Advanced Practice Registered Nursing in Texas – License Requirements

Advanced Practice Registered Nursing in Texas

All educational and licensing issues are addressed on the state level, but there are national standards as well.

Boards are creating uniform requirements and more states are adjusting their laws to comply with the National Council of State Boards of

Nursing Advanced Practice Registered Nurses (APRN) Consensus Model.

Also, there are more programs nation-wide for nurse practitioners education and third-party certification.

Texas Board of Nursing maintains the licensing and education for advanced practice nurses on the state level.

The primary requirement for aspiring nurse practitioners in Texas is a valid nursing license in Texas, or in some other state that is part of the licensure compact.

Graduation education and certificate are additional requirements.

Only nurse anesthetists license include limited prescriptive authority, while other APRNs need to apply for it.

APRN Roles in Texas

Texas Board on Nursing recognizes four roles of APRNs.

Roles are nurse practitioners, clinical nurse specialists, nurse midwives, and nurse anesthetists.

There are several population foci available for clinical nurse specialists and nurse practitioners in Texas.

Nurse practitioners can specialize in Acute Care Adult/Gerontology, Acute Care Pediatric, Adult, Family, Gerontological, Pediatric, Psychiatric/Mental Health, Women’s Health, and Neonatal.

Clinical nurse specialists have several population foci as well – Adult Health/Med/Surg Nursing, Adult/Gerontology Nursing, Critical Care Nursing, Gerontological Nursing, Pediatric Nursing, and Psychiatric/Mental Health Nursing.

However, APRNs who haven’t specialized in any field are also eligible for a license.

Some nurses are eligible to sit for the exam in a chosen specialty or to obtain a license without certification.

Nurse Practitioners Requirements

To become an advanced practice nurse, one must complete a Master’s program or higher degree program.

To be approved by state institutions, a program needs to have the appropriate preparation for role and population focus.

There is also a set of clinical hours that students need to fulfill, sometimes it includes 500 clinical hours.

Only programs that are accredited through the Texas Board of Nursing are suitable, as well as nationally accredited schools, which are suitable for APRN’s education.

You can find the partial list of appropriate accreditor in the application packet.

If the state is accredited of the school, the state needs to have its standards compatible with the national nursing education standards.

In Texas, there are additional standards for NP and CNS programs.

The program curriculum must include role preparation and courses such as pharmacotherapeutics, advanced assessment, and path-psychology.

If the program offers mental health foci, it must include psychopathology.

If you decide to enroll in APRN programs, you have to choose the clinical major.

According to the board, a clinical major is a course in a specialty or practice area.

CNS needs to complete a minimum of nine semester hours in their clinical major.

The Board also requires CNS to have a minimum of a Master’s degree.


After the program completion, aspiring APRN needs to be certified in the chosen role and according to their certification.

You can find the complete list of certification suitable for different roles and population foci in Texas in the application process.

The American Midwifery Certification Board maintains the certification process for Certified Nurse-Midwives.

To be certified in some of the most common practice areas, you get to choose the certification agency.

For example, Family NPs can choose between the American Nurses Credentialing Center and the American Academy of Nurse Practitioners.

Pediatric NPs can be certified through the American Nurses Credentialing Center or the Pediatric Nursing Certification Board.

There are several other accrediting agencies in Texas – National Certification Corporation, the American Association of Critical-Care Nurses, and the National Board of Certification & Recertification for Nurse Anesthetists.

The application package might not include all suitable agencies, so if your certification isn’t on the list, you can contact the APRN office to get more information.

Requirements Related to Date of Program Completion

In Texas, some requirements don’t apply for NPs who completed programs before January 2003, and others to those completed before January 1998.

Also, nurse midwives and women’s health practitioners who completed their education before 2003 and 2006 may get MSN waivers.

Additionally, those who graduated before 2010 and got their licenses might not be formally recognized in Texas.

To get your license, a candidate will have to provide proof of at least 400 hours of clinical practice but conducted in the recent past.


You can find all the application materials on the Board website.

After you complete the forms, you can submit them online or mail them to APRN Application Office in Austin.

An education verification form is a mandatory form, and you can get more information about accredited from school officials.

There are several national accrediting institutions accepted in Texas.

Those are Commission on Collegiate Nursing Education National League for Nursing Accrediting Commission National Association of Nurse Practitioners in Women’s Health Accreditation Commission for Midwifery Education Council on Accreditation of Nurse Anesthesia Educational Programs.

The applicants need to provide proof of current certification and out-of-state RNs need to submit a copy of the license.

All transcripts from previously finished schools are also required.

The fee depends on the prescriptive authority.

Nurses without prescriptive authority requirement pay $100, and if the authority is required, the fee is $150.

License Renewal

Obtaining a national certification requires maintenance, continuous education, and active practice.

Currently, for license renewal candidates need to have at least 400 practice hours in the recent past.


There is a large number of schools that offer suitable programs for APRNs.

Some are traditional, on-campus program, some are conducted fully online, but there are also online programs.

For example, Angelo State University has an online MSN program for aspiring Family NPs.

Patty Hanks Shelton School of Nursing offers MSN and graduation programs, conducted on-campus.

The largest range of different programs you can find at Texas Tech University.

There are also suitable bridge programs, different population foci programs, in hybrid or on-campus form.

