Steps to Becoming an APRN in Kentucky

kentucky nursing

1Get your Graduate Degree in Kentucky
2Earn your National Certification in Kentucky
3Apply for your License in Kentucky
4Renewing your License in Kentucky

The Kentucky Board of Nursing (502-439-3200) licenses qualified registered nurses to work as advanced practice registered nurses (APRNs) under four different recognized titles:

  • Nurse Practitioner (NP)
  • Certified Nurse Midwife (CNM)
  • Certified Registered Nurse Anesthetist (CRNA)
  • Clinical nurse specialists (CNS)

You must hold current RN licensure in Kentucky or another compact state prior to applying for APRN licensure.

Kentucky Job Statistics

  • 2020 mean salary for NPs in KY: $102,460
  • 2020 APRN licenses in Kentucky: 4850
    • Nurse Anesthetists: 600
    • Nurse Practitioners: 4250
    • Post-Secondary Nursing Instructors and Teachers: 390
  • APRNs in Kentucky allowed to prescribe under a physician’s prescriptive authority with CAPA-CS (Prescriptive Authority for Controlled Substances)

If you already hold an RN license in a compact state, do not apply for Kentucky RN licensure unless you plan to declare Kentucky as your permanent residence.


Step 1. Get Your Graduate Degree

You must complete a post-basic nursing education program in order to be eligible to receive APRN licensure in Kentucky. The Kentucky Board of Nursing specifies that you must hold either a master’s degree or post-master’s certificate from a college or university that awards APRN credits.

Standards of APRN programs of nursing education may be found here.

Qualified Graduate Programs

The program you choose must be accredited by the National League for Nursing Commission for Nursing Education Accreditation (CNEA) or the Commission for Collegiate Nursing Education (CCNE), or another programmatic, specialized, or institutional accreditation agency recognized by the United States Department of Education (USDE).

A list of pre-approved in-state programs resulting in master’s and doctoral degrees in nursing may be found here.

If you choose to attend an out-of-state post-basic program in nursing, contact that program directly for its approval/accreditation status within that state. Although the Kentucky Board of Nursing does not actively review and pre-approve out-of-state programs, the Board will accept those programs that are accredited by a national organization and/or approved by that state’s board of nursing.

Course Requirements

The Kentucky Board of Nursing has adopted the national APRN Consensus Model of education, certification, and licensure. Therefore, prospective APRNs who wish to work in the NP or CNS role must obtain education in six population foci:

  • Family/individual health across the lifespan
  • Adult health and gerontology
  • Neonatology
  • Pediatrics
  • Women’s health and gender-related health
  • Psychiatric mental health

Additionally, as an NP or CNS license applicant, you must obtain national certification in at least one of these population foci.

If you are studying to become a CNM or CRNA, your population foci will automatically be incorporated into your program of study.

Your APRN program must include a clinical component with standards aligned with those of national certification organizations for the patient population with which you are working. If your APRN program is preparing you to work with two population foci or as a combined NP/CNS, it must include content and clinical components in both areas.

Other coursework that your APRN program must incorporate includes:

  • Advanced physiology/pathophysiology
  • Advanced health assessment
  • Advanced pharmacology
  • Medical management of diseases across practice settings
  • Differential diagnosis of diseases across practice settings

Specialization

Although you must receive education across a number of population foci, as an NP or CNS, you may also choose to specialize in one or more population foci.

In addition to this type of specialization, other specialized tracks are available within post basic nursing education programs. Some of these include nursing administration, nursing leadership, nursing education (academic nurse educator, or ANE), a master’s of science in nursing/master’s of business administration dual degree option, advanced practice rural health nursing, and public health.


Step 2. Earn Your National Certification

The Kentucky Board of Nursing requires all APRNs to become nationally certified within an approved population focus. This certification must be maintained to retain APRN licensure in the state.  You may choose to become certified in more than one population focus area.

