How many CE hours do APRNs need to renew in Missouri?

The Missouri State Board of Nursing does not set a fixed CE-hour mandate for APRN renewal. Your national certification still carries its own CE requirement on a separate clock.

What is the APRN renewal fee in Missouri?

The Missouri APRN renewal fee is $85. Fees change, so confirm the current amount on the Missouri State Board of Nursing portal.

Can APRNs prescribe independently in Missouri?

Restricted-practice model: APRNs prescribe under a collaborative practice arrangement with geographic-proximity rules (waivers exist for telehealth, rural clinics, and correctional settings); one physician may collaborate with at most 6 FTE APRNs/PAs.

Does Missouri require a state controlled-substance registration on top of the DEA?

Yes: Missouri BNDD registration is required before DEA registration, renewed annually per practice location.

Does my national certification have to be current to renew my Missouri APRN license?

Yes. Current national certification underpins APRN recognition.

Missouri APRN License Renewal: CE, Fees, and Prescriptive Rules

Built by Keegan, a travel RN · verified against official board sources

NP, CRNA, CNM, CNS · Verified against the Missouri State Board of Nursing · 2026-09-04

The Missouri State Board of Nursing does not set a fixed CE-hour mandate for APRN renewal. The APRN renewal fee is $85. The board is one of up to four clocks: your national certification and any DEA registration renew separately.

What the Missouri State Board of Nursing requires of APRNs

Requirement	Hours	Status
No CE Required	Course-based	Required

Renewal deadlines in Missouri differ by license type: April 30 of odd-numbered years (RN); May 31 of even-numbered years (LPN); APRN tied to certification or RN expiration. Confirm your APRN deadline with the board.

Full renewal context (deadlines, grace period, audits): Missouri nursing license renewal guide.

Prescriptive authority in Missouri

What we verified for Missouri

Board-sourced

Practice authority: Restricted-practice model: APRNs prescribe under a collaborative practice arrangement with geographic-proximity rules (waivers exist for telehealth, rural clinics, and correctional settings); one physician may collaborate with at most 6 FTE APRNs/PAs.
Collaboration / supervision: The arrangement must stay current; new APRNs need the physician continuously present for at least the first month, and 10 percent chart reviews every 14 days apply.
State controlled-substance registration: Yes: Missouri BNDD registration is required before DEA registration, renewed annually per practice location.
Prescriber CE: Missouri publishes no APRN renewal CE-hour mandate; certification CE carries the load, and BNDD/DEA obligations apply to prescribers.
National certification at renewal: Yes. Current national certification underpins APRN recognition.

Source: Missouri Board of Nursing and RSMo 334.104, last checked 2026-06-11. Rules change; confirm with the board before relying on this.

The other three clocks

Missouri has not enacted the APRN Compact (which is not yet operational anywhere). The Nurse Licensure Compact covers RN and LPN/VN licenses only, so multi-state APRN practice still means a separate APRN credential in each state. Your national certification (AANPCB, ANCC, NBCRNA, or AMCB) and any DEA registration renew on their own cycles, with their own CE math.

The four-clock guide: certification cycles, compact status, DEA and MATE

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Missouri APRN renewal FAQ

How many CE hours do APRNs need to renew in Missouri?: The Missouri State Board of Nursing does not set a fixed CE-hour mandate for APRN renewal. Your national certification still carries its own CE requirement on a separate clock.
What is the APRN renewal fee in Missouri?: The Missouri APRN renewal fee is $85. Fees change, so confirm the current amount on the Missouri State Board of Nursing portal.
Can APRNs prescribe independently in Missouri?: Restricted-practice model: APRNs prescribe under a collaborative practice arrangement with geographic-proximity rules (waivers exist for telehealth, rural clinics, and correctional settings); one physician may collaborate with at most 6 FTE APRNs/PAs.
Does Missouri require a state controlled-substance registration on top of the DEA?: Yes: Missouri BNDD registration is required before DEA registration, renewed annually per practice location.
Is Missouri in the APRN Compact?: No. Missouri has not enacted the APRN Compact, and the compact itself is not yet operational anywhere. The Nurse Licensure Compact covers RN and LPN/VN licenses only, so it does not extend APRN practice across state lines.
Does my national certification have to be current to renew my Missouri APRN license?: Yes. Current national certification underpins APRN recognition.

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Missouri APRN License Renewal: CE, Fees, and Prescriptive Rules

NP, CRNA, CNM, CNS · Verified against the Missouri State Board of Nursing · 2026-09-04

Requirement

Hours

Status

No CE Required

Course-based

Required