Md. Code Regs. 10.27.07.05
Practice Before Maryland Certification.
Effective Oct 13, 2025Family Law Article, §2-301; Health-General Article, §§4-208(a), 4-212, §4-403, 5-601(c)—(e), 5-608(c), 10-616, 10-628, 13-701, and 13-704; Health Occupations Article, §§8-205(a)(1), (2), (4), and (5), and 8-302; Transportation Article, §§13-616(a) and (b), Annotated Code of Maryland; Ch. 342, Acts of 2015; Ch. 468, Acts of 2015
A. A registered nurse who has completed a Board-approved educational program for nurse practitioners and who has applied to take a Board-approved national certifying examination may practice as a nurse practitioner graduate before certification in this State upon approval of the Board if the nurse has:
- (1) Submitted a completed application for certification as a nurse practitioner in this State in accordance with Regulation .02 of this chapter;
- (2) Completed a nurse practitioner education program approved by the Board;
- (3) Presented evidence of submission of an application to take a Board-approved national certification examination;
- (4) Provided the name of a certified nurse practitioner, who has an active unencumbered Maryland license to practice as a registered nurse or a multistate privilege to practice registered nursing, who will directly supervise the nurse practitioner graduate; and
- (5) Paid all fees.
- B. If a certified nurse practitioner is not available in the graduate’s practice setting, as required in §A(4) of this regulation, a physician may provide this direct supervision if the nurse practitioner graduate provides the Board with the name of a certified nurse practitioner, who has an active unencumbered Maryland license to practice registered nursing or a multistate licensure privilege to practice registered nursing, with whom the nurse practitioner graduate has regular consultation.
- C. A nurse practitioner graduate who fails the Board-required examination shall immediately cease practice as a nurse practitioner graduate.
- D. An application for Maryland certification shall remain on file for a period of 18 months. During this time, applicants who have failed a national certifying examination may retake the examination and, upon proof of passing, may become eligible for Maryland certification.
Authority: Family Law Article, §2-301; Health-General Article, §§4-208(a), 4-212, §4-403, 5-601(c)—(e), 5-608(c), 10-616, 10-628, 13-701, and 13-704; Health Occupations Article, §§8-205(a)(1), (2), (4), and (5), and 8-302; Transportation Article, §§13-616(a) and (b), Annotated Code of Maryland; Ch. 342, Acts of 2015; Ch. 468, Acts of 2015
Effective date: March 6, 1981 (8:5 Md. R. 473)
Regulation .01B amended effective August 29, 1994 (21:17 Md. R. 1439)
Regulation .02 amended effective June 7, 1993 (20:11 Md. R. 913)
Regulation .03A amended effective June 7, 1993 (20:11 Md. R. 913)
Regulation .04 amended effective June 7, 1993 (20:11 Md. R. 913)
Regulation .05 repealed and new Regulation .05 adopted effective June 7, 1993 (20:11 Md. R. 913)
Regulation .08 adopted effective August 29, 1994 (21:17 Md. R. 1439)
Chapter revised effective July 11, 2011 (38:14 Md. R. 790)
Chapter revised effective December 10, 2015 (42:24 Md. R. 1505)
Regulation .02A amended effective August 28, 2017 (44:17 Md. R. 835)
Chapter revised effective July 2, 2018 (45:13 Md. R. 667)
Regulation .03G adopted effective October 13, 2025 (52:20 Md. R. 1002)
Regulation .07C amended effective October 13, 2025 (52:20 Md. R. 1002)