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Become a Nurse Practitioner

How to become a nurse practitioner

With over 220,000 nurse practitioners working in the United States, it seems a farfetched idea that there’s a nursing shortage. However, there is. And with the growing need for more primary healthcare givers due to the population aging and more accessible insurance coverage, it’s becoming critical to start filling in those nurse practitioner roles that are opening. So, if you’re considering going into nursing, find out more about what it takes to become a nurse practitioner!


A nurse practitioner is a registered nurse with an advanced degree, holding either a master’s or doctorate in nursing. The role of the nurse practitioner came to fruition in 1965 in Colorado, created by a nurse named Loretta Ford and a doctor, Henry Silver. The nurse practitioner program was created to bring more medical care to underprivileged areas. The scope of the job has been in an upward trajectory ever since, with the role expanding constantly.

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What you’ll do as a nurse practitioner depends on what your area of specialty is. Generically speaking, you’ll be trained to diagnose and treat your patients’ illnesses as well as provide education in regard to your patients and their family’s health. On any given day, you’ll be looking over patient medical records, performing physical exams, and ordering tests. Depending on the state you’re in, you can write prescriptions and act autonomously without the supervision of a physician.

Because laws for nurse practitioners vary by state, the American Association of Nurse Practitioners has three categories.

  • Full practice: Full practice states allow nurse practitioners to diagnose, treat, test, prescribe, and manage patients all under the authority of the state board of nursing.
  • Reduced practice: Reduced practice states limit the nurse practitioner’s scope of work, and you must collaborate with another healthcare provider in at least one facet of specialty.
  • Restricted practice: In a restricted practice state such as Texas, California, and Florida, the nurse practitioner is completely supervised under a healthcare provider of the same specialty.


Going through the educational process toward becoming a nurse practitioner is a big deal, but it’s only one part of what makes up a great NP. There are certain soft skills and personal qualities that will be effective in helping you to soar in your career.

  • Compassion: As a healthcare provider, you will be helping patients and families dealing with a wide range of illnesses. Part of your job is to guide them through their illnesses and make them feel as though you’re truly there for them with an ear, shoulder, and focused mind.
  • Communication: As a NP, you not only need to be a people person but also have great communication skills. You will be interacting with patients, their families, and other healthcare workers all day long, every day. Being an effective communicator is paramount.
  • Ethical: Nurses of any type are expected to act a certain way. What will guide you best are your morals, principles, and desire to help others.
  • Confidence: NPs have to know what they are doing, and rely on their education and experience to navigate them. You’ll need to be confident with every step you make; any bit of self doubt could be detrimental to the health of your patient.
  • Adaptability: Long hours and crazy schedules are ahead when it comes to living the life of a nurse practitioner. You’ll have to roll with the punches.
  • Emotional stability: Nurses come across many different types of cases throughout their careers. It’s important to have emotional stability, otherwise nursing could hold emotionally dire consequences.
  • Patience: You can have long, arduous days when you’re dealing with sicknesses. To make it as a nurse practitioner, you need to have patience of somewhat epic proportions.
  • Detail-oriented: You must be able to pay attention to every little detail in regard to your patients. One little miss could potentially result in a catastrophe.


mother teresa quote become a nurse practitioner

No matter the nurse practitioner specialty you’ve decided to pursue, you’ll still have the same basic route to take. It goes a little something like this:

