Demonstrating commitment to compassionate patient care, the health care team, & continued certification.

Maintain Certification

Maintaining NCCPA board certification signifies the ongoing commitment of PAs to meet established standards of clinical knowledge and cognitive skills throughout their careers. The 10-year certification maintenance process includes five two-year cycles during which all Board Certified PAs must earn and log 100 Continuing Medical Education (CME) credits and submit a certification maintenance fee by 11:59 p.m. PT, December 31 of their certification expiration year. In addition, PAs must pass the Physician Assistant National Recertifying Exam® (PANRE) or the Physician Assistant National Recertifying Exam-Longitudinal Assessment (PANRE-LA®) by the end of the 10th year of their certification maintenance cycle.

The two-year interval for earning and logging CME fosters PAs staying abreast of the fast-paced, ever-changing world of medicine. Passing a periodic recertification is one way that PAs can demonstrate they are maintaining the core medical knowledge deemed important for all PAs, regardless of their practice discipline. Extensive research supports a combination of these two elements for helping to identify knowledge gaps and retaining knowledge.

Visit the pages below to learn more about recertification options, (CME), how to regain certification, and more.

The recertification exam measures the core medical knowledge that is relevant for all clinically practicing PAs, regardless of their specialty or practice setting. Passing the exam helps PAs demonstrate they are staying up-to-date on core medical topics.

PAs now have two options for meeting their recertification exam requirement, and PAs should choose the option that best suits their individual preferences. Both exam options are based on the same content blueprint. With either option, PAs must also meet the Continuing Medical Education requirements. The fee is the same ($350) regardless of the option selected.

PANRE vs PANRE-LA

PANRE

About PANRE

PANRE is the traditional recertification exam that is administered in one setting at Pearson VUE test centers. You’re eligible to take PANRE in the 9th or 10th year of the certification maintenance cycle. Here are some highlights of the PANRE process.

  • You may take PANRE up to two times in the 9th year and up to three times in the 10th year, with a maximum of four total attempts.
  • You will be able to schedule your exam anytime (based on test center availability) within the 180-day timeframe established for you based on the submittal of a completed application.
  • PANRE consists of four blocks of 60 questions with 60 minutes to complete each block. There is a total of 45 minutes allotted for breaks between blocks and 15 minutes to view a tutorial. The testing time is four hours, and the total exam schedule is five hours.
  • It is administered throughout the year at over 200 Pearson VUE test centers in the U.S., as well as at select international centers, except for the last few weeks of the year. Visit our Key Dates webpage for exam administration windows.
  • You’ll need to take two forms of valid ID to the Pearson VUE test center and follow other security check-in procedures, as noted on NCCPA and Pearson VUE’s websites. For information about acceptable forms of ID, visit our ID Information webpage
  • Exam security is a critical component of all NCCPA exams. More information about why and what measures NCCPA uses to ensure its exams are fair and valid can be found on our Exam Security webpage.
  • You will receive your results typically within two weeks of taking the exam. For information on PANRE scoring, click here.
  • You may only take PANRE once in any 90-day period. The 90-day limit on PANRE attempts is waived when (1) there are fewer than 90 days left in the 10th year and (2) you have not already exhausted all PANRE attempts for the year. In such cases, one final exam attempt is permitted.
  • You must also meet your CME requirements in addition to passing PANRE to maintain certification.

How do I apply for PANRE?

  • If you are in your 9th or 10th year of your certification maintenance cycle, just log in to yourNCCPA Portal to register for PANRE. The application fee is $350. 
  • Visit our Key Dates webpage for exam administration windows.
  • You will receive an acknowledgment email that provides the 180-day testing window and instructions on how to schedule your exam with Pearson VUE.
  • If you apply late in the year to take the exam in the current year or late in your 10th year, your testing window will be shorter than 180 days.

What are the benefits of taking PANRE?

  • You will complete the exam in one 5-hour session.
  • You will receive your results typically within two weeks of taking the exam.
  • If you do not receive a passing score, you can retake the exam after waiting 90 days.

