CNS Advanced Practice

Maryland Clinical Nurse Specialist License Requirements

Complete guide to becoming a Clinical Nurse Specialist in Maryland

Processing Time

4-8 weeks

Initial Cost

$50

Renewal Period

2 years

Practice Authority

reduced

Official source: licensing in Maryland is administered by the Maryland Board of Nursing. This guide summarizes the board's requirements — always confirm details there before applying. Already licensed? Look up a nursing license in Maryland.

Apply on Official Site

Reduced Practice

Reduced practice authority: general CNSs have no independent advanced practice authority (per NACNS state regulatory table); COMAR 10.27.27 recognizes the CNS APRN role but Maryland grants independent practice only to psychiatric/mental health CNSs.

Prescriptive Authority: Full independent authority

1 Education Requirements

Degree Required

Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP)

Program Requirements

Complete accredited Clinical Nurse Specialist program
Hold active RN license in the state
Clinical hours as specified by program

2 National Certification

Certification Body

ANCC or AACN

Required

Yes

American Nurses Credentialing Center or American Association of Critical-Care Nurses

3 Fees

Initial Licensure

Application Fee	$50
Total	$50

Renewal

Renewal Fee (every 2 years)

$210

Prerequisites

To become a Clinical Nurse Specialist in Maryland, you must first hold an active RN license. Maryland is a member of the Nurse Licensure Compact (NLC), so you may hold a multistate RN license.

RN Requirements View Maryland RN Requirements

Maryland CNS License FAQs

How much does a CNS license cost in Maryland?

Expect about $50 in total initial CNS license costs in Maryland, including a $50 application fee. Fees can change, so confirm current amounts with the Maryland Board of Nursing.

Does Maryland require continuing education for CNS renewal?

No. Maryland does not require continuing education hours to renew a CNS license. The renewal fee is $10.

How long does it take to get a CNS license in Maryland?

Most complete applications are processed in about 4 to 8 weeks, though background checks and application volume can extend the timeline.

Who issues CNS licenses in Maryland?

The Maryland Board of Nursing handles CNS license applications, renewals, and verifications. You can reach the board at 410-585-1900.