The University of Texas at Austin offers graduate certificate programs as well as MSN programs for aspiring Family Nurse Practitioner, Adult-Gerontology Clinical Nurse Specialist, Psych/Mental Health Nurse Practitioner Program (PMHNP) and MSN – Psychiatric Mental Health Nurse Practitioner.

All programs are conducted on-campus.

Check the table for more information.

School NameAddress
Angelo State University2601 W. Avenue N San Angelo, TX 76909, (180) 094-6862 x7
Baylor University1301 S University Parks Dr Waco, TX 76798, (800) 229-5678
Midwestern State University3410 Taft Blvd Wichita Falls, TX 76308, (940) 397-4000
Patty Hanks Shelton School of Nursing2149 Hickory St Abilene, TX 79601, (325) 671-2399
Prairie View A&M UniversityP.O. Box 519 Prairie View, TX 77446, (936) 261-3311
Texas A&M University400 Bizzell St College Station, TX 77843 (979) 845-3211
Texas A&M University-Commerce2200 Campbell St Commerce, TX 75428, (903) 886-5102
Texas A&M University-Corpus Christi6300 Ocean Drive, Unit 5774 Corpus Christi, TX 78412, (361) 825-2753
Texas Christian University2800 S University Dr Fort Worth, TX 76129, (817) 257-7000
Texas State University1555 University Blvd. Round Rock, TX 78665, (512) 716-2900
Texas State University1555 University Blvd. Round Rock, TX 78665, (512) 716-2900
Texas Tech University3601 4th St. Lubbock, TX 79430 (806) 743-2730
Texas Woman's University304 Administration Dr. Denton, TX 76204, (940) 898-2000
The University of Texas at Arlington701 S Nedderman Dr Arlington, TX 76019, (817) 272-2011
The University of Texas at Austin110 Inner Campus Drive Austin, TX 78712, (512) 471-3434
The University of Texas at El Paso500 West University Avenue El Paso, TX 79968, (915) 747-5000
The University of Texas at Tyler3900 University Blvd Tyler, TX 75799, (903) 566-7000
The University of Texas Medical Branch at Galveston301 University Blvd Galveston, TX 77555, (409) 772-1011
The University of Texas Rio Grande Valley1201 W University Dr Edinburg, TX 78539 (888) 882-4026
University of Houston4800 Calhoun Rd Houston, TX 77004, (713) 743-2255
University of Texas Health Science Center at San Antonio - UT Health San Antonio7703 Floyd Curl Dr San Antonio, TX 78229 (210) 567-7000
University of Texas School of Nursing at Houston6901 Bertner Houston, TX 77030 (713) 500-2000
West Texas A&M University2501 4th Ave Canyon, TX 79016 (806) 651-0000


Salary depends on population foci, role, location, education, experience, employer, etc.

An average annual salary of a nurse practitioner in Texas is $107,458.

Annual Salary Range:
Annual Salary by Location:
LocationAvg. Annual Salary
San Antonio$106,411
El Paso$95,716
Fort Worth$106,631
Corpus Christi$101,487

Regional Salary in Texas

RegionEmployedAvg. Annual SalaryAvg. Hourly PayTop 10% Annual SalaryBottom 10% Annual Salary
Abilene, TX170$111,110$53.42$171,630$83,760
Amarillo, TX260$112,120$53.9$156,250$79,780
Austin-Round Rock, TX1,500$123,880$59.56$160,430$97,590
Beaumont-Port Arthur, TX310$120,670$58.01$162,000$88,830
Brownsville-Harlingen, TX270$119,680$57.54$143,930$83,140
College Station-Bryan, TX280$113,170$54.41$131,660$94,840
Corpus Christi, TX380$121,410$58.37$147,930$99,020
Dallas-Fort Worth-Arlington, TX4,940$125,060$60.13$156,720$95,140
El Paso, TX460$119,610$57.5$165,360$82,110
Houston-The Woodlands-Sugar Land, TX3,630$134,780$64.8$205,180$99,840
Killeen-Temple, TX400$120,030$57.71$135,210$98,720
Laredo, TX110$120,080$57.73$155,670$87,460
Longview, TX270$115,040$55.31$145,600$64,040
Lubbock, TX320$115,390$55.48$141,470$83,340
McAllen-Edinburg-Mission, TX490$124,330$59.78$195,240$94,750
Midland, TX120$121,790$58.55$163,100$68,880
Odessa, TX90$120,640$58$178,520$91,900
San Angelo, TX110$113,430$54.53$138,880$94,460
San Antonio-New Braunfels, TX1,810$121,730$58.52$153,310$93,540
Sherman-Denison, TX100$117,070$56.29$149,790$78,980
Texarkana, TX-AR100$114,460$55.03$155,240$81,790
Tyler, TX260$122,170$58.73$162,360$95,460
Victoria, TX90$125,850$60.5$160,680$101,850
Waco, TX180$118,060$56.76$152,900$93,890
Wichita Falls, TX170$129,030$62.04$168,110$97,660
* Salary information based on the May 2022 Occupational Employment Statistics (OES) Survey for Nurse Practitioners, OCC Code 29-1171, BLS.
* Employment conditions in your area may vary.

USA Nurse Practitioner by State

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