What are the exam dates for PANRE?

Click the button below to find exam administration dates for PANRE.

Physician Assistant National Recertifying Examination Longitudinal Assessment (PANRE-LA)

About PANRE-LA

PANRE-LA is an alternative to the traditional PANRE that was adopted following the two-year Pilot Alternative to PANRE. It incorporates elements of a longitudinal assessment and is designed to help PAs identify and address knowledge gaps in core medical content. Feedback from PAs who participated in the Pilot helped to inform the design of PANRE-LA. Here are some highlights of the assessment.

  • You can apply for the PANRE-LA in the 6th year of your cycle through the NCCPA Portal.
  • The exam is administered over 12 quarters in years 7-9 of your certification maintenance cycle, but you may finish as early as eight quarters.
  • You can answer PANRE-LA questions at any time within the quarterly start and end dates, and can view previously answered questions, your interim score, and performance summary 24/7/365 until your final score is determined. PANRE-LA is unavailable during planned maintenance, for which advance notice is given. We aim to keep PANRE-LA available 99% of the time. That means it’s almost always up and running, with only rare, brief interruptions.
  • Your final score will be based on your best eight quarters. You may work straight through or skip up to four quarters during the process, as long as you participate in at least one quarter in year seven and one quarter in year eight. Completing more quarters gives you more opportunities to pass.
  • Each quarter, you’ll receive 25 questions and will have five minutes to answer each question.
  • You can use printed or online references to help with the answer, if needed. However, you may not consult with others. Learn more about why exam security is a critical component of all NCCPA exams on our Exam Security webpage.
  • You will receive immediate feedback on each question you answer, including the correct response, explanation, and references.
  • Each quarter starting with the second, five topics are repeated to reinforce existing knowledge and facilitate learning. In these cases, the better of the two responses is counted and the other response is removed from the score.
  • Each quarter, you’ll receive feedback so you know how you are performing.
  • If you don’t pass by the end of the 12 quarters, you will have three attempts to take and pass PANRE in year 10 before your certification expires.
  • You must continue to meet your CME requirements while participating in the PANRE-LA.

How and when do I apply for PANRE-LA?

What are the benefits of taking PANRE-LA?

PANRE-LA may help remove some of the stress and anxiety of taking the recertification assessment, as it can be completed:

  • On your own device, whether it’s a phone, laptop, iPad, etc. – whatever you’re comfortable with!
  • On your own time. You can answer as few or as many questions as you want each time you log in during the quarter, as long as each set of 25 questions is completed by the quarter’s deadline.
  • From anywhere! As long as you have stable internet access, you can log in to answer questions using any of the supported browsers.
  • For every quarter that you answer all 25 questions, you will receive two Category 1 Self-Assessment CME credits (three credits with NCCPA’s 50% bonus for Self-Assessment).

Online Exams 

Examinations administered outside of a proctored testing center employ a variety of measures to ensure copywritten exam content is protected and no examinee is given an unfair advantage by accessing proprietary exam content. NCCPA collects and uses data collected from the exam software (e.g., response data, IP address) from existing information (i.e., information collected through an individual’s interactions with NCCPA), and information received from third parties to prevent, detect, investigate, and remediate exam-related misconduct, such as cheating, fraud, deception, or collusion among examinees.

For more information, please watch our exam security video: Click Here for Exam Security Video

Key Dates for PANRE-LA 

Visit our Key Dates webpage for application windows and quarterly start and dates.

Want more information about PANRE-LA?

Click the links below to download the PANRE-LA Resources. These resources include:  Fact Sheet, PANRE-LA blueprint, PANRE sample questions, Podcast, Tutorial, and a message from the NCCPA President and CEO on PANRE-LA.

PANRE-LA Volunteer Video

Experience the insights of our dedicated volunteers as they share their experiences in the “PANRE-LA Volunteer Video.” Hear firsthand from Board Certified PAs who make NCCPA’s mission possible.

Watch this PANRE-LA tutorial to give you an idea of what you can expect when you log in to answer questions.

