How Can You Get the New Emergency Nurse Practitioner Certification?

The lines are certainly blurred when it comes to nurse practitioners practicing in specialty areas. Family nurse practitioners, for example, have a broad medical background, and are trained to treat patients of all ages. This foundational knowledge prepares FNPs to work in a variety of settings, even those outside of primary care. Such grey lines create professional confusion, and questions about scope of practice guidelines. 

To address the confusion about nurse practitioner specialty designations and practice settings, nurse practitioner programs and organizations are pushing to create education and certification structures with clear specialty designations. 

One specialty in need of such clarification is that of emergency medicine. The emergency department is the grounds where primary and acute care meet. Many patients presenting to the ED have low acuity health problems, easily falling within the scope of training of family nurse practitioners. Other patients are acutely ill, with diagnoses and treatment plans falling within the realm of acute care. 

In most emergency departments, practicality wins in making the decision whether to employ family or acute care nurse practitioners. Because emergency departments treat children, the scope of practice for NPs working in the ED setting must include caring for pediatric patients. Unlike family nurse practitioners, acute care nurse practitioners cannot treat children. So, facilities hire FNPs to work in the emergency department, or NPs with a dual family/acute care certification. 

Taking a step toward clarifying this confusion, the American Academy of Nurse Practitioners Certification Program (AANPCP) recently announced a plan to offer an emergency nurse practitioner certification. The exam is geared toward family nurse practitioners working in the emergency department setting. While an emergency nurse practitioner certification is not a requirement for FNPs working in the ED, the offering of such a certification seems the first step towards mandating this specialty specific certification. 

How can interested family nurse practitioners obtain certification in the emergency setting? First, to be eligible, the FNP must have a current, active, license to practice as a registered nurse. Second, the FNP must hold current national certification as a family nurse practitioner. Once these two criteria are met, there are three paths the NP can take to emergency certification: 

  1. The NP must have practiced a minimum of 2,000 direct, emergency care practice hours in the past five years as well as have evidence of 100 hours of continuing education in emergency medicine with a minimum of 30 of those hours in emergency care procedural skills within five years. Or, 
  2. The NP must have completed an academic emergency care graduate or post-graduate nurse practitioner program. Or, 
  3. The NP must have completed an approved emergency fellowship program. 

Nurse practitioners obtaining the new emergency NP certification must renew their certification every five years. 

The emergency nurse practitioner certification will be made available to FNPs in early 2017 and is a credential for nurse practitioners working in the emergency department to consider. While the certification is not currently required, is is indicative of the push towards more structured requirements for NPs practicing in specialty settings. 

Will you get your emergency NP certification?


You Might Also Like: Ask Yourself 6 Questions Before Choosing a Nurse Practitioner Specialty 



Hi Brittany, 

Good question! I am not sure of the answer and will find out...

Erin Tolbert

Are urgent care nurses certified who are FNPs able to take the exam since both ER and Urgent Care are similar?

Brittany Stickler

Very true! The emergency NP certification is not required at this time by state boards of nursing to work in the emergency department setting.

Individual employers may vary when it comes to this requirement, although almost none will require it until the certification becomes more common. 

Erin Tolbert

or work in the hospital setting for a coupe years then transition into er. worked for me. no extra test needed


Would the emergency NP certification be of value for someone wanting to go into Urgent Care?


Hi Shabnam, 

I have not yet heard of any study materials. Since the exam is new, there are few, if any, resources available. Check out the ENP certification website for practice test questions as the exam release nears to help guide your studying. 

Erin Tolbert

Hi Ellie, 

I believe that the certification is only open to FNPs, or to dually certified FNP/ACNPs at this time. 

Erin Tolbert

Will the Emergency Certification only be for FNP or can ACNPs partake in the certification!

Ellie H.

This is truly an exciting development for our profession! NPs working in the ED are invited to join us at the American Academy of Emergency Nurse Practitioners (AAENP) for information and developments regarding the ENP-C certification:

Rhone D'Errico,...

Hi Erin!
I'll be graduating with my ENP this December and will be the first cohort from my school to take the Emergency Nurse Practitioner Certification exam. I was just wondering if you had heard of any study materials (books, etc) or courses that they might be coming out with to help prepare for the exam? Thanks!