AANP Vs. ANCC: Choosing An NP Certification

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Becoming a nurse practitioner (NP), a type of advanced practice registered nurse (APRN), requires significant education and training, as well as knowledge, skills and competencies. Aspiring NPs must be licensed registered nurses (RNs), hold a bachelor of science in nursing and complete a masters in nursing or a doctorate of nursing program graduate programs.

The last step on the long journey to becoming an NP is passing a national nursing certification exam in your specialization. Passing the right exam demonstrates your advanced clinical knowledge and skills and shows employers you can succeed as an NP in your specialty.

Two national organizations, the American Association of Nurse Practitioners (AANP) and the American Nurses Credentialing Center (ANCC), offer nurse practitioner certifications. You must pass a board certification exam from either AANP or ANCC to become an NP.

NPs specializing in family or adult-gerontology primary care can take either an AANP exam or an ANCC exam. For other practice specialties, like psychiatric-mental health, only one organization offers the relevant exam and credential.

Learn more about AANP vs. ANCC nursing certifications, and figure out which path is right for you.

AANP and ANCC both offer NP certifications and board certification exams. AANP is a membership organization representing more than 121,000 nurse practitioners across North America. Its credentialing arm is the AANP Certification Board (AANPCB), which only offers NP certifications.

ANCC is an offshoot of the American Nurses Association (ANA), a professional group with 4 million members in the United States. ANCC administers certifications to both NPs and registered nurses with an associates degree or bachelor’s degree in nursing.

If you’re pursuing NP certification in family or adult-gerontology primary care, you can do so through AANPCB or ANCC. Other NP specializations do not offer a choice; you must take the relevant certification exam from whichever organization offers it.

For example, aspiring emergency nurse practitioners can only pursue certification through AANPCB. NPs seeking to specialize in psychiatric mental health, on the other hand, must earn their credentials through ANCC.

AANP created AANPCB, a nonprofit credentialing organization for nurse practitioners, to offer NP certifications in the following specialties:

AANP members receive a $75 discount on AANPCB certification applications.

The A-GNP certification demonstrates clinical knowledge of adults from age 13 until advanced age and end-of-life. This certification qualifies you for NP licensure specializing in adult patients. A-GNPs have demonstrated expertise and competencies in health exam, pathophysiology, pharmacology, treatment and management of acute and chronic conditions, and evidence-based practice.

The certification’s competency-based exam includes 150 questions, including 15 pre-test questions that do not count toward your score. The test covers exam, diagnosis, plan and evaluation domains, including questions about all age parameters. Online applications cost $240 for AANP members and $315 for nonmembers. Prices may change over time and discounts may be available for members of specific nursing organizations. Members should check with their association membership offices to see if discounts are applicable.

A-GNP applicants must hold an active RN license. Other eligibility requirements include a minimum of 500 graduate level clinical practicum hours and successful completion of a graduate or postgraduate adult-gerontology primary care nurse practitioner program at an accredited school of nursing.

To find out more about earning RN licensure, review their guide on how to become an RN.

The FNP certification qualifies holders to apply for a state license to practice as an FNP offering primary care across the life span, from prenatal patients to older adults.

The competency-based exam includes 150 questions (135 scored questions and 15 unscored pretest questions). The test assesses knowledge of various age and practice domains like exam, evaluation, diagnosis and planning. It covers topics like cultural competence, crisis management, pain management and anatomy.

FNP applicants with AANP memberships pay $240 to apply online, while nonmembers pay $315. Eligibility requirements for the FNP include an active RN license, completion of a graduate or postgraduate family nurse practitioner program at an accredited school and at least 500 clinical hours.

To learn more, see their guide on how to become a family nurse practitioner.

As part of ANA, ANCC offers various certifications to help NPs and RNs advance their careers. ANCC’s NP certifications include:

In addition to providing certifications, ANCC also accredits healthcare organizations that offer or approve continuing education for nurses. ANCC recognizes healthcare organizations that encourage safe and effective nursing practice as well. ANA members can save $100 on ANCC’s NP certification application fees.

ANCC’s AGPCNP-BC credential qualifies you to practice as an entry-level adult-gerontology primary care nurse practitioner. To qualify for the AGPCNP-BC, you must hold RN licensure and pass a national certification exam.

To obtain this credential, you must earn an accredited AGPCNP master’s in nursing, a DNP or a postgraduate certificate including at least 500 supervised clinical hours. Applicants must complete three APRN core graduate courses in advanced physiology or pathophysiology, advanced health exam and advanced pharmacology.