Each national certification organization approved by the Board maintains its own requirements for certification, requiring you to meet specified educational standards and pass a national certification examination.

The Kentucky Board of Nursing licenses APRN titles in the following general practice categories:

  • Nurse practitioner (NP)
  • Certified nurse-midwife (CNM)
  • Certified registered nurse anesthetist (CRNA)
  • Clinical nurse specialist (CNS)

Certification Programs

These national certification agencies are approved by the Kentucky Board of Nursing to offer APRN certification in general practice, as well as subspecialty and population focus:

You must attain national certification prior to proceeding with Kentucky’s APRN licensure process. Contact the appropriate national certification agency for more information.


Step 3. Apply for your License

You may apply for APRN licensure online. In addition to submitting the online application and paying the $150 initial application fee, you must submit the following documents to the Board:

  • Proof of national certification (a copy of your national certification card or certificate)
  • Official transcripts verifying your completion of an APRN post-basic program and receipt of a graduate degree (sent directly from your college or university to the Board)
  • State and federal background checks (see below)

Mail all documents to the Kentucky Board of Nursing, 312 Whittington Parkway, Suite 300, Attn: APRN Program Coordinator, Louisville, KY 40222.

You will be notified via email when your license has been approved, as Kentucky no longer issues paper license cards or certificates. Your email notification will include your license number and expiration date. You may check your application status at any time online.

Criminal History Background Check

You must pass two criminal background checks (state and federal) before an APRN license will be issued in Kentucky.

Federal

Use this page to request a fingerprint card for the federal background check.  After having your fingerprints taken at a local sheriff’s office or police station, mail the card and a check or money order for $16.50 made payable to the Kentucky State Police, 1266 Louisville Rd, Frankfort, KY 40601. The Kentucky state police will forward the information to the FBI for processing. It may take up to four weeks to complete the federal background check.

State

  • You can request a state background check online for a fee of $15.
  • You may request a report in person at the Administrative Office of the Courts, 100 Millcreek Park, Frankfort between the hours of 8am and 4:30pm Monday through Friday. This can usually be completed in an hour. The same $15 fee applies.
  • You may submit a request by mail, by submitting the Criminal Record Report Request Form to the Administrative Office of the Courts, Records Unit, 100 Millcreek Park, Frankfort, KY 40601, along with a $15 check or money order payable to the Kentucky State Treasurer.

Collaborative Practice Agreement/Prescriptive Authority

Once you have received your APRN license, you may wish to receive prescriptive authority (that is, the authority to prescribe medications). If so, you must have a written collaborative practice agreement with a Kentucky-licensed physician on file with the Board.

An example of a Collaborative Practice Agreement for Non-Scheduled Drugs (CAPA-NS) can be viewed here.

If you will be prescribing controlled substances/scheduled drugs, follow the template outlined in the Collaborative Practice Agreement for Controlled Substances (CAPA-CS). Additionally, if you have controlled substances prescriptive authority, you must notify the Board via this form. You must have been licensed as an APRN for at least one year before applying for prescriptive authority for controlled substances.

Practice Pending Licensure

If you meet all of the requirements for Kentucky APRN licensure (including education and national certification), you may apply for a Temporary Authorization to Practice authorizing you to practice as an APRN for a limited period of time, as determined by the Board and as will be indicated on your permit. This is often helpful if you wish to work as an APRN before your licensure application is approved. In this scenario, you must use the title “APRN Applicant”.


Step 4. Renewing Your License

Your APRN license must be renewed annually, between September 15 and October 31 of each year.

Continuing Education

Renewal of your APRN license requires that you complete continuing education, as mandated by your national certification organization and as prescribed by the Board.

The Board requires that you complete 14 contact hours of continuing education annually to maintain licensure. Five of those contact hours must be in pharmacology, regardless of whether or not you have prescriptive authority.

Board-approved providers for pharmacology CE are listed here. Additionally, pharmacology CE providers approved by one of the national organizations listed here are accepted.

