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 Continued Professional Certification (CPC) Program cycle.
Requirements for continued NSPM-C certification:
Core Module
One Core Module in NSPM is required in every four-year CPC cycle. The NSPM Core Module must be prior-approved for assessed CE.
NSPM Core Module Providers

Harris College of Nursing & Health Sciences at Texas Christian University offers one approved Core Module in Nonsurgical Pain Management.
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
- Complete one NSPM core module. The NSPM core module must be in addition to, and may not be counted as, part of the CPC Program core module requirements. The NSPM core module must be prior approved for class A credit.
- Successful completion of the NBCRNA NSPM subspecialty certification examination every eight years