Description of Licensure/Credentialing Mechanism and Process

For this assignment, you will research state (Washington DC) specific and national licensing and credentialing mechanisms specific to nurse practitioners. All of the links you will need have been provided under resources below. Research each mechanism and provide a description of the process in the right hand column next to the appropriate mechanism.

Student Name 
State of Residence 
Licensure/Credentialing MechanismDescription of Licensure/Credentialing Mechanism and Process
.                          A nurse practitioner in order to get licensure must firstget education from a nationally education standard institution to show competencies for programs to help them in their role. NPs must also attend to the education process, of whichhas to graduate with master’s degree or postgraduate certificate that are accredited by the WashingtonDepartment of Education and/or The Council of Higher Education Accreditation. The third process is passing professional nursing certification program that is psychometrically sound, legally defensible, and which meets the overall nationally recognizedaccreditationstandards for certification programs. Washington DC’s State Board of Nursing requirements for NP Licensure are that all NPs are supposed to hold state licenses as RNs. In addition, NPs should have masters’ degrees. Moreover, NPs are required to get national certification. In Washington DC, a NP should have a completion of a formal advanced nursing education meeting the Washington Administrative CODE 246-839-305 (Institute of Medicine (U.S.) & Robert Wood Johnson Foundation, 2011).The other description is that, for licensure, there should a documentation of initial certification credential granted by the national certifying body recognized by the commission, approved ARNP specialty whose certification program is approved by the commission and subsequently maintain currency and competency as defined by a certifying body.
Special state requirements for prescriptive authority  Prescriptive authority in Washington DC requires APRN to have an initial thirty hours of contact of education in pharmacootherapeutics within the applicant’s SOP obtained within the two years period immediately prior to the application. An advanced pharmacology course taken as a part of the graduation program meets the requirement if application is made within the two years of graduation (Lentz, 2013). The other requirement is that there should be renewal of Rx authority every two years that requires 15 hours of pharmacotherapeutic education within the area of practice. ARPNs are legally authorized to request, receive, and dispense pharmaceuticals samples. Prescriptionsare labeled within the ARPNs name.
State Board of Nursing variations between CNS and NP scope of practice (e.g. diagnosing, prescribing therapeutic treatments, etc.                            NPs in Washington undergo the first process of completing a preceptorship that is at least one year long to be allowed to function as a NP.The process of becoming CNS in Washington DC is by first completing at least 3 credit hours or 30m contacts of pharmacology and clinical management of drug therapy or pharmacotherapeutics within 5 years of applying for APRN certification. This course must relate accordingly with the scope of practice. CNS must also complete a preceptorship that is at least one year long. This is because, In Washington DC, NPs’ scope of practice includes family care, diagnosis, psychiatric care, pediatric care, pharmacology primary health care, and adult care. On the other hand, CNS in Washington have a scope of practice that comprises the management of health and psychiatric problems, therapeutic methods band techniques, and involvement in innovation in the specialty area(Houck & Siegel, (2010).    
Process for obtaining DEA number for prescriptive authority                            General authority in Washington DC is to prescribe evidence of prescriptive authority by inclusion on the prescription of the prescriber’s title and state-issued Rx#. For an APRN to obtain DEA number in Washington DC, he or she must first fill an online DEA form that allows payment using VISA and MasterCard. Thisis mainly registration of an APRN. The second process is that the applicant is asked information about schedules of drugs. The third process is that the applicant is asked to mark the drugs schedules (Schedule III narcotic, Schedule III Nin Narcotic, Schedule IV and Schedule V). Thefourth process is that the applicant to have the Washington DC’s licensenumber(In Stanhope & In Lancaster, 2014).
Process for obtaining an NPI number                              The applicant APRN in Washington DC submit a paper to Health and Human Services, aNational Provider Services with data on name, mailing address, one practice address, licensenumber, and gender. The National provider Services will check the information for consistency as well as standardizing the addresses. It also validates social security numbers and validates dates of birth. Upon passing this process, the applicant will receive permanent identifiers(Maurer & Smith, 2013).
ANCC certification title and description of requirements and process for acquiring certification            One of the requirements to obtain ANCC certification is that APRNs should first hold an active RN in Washington DC. An APRN should hold a master’s degree, postgraduate or doctoral degree from a practitioner program accredited by the Commission Nursing Education (CCNE), or Accreditation Commission for education in Nursing (ACEN). The program must not limit 500 faculty-supervised clinical hours. APRN may apply for this computer-based test year round and test during a 90-day window at a time and location convenient to him or her. The exam allows 4 hours to answer 200 questions (175 scored plus 25 pretest questions that are not scored(Rapini, 2012)
Professional Liability Insurance (Insurance provider, description of policy and annual cost to NP) .In order for an APRN to obtain professional liability insurance, he or she must first become an APRN by profession. He or she must have a license based on Washington DC. On top of that, APRN will have to present his or her NPI and DEA numbers. In emphasis, the insurance cover will depend on the scope of practice of the APRN.The mechanism can be that the NP can obtain professional liability insurance for the nurse practitioner through the employing clinic, personally. Costs for professional liability insurance policies differ depending on the NPs scope of practice, the type of coverage, and the policy limits. Annual premium costs range from $600 to over $5,000 depending on the location of the practitioner, policy limits, and the NPs scope of practice(In Cherry& In Jacob, 2014).


Houck, M. M., & Siegel, J. A. (2010). Fundamentals of Forensic Science.Burlington: Elsevier     Science.

Institute of Medicine (U.S.).,& Robert Wood Johnson Foundation. (2011). The future of   nursing: Leading change, advancing health. Washington, D.C: National Academies Press.

In Cherry, B., & In Jacob, S. R. (2014). Contemporary nursing: Issues, trends, & management.   

In Stanhope, M., & In Lancaster, J. (2014). Public health nursing: Population-centered health     care in the community.

Lentz, Sydney. (2013). Advanced Practice Nursing: Setting a New Paradigm for Care in the 21st             Century. Authorhouse.

Maurer, F. A., & Smith, C. M. (2013). Community/public health nursing practice: Health for       families and populations.St. Louis, Mo: Elsevier/Saunders.

Rapini, R. P. (2012). Practical dermatopathology.Edinburgh: Elsevier/Saunders.

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