Maintaining national certification also satisfies the Board’s CE requirement. However, you must still complete five contact hours of pharmacology education each year. Contact the appropriate national certification agency for details on its CE requirements:

License Renewal Notice

The Kentucky Board of Nursing will send an email license renewal notice to you before the renewal period begins each year, or two weeks after it ends if you fail to renew. Renewal of your APRN license must be done online each year between September 15 and October 31. Fees must be paid online as well.

If the Kentucky Board of Nursing’s records reflect that your national certification has expired, you must fax a copy of your current national certification to the Board at 502-429-3336.

When your license has been renewed, you will receive a verification email from the Board. You may also validate renewal online.

Expired License Renewal Application

If you did not renew your APRN license during the annual renewal period, you must meet all requirements for renewal and file for reinstatement. There is no grace period for failing to renew on time. Instructions on reinstatement may be found here.

Advanced Practice Registered Nurse Associations in Kentucky

Think about becoming a member of a professional organization within Kentucky supporting advanced practice registered nurses:


Kentucky Nurse Practitioner Salary

As of May 2020, Kentucky was home to 4,250 licensed nurse practitioners. The average salary cracked the six-figure mark at $102,460 that year, while the median came in just below at $99,500. That worked out to an average hourly rate of $49.26 and a median of $47.84.

At the higher end of the range, the top 25 percent of Kentucky NPs earned $113,620 that year, or $54.62 an hour. The highest earning NPs in the top ten percent earned more than $134,750 in 2020, which worked out to $64.78 per hour.

Nurse Practitioner Salary

Area Name
Employment
Annual mean wage
Bowling Green
190
103870
Central Kentucky nonmetropolitan area
490
107040
East Kentucky nonmetropolitan area
370
97680
Elizabethtown-Fort Knox
100
105820
Lexington-Fayette
700
102100
Louisville/Jefferson County
1090
105840
Owensboro
140
103560
South Central Kentucky nonmetropolitan area
410
93620
West Kentucky nonmetropolitan area
350
95860

Registered Nurse Salary

Area Name
Employment
Annual mean wage
Bowling Green
1560
60990
Central Kentucky nonmetropolitan area
2960
63910
East Kentucky nonmetropolitan area
3080
59080
Elizabethtown-Fort Knox
1140
64560
Lexington-Fayette
7430
64310
Louisville/Jefferson County
14880
66440
Owensboro
-
63520
South Central Kentucky nonmetropolitan area
3260
61370
West Kentucky nonmetropolitan area
3330
64770

Nursing Instructors and Teachers Salary

Area Name
Employment
Annual median wage
Central Kentucky nonmetropolitan area
100
72010
Louisville/Jefferson County
110
56780
South Central Kentucky nonmetropolitan area
30
59250

Nurse Administrator Salary

(Includes Nurse Managers, Directors, and Chief Nursing Officers)

Area Name
Employment
Annual mean wage
Bowling Green
250
100510
Central Kentucky nonmetropolitan area
620
85440
East Kentucky nonmetropolitan area
360
89580
Elizabethtown-Fort Knox
110
105360
Lexington-Fayette
850
109300
Louisville/Jefferson County
1810
95300
Owensboro
90
89810
South Central Kentucky nonmetropolitan area
550
88260
West Kentucky nonmetropolitan area
460
78560

Nurse Anesthetists Salary

Area Name
Employment
Annual mean wage
Central Kentucky nonmetropolitan area
NA
158110
Lexington-Fayette
NA
178080
Louisville/Jefferson County
NA
148780
West Kentucky nonmetropolitan area
30
202370

These tables provide salary and employment information compiled by the US Department of Labor’s Bureau of Labor Statistics in May 2020. The data contained herein does not include self-employed nurses in independent practice.

When responding to the salary survey, some advanced practice registered nurses identified themselves as RNs while others identified themselves as health diagnosing and treating practitioners. When available, both sets of data were included for comparative purposes.

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