Cal. Code Regs. Tit. 16, § 1482.4 - Requirements for a Nurse Practitioner Certification Pursuant to Business and Professions Code Section 2837.104
(a) To obtain certification as a nurse
practitioner pursuant to Section 2837.104 of the code, an applicant must hold a
valid and active certification as a nurse practitioner pursuant to Section
2837.103 of the code and submit a completed application with all of the
following information:
(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 or a nurse practitioner practicing pursuant to Section 2837.104 of the
code. Any physician or surgeon 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
2837.104 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 2837.104 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
2837.104 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) Proof of
practice as a nurse practitioner pursuant to Section 2837.103 of the code in
good standing for at least three full-time equivalent years or 4600 hours in
direct patient care.
(A) For purposes of this
subdivision, "practice as a nurse practitioner pursuant to Section 2837.103 of
the code in good standing" means practice conducted under a current, active,
and unrestricted license. "Unrestricted" means the applicant was not subject to
a disciplinary action by the Board, including probation, suspension or public
reproval.
(B) For an applicant who
holds a Doctorate of Nursing Practice degree (DNP), "practice as a nurse
practitioner pursuant Section 2837.103 of the code in good standing" also
includes any hours of direct patient care that the applicant provided in the
course of their doctoral education so long as the direct patient care is both
(i) in the applicant's area of National Certification specified in subdivision
(a)(12) and (ii) provided during the doctoral part of the applicant's doctoral
education and not credited towards the applicant's master's
degree.
(15) A statement
signed under penalty of perjury by the applicant that all statements made in
the application are true and correct.
(b) Within 90 days of certification by the
Board of Registered Nursing, a nurse practitioner practicing pursuant to
Section 2837.104 of the code shall have a written protocol for consultation and
a written plan for referrals, pursuant to Section 2837.104(c)(2) of the code,
and shall make that referral plan available to patients on request. If the
written plan calls for referrals to a specific individual, the plan must
include that individual's acknowledgment and consent to the
referrals.
Notes
Note: Authority cited: Section 2715, Business and Professions Code. Reference: Sections 29.5, 30, 494.5 and 2837.104, Business and Professions Code.
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