the
				role of a nurse practitioner in the category listed in Section
				1481(a) in which
				the applicant seeks certification as a nurse practitioner pursuant to Section
				2837.103 of the
				code.
(B) For purposes of
				this subdivision "financial interest" shall have the same meaning as in Section
				650.01(b)(2) of
				the code, and "familial" shall include the members of "immediate family" as
				used in Section
				650.01(b)(3) of
				the code.
(14) A
				statement signed under penalty of perjury by the applicant that all statements
				made in the application are true and correct.