  1. Graduate from high school with a bunch of science courses under your belt. Also, having volunteer experience from a hospital or other healthcare facility is recommended.
  2. Get your Bachelor’s of Science-Nursing (BSN) degree from an accredited nursing program at the university or college of your choosing. You can also get an associate’s degree in nursing, but you will still have to get a bachelor’s degree to go onto your master’s degree program. Note: if you don’t graduate from an accredited program, you will not be allowed to sit for the RN certification. Which means you won’t be able to go on to become a nurse practitioner. Some classes you’ll take in your nursing program are:
    1. Understanding and applying nursing research: Learning basic research methodology as it applies to nursing
    2. Nursing roles: What is nursing and its process
    3. Intro to Pharmacological concepts: Finding out about and identifying all the major drug classifications, plus drug safety, precautions, interactions, and more
    4. Pathophysiology: How illnesses develop and spread
  3. Becoming a registered nurse is the first step you’ll take toward your goal of nurse practitioner. You’ll have to take and pass the NCLEx-RN. Once you do, you’ll work as an RN for 1-2 years before you can enter the graduate program.
  4. Go and get your Master’s of Science-Nursing. This is the absolute minimum of requirements for becoming a NP. This program prepares you for more indepth nursing roles and can take 1-4 years to complete. You’ll be ready to step into senior roles in hospitals, clinics, and other medical-related facilities. Courses in this program include:
    1. Application of Research to Practice: Readies you to step into leadership roles that are research-based
    2. Statistical Literacy: Establishes the foundation of nursing and ethics
    3. Health Promotion and Disease Prevention: Hands-on learning in counselling, screening, and prevention as it relates to nursing and the communities
    4. Clinical Pharmacology: More indepth than the bachelor’s degree class of the same topic, focuses on groups of drugs and how they affect the body
  5. You’ll have to get a license to practice. All states require that of their nurse practitioners. You must have a master’s degree and a current RN license, plus pass a the NCLEX exam in order to begin your education and training.
  6. From here, you can choose to train in one of the many areas of specialties.

Many courses can be done online and often through the hospital you’re training with. There are also hybrid programs which require your in-person attendance for certain classes.


There are so many different NP specialties, it can be hard to choose which one to go into. Unless, of course, you’ve already made that decision. If you’re still struggling, there are a few questions you can ask yourself that can narrow down your options. Do you like working in or outpatient? What are the most available types of jobs open in your area? What population do you like working with: children, adults, families, psychiatric, etc? How competitive is the job market in the areas of your choice? And which speciality aligns with where you see yourself in the future?

Some of the main NP specialties are:

  • Urgent Care NP: Urgent care clinics are opening on every corner across the country, creating many positions for qualified nurse practitioners. The average salary nationwide is over $104K.
  • Emergency Department NP: Skilled emergency room nurse practitioners who work full time are earning an average salary of over $103K.
  • Psychiatric NP: Nurse practitioners with a focus on psychiatric nursing work alongside psychiatrics and earn an average of $98K annually.
  • Hospital Based NP: NPs based in the hospital manage the patients from admittance through to discharge. They will make an average annual salary of over $96K.
  • Women’s Health NP: NPs who specialize in women’s health will bring in an average salary of over $85K.
  • Family Practice NP: In a family practice, NPs act similarly to physicians. Their salary averages over $89K per year. Over 50 percent of all nurse practitioners specialize in family practice.
  • Cardiology NP: Making an average annual paycheck of $96K, cardiology NPs work in the cardiac care unit of hospitals and other healthcare facilities.
  • Pain Management NP: A NP with pain management skills can earn over $92K annually.


To keep up with trends, participate in continuing education, and have networking resources, many nurse practitioners join related professional organizations and associations. There are numerous organizations specifically for nurses, including nurse practitioners. Below are only a few of the many associations you could join.


The Bureau of Labor Statistics reports that the median annual salary for nurse practitioners is over $107K. The lowest annual median salary is around $74K, while those in the top tier are earning well over $175K per year. Your pay can look different depending on the industry you’re employed in, as well as your geographic location.

Highest Paying States


Average Salary









New Jersey


Highest Paying Industries


Average Salary

Personal Care Services


Management, Scientific, and Technical Consulting Services


Specialty (except Psychiatric and Substance Abuse) Hospitals


Offices of Dentists


Computer Systems Design and Related Services



A boom in people receiving insurance, the population of aging baby-boomers, and people beginning to take better care of themselves are all factors driving the employment growth for nurse practitioners to 34 percent through 2026.

States With The Highest Employment Levels



New York










Industries With The Highest Employment Levels



Offices of Physicians


General Medical and Surgical Hospitals


Outpatient Care Centers


Colleges, Universities, and Professional Schools


Offices of Other Health Practitioners


As a nurse practitioner, you’ll be immersed in a career that can be as diverse as you’re willing to make it. Just like most other nursing careers, job satisfaction is high for most nurse practitioners. There’s nothing that beats helping people while remaining happy in your career choice!