Watch this video to learn how “repeat topics” in PANRE-LA can help you improve your overall performance and how the longitudinal assessment serves as a learning opportunity for those who participate in it.

This video addresses some of the most common questions we hear. Questions like “How is PANRE-LA scored? How will I know how I’m performing?”

PA-C Emeritus Designation

To honor those who have demonstrated a longstanding commitment to lifelong learning, patient care, and the certification process, NCCPA will confer the PA-C Emeritus® designation on eligible PAs who apply for it.

PAs must apply for PA-C Emeritus® while still certified. The designation will take effect after their NCCPA board certification expires.

Eligibility Requirements for the PA-C Emeritus Designation

Board Certified PAs who apply for the PA-C Emeritus designation will be so designated following the expiration of their PA-C board certification provided they meet the following requirements:

  1. Document their retirement from clinical practice to the satisfaction of NCCPA by submitting the PA-C Retirement Form.
  2. Have been certified by NCCPA at least 20 cumulative years during their PA career or document that they have retired from clinical practice due to permanent disability and have qualified for federal Social Security Disability Insurance benefits and/or disability retirement or long-term disability benefits (acceptable documentation is a statement, record or letter on official letterhead from one of the following: a treating physician/medical professional, a federal government agency which issues or provides disability benefits or a state vocational rehabilitation agency);
  3. Have no reportable actions in their NCCPA disciplinary history and no NCCPA disciplinary matter in any stage of review;
  4. Pay any fees associated with the PA-C Emeritus application process; and
  5. Fulfill other administrative requirements as shall be determined from time to time by NCCPA.

Proceeds from the one-time $50 application fee will benefit the PA Foundation’s expansion of the NCCPA Endowed Scholarship which is awarded to PA students.

Maintenance Requirements for the PA-C Emeritus Designation

Like NCCPA board certification, the PA-C Emeritus designation shall be maintained on two-year, calendar year cycles.

Maintenance requires the completion of a reapplication process prior to the PA-C Emeritus designation expiration date, which will include attestation that the PA continues to meet the requirements established for initial eligibility. The PA-C Emeritus designation shall be suspended if the PA regains board certification and may be restored upon expiration of the regained certification if the PA meets the requirements for PA-C Emeritus status at that time.

PAs with the PA-C Emeritus designation must comply with all applicable provisions of the NCCPA Code of Conduct.

Limitations on Use of the PA-C Emeritus Designation

The PA-C Emeritus designation is not the equivalent of PA-C board certification. Those designated as PA-C Emeritus are not considered board certified by NCCPA and may not hold themselves out as such.

Further, the PA-C Emeritus designation may not be used in any clinical setting or in the context of any clinically related interaction, including clinical volunteer service.

Doing so – or committing any violation of the Code of Conduct or other act that would trigger NCCPA disciplinary review for Board Certified PAs — will result in review in accordance with NCCPA’s Policies and Procedures for PA Disciplinary Matters.

Sign in and go to “My Account” to apply.

Regaining Certification

PAs who have lost certification may regain it by fulfilling CME requirements, paying any outstanding fees, and passing PANRE

  • First sign in to your NCCPA Portal and log, or verify that you have logged, at least 100 Category 1 CME credits earned within the two-year period ending on the date your PANRE application is submitted to NCCPA. For example, if you plan on applying for PANRE on June 1, 2024, your CME earning window will be June 1, 2022-June 1, 2024. You can apply any CME credits that you have previously earned within the timeframe mentioned above.
  • Then apply for PANRE and, after receiving your exam acknowledgement email, schedule your exam as soon as you desire to take it following certification expiration. After that first attempt to regain certification, if unsuccessful on the exam you may take PANRE only one time in any single 90-day period.

Exception: PAs who have lost eligibility for certification due to NCCPA disciplinary proceedings must first apply to reestablish eligibility.

Next steps?

You can log your CME credits, apply and pay for the exam online at your personal record.

Certification Maintenance Resources

Access tools to help you maintain your certification