NSPM Continuing Certification

NSPM certification is time-limited and must be renewed. Individuals who successfully obtain the NSPM credential and are certified in this subspecialty will be required to demonstrate continued subspecialty certification every four years in order to maintain use of the NSPM-C credential. The individual’s continued subspecialty certification will align with their MAC Program cycle. 


Important Note: Starting in October 2026, the ongoing maintenance of the NSPM-C will transition into a longitudinal assessment (MAC Check) format. Instead of taking a point-in-time assessment every eight years, CRNAs who hold the NSPM-C will be required to answer ten additional NSPM-related quarterly knowledge check questions within their MAC Check dashboard. NBCRNA will provide personalized transition details to eligible CRNAs.


Requirements for continued NSPM-C certification as of October 2026: 

A NSPM-C nurse anesthetist is required to apply for NSPM continued subspecialty certification within the required time frame after initial NSPM subspecialty certification. The criteria for NSPM continued subspecialty certification are as follows:

  • Unrestricted licensure as an RN and/or APRN, as applicable.
  • Hold current, NBCRNA certification or CPC compliance as a nurse anesthetist.
  • Hold a current NBCRNA NSPM-C credential.
  • Provide documentation of current compliance with all state requirements for licensure as a registered nurse performing nurse anesthesia, including a current unrestricted license to practice as a registered professional nurse, with authority to practice nurse anesthesia if such authority is granted, in at least one state and in all states in which the applicant currently holds an active license. For those individuals employed by the United States government, “state requirements” refer to the requirements of any state or territory of the United States. 
  • Attest to continued practice in the NSPM subspecialty. 
  • Meaningful participation in the NSPM MAC Check quarterly knowledge checks as of October 2026.