The Accreditation Board for Specialty Nursing Certification provides accreditation for this certification, which requires renewal every five years. For initial certification, ANA members pay $295, and nonmembers pay $395. AANP members, AANP student members and Gerontological Advanced Practice Nurses Association (GAPNA) members also receive discounts.

The AGPCNP exam assesses competency in clinical knowledge and skills for this specialty. The competency-based test lasts 3.5 hours and includes 175 questions (150 scored and 25 unscored pretest questions). Questions cover the patient exam process, plan of care and professional practice, spanning different age groups, body systems and drug agents.

You can take ANCC’s Adult-Gerontology Primary Care Nurse Practitioner Readiness Test to assess your preparedness for the official exam. You can use ANCC’s study aids to prepare for the test.

ANCC’s FNP-BC credential qualifies you to apply for state licensure to work as a family nurse practitioner. This certification requires renewal every five years.

To earn this credential, you must pass the competency-based FNP-BC exam to demonstrate that you have the clinical skills and knowledge necessary for FNP work. The 3.5-hour test includes 175 questions (150 scored questions and 25 unscored pretest questions). Exam content covers exam, diagnosis, planning, implementation and evaluation with questions about different age groups, drug agents and body systems.

ANA members pay $295 for initial certification; nonmembers pay $395. AANP members, AANP student members and GAPNA members also receive discounts.

Eligibility requirements for the FNP-BC certification include a current RN license and an FNP master’s, postgraduate certificate or DNP from an accredited school. The FNP program must include 500 faculty-supervised clinical hours. Applicants must also complete three graduate-level APRN core courses covering advanced physiology or pathophysiology, advanced health exam and advanced pharmacology.

You can take ANCC’s FNP readiness test to assess your exam readiness and to get a better idea of what to expect. ANCC also provides other study aids, including sample questions and a test content outline.

AANP and ANCC both offer national certification exams for nurse practitioners. AANP, a professional organization for nurse practitioners, only offers NP certifications. ANCC is a wing of ANA and offers certifications for RNs at various levels, including NPs.

NPs must earn certification to apply for a state license to practice their specialty. To obtain certification, you must pass a national board exam in your NP specialty area. You must also meet other requirements, including holding an RN license, earning a BSN degree and completing a graduate NP program with at least 500 clinical hours.

The American Board of Internal Medicine is under fire for a ‘maintenance of certification’ requirement. Their own tweet didn’t help.

How To Pass The ASWB Exam To Become A Licensed Social Worker

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Social work licensing practices vary widely by state. Some states require entry-level and generalist social workers to pass an exam and earn licensure. In other states, you only need a license to become a licensed clinical social worker (LCSW) and provide psychotherapy services.

In many states, social work licensure at any level requires you to pass an exam administered by the Association of Social Work Boards (ASWB). The ASWB exam is a nationally recognized exam that evaluates your comprehension of human behavior and development.

If you’re a social work major or considering pivoting into the human services field, read on to discover how to prepare for, take and pass the ASWB licensure exam—with or without a social work degree.

ASWB is a nonprofit organization comprising all of the state social work regulatory boards in the United States and Canada. This body regulates the social work profession and administers the licensure exam that evaluates prospective social workers’ ethics and expertise. Passing the ASWB exam is the final step to earning a social work license in many states.

ASWB offers five exam categories—associate, bachelor’s, master’s, advanced generalist and clinical—each tailored to a specific education and experience level. A candidate’s exam category determines their title and scope of practice post-licensure.

Within a four-hour window, ASWB exam-takers must answer questions concerning:

All ASWB exam categories contain 170 questions on human development and behavior, but question types may vary among categories. For example, the associate and bachelor’s exams lean more heavily on recall questions than other exam categories, which feature larger proportions of reasoning questions.

Each exam category may lead to a different level of social work licensure depending on your state’s licensing processes. Not all states offer all five categories of the ASWB exam.

This category offers a licensure pathway for applicants who want to practice social work without earning a four-year degree in the field. In most cases, associate-level social workers can only practice under supervision.

A handful of states offer this licensing pathway: South Dakota, Michigan, Ohio, New Hampshire and Massachusetts. Only South Dakota, New Hampshire and Massachusetts require associate-level social workers to pass the associate ASWB exam.

Registration for the associate ASWB exam category costs $230.

The ASWB bachelor’s exam, which also costs $230, evaluates your generalist understanding of social work practices and ethics. You must hold a bachelor’s degree in social work from an accredited college to sit for this exam category.

The bachelor’s category features the same questions as the associate category.

Passing the bachelor’s exam qualifies you to become a non-clinical baccalaureate social worker. Exact titles vary among states; in Oregon, these professionals are called registered baccalaureate social workers, while North Carolina calls them certified social workers.

In most cases, social workers at this level interview clients, manage cases, conduct research and advocate for social justice. Depending on the state, they may only be able to practice autonomously after gaining supervised work experience post-licensure.

The ASWB master’s category requires a master of social work (MSW) and usually qualifies applicants for the licensed master social worker (LMSW) credential. Again, the exact title may vary by state—Indiana calls these professionals licensed social workers, for example.

The master’s-level exam tests your foundational understanding of the social work field and evaluates your application of specialized skills gained during their MSW program. Licensees know how to apply advanced practice skills and specialized knowledge in their roles.

LMSWs can drive social change and justice for various communities. In some states, they can provide clinical therapy with oversight from an LCSW. The registration fee for this ASWB exam category is $230.

The advanced generalist category is tailored to prospective LMSWs who aspire to work in macro-level roles. This means working with large populations, such as entire states and countries. The advanced generalist ASWB exam indicates a desire to work with public policy, state or national campaigns, or other government initiatives.

To sit for the advanced generalist ASWB exam, you must hold a master’s degree in social work plus two years of nonclinical professional experience.

With a fee of $260, test takers can prove their expertise in social justice, public policy and administration, and public welfare to their state licensing boards.

The minimum requirements for this ASWB category include an MSW and two years of clinical experience. The clinical ASWB test serves prospective social workers who want to provide mental health services in clinical settings.

LCSWs (who may work under different titles, depending on where they practice) provide psychotherapy services to prevent, diagnose and treat mental illnesses. Through individual or group therapy, these professionals help people struggling with emotional distress.

Clinical social workers practice independently in various settings, including hospitals, schools, psychiatric facilities and social service agencies. Registering for the clinical ASWB exam category costs $260.

First, you must get your state board’s approval to register for the ASWB exam. Approval processes differ depending on the state where you want to practice.

Typical requirements vary by state and license level but may include college transcripts, a license application fee and proof of supervised experience, which you can send to the board via email or fax. Some states may also require you to provide fingerprints and undergo a background check.

Once you receive approval from your state social work board, you must register for the appropriate ASWB licensure exam, either online, via mail or by fax. Registration costs between $230 and $260, depending on your exam category.

If your registration is successful, you’ll receive an “authorization to test” email from ASWB.

Pearson VUE provides testing centers for licensure applicants nationwide. You can schedule, cancel and reschedule exam appointments with Pearson VUE through the testing authorization email.

The ASWB exam is a four-hour, computer-based test comprising 170 multiple-choice questions that test your expertise and decision-making skills as a social worker.

Exam questions cover various content areas and competencies you should have covered during your degree program. You may also find knowledge, skills and abilities statements resembling real-life situations that require critical thinking. To pass the licensure exam, you must answer about 100 out of the 150 questions correctly.

Although self-study is necessary to pass professional exams, practice tests can help you prepare better. By taking a mock test, you can identify loopholes in your study plan, learn the testing software, understand your strengths and areas for improvement, and prepare for complex questions.

After you register for your exam, ASWB offers a 30-day window to take a practice test for an additional $85. Practice exams exist for all categories except the advanced generalist exam.

Other test prep resources offer free practice tests, but ASWB warns against those resources because their content may be misleading.

ASWB enforces several security measures on test day to ensure a reliable exam process. Prepare to present two photo IDs and sign a confidentiality agreement.

Pearson VUE test centers are fitted with surveillance tools to detect exam malpractice. Test center personnel may also walk through the room at intervals.

You cannot enter the testing center with personal items, but you will receive erasable note boards, markers and other necessary materials from the test center personnel. You must return the items after the exam or risk invalidating your score.

The testing equipment should look like a typical computer setup. Test administrators may provide a short on-screen tutorial to help you navigate the software.

Upon completing the licensure exam, you’ll receive an unofficial score report at the test center indicating your performance. ASWB will then send the official score report to your state’s social work board two weeks after the exam.

Note that your scores cannot be altered at any point, so all you can do is wait for your state board to contact you or go ahead with other state-specific requirements. This may take anywhere from two weeks to a month.

If you fail the licensure exam, you can retake it after 90 days.

The ASWB exam stands for the Association of Social Work Boards examination. This test determines whether a candidate is fit to practice social work at their desired licensure level.

A recent ASWB report showed that 75.8% of first-time test takers passed the clinical exam category in 2021. The master’s and bachelor’s categories had pass rates of 73% and 68.7%, respectively.

Specific passing score thresholds on the ASWB exam may vary with each passing year. ASWB recommends that testers correctly answer 90 to 107 of the graded questions to pass the licensure exam.