CRNA Advanced Practice

Maryland CRNA License Requirements

Complete guide to becoming a Certified Registered Nurse Anesthetist in Maryland

Processing Time

4-8 weeks

Initial Cost

$50

Renewal Period

2 years

Practice Authority

restricted

Restricted Practice

CRNA: state has NOT opted out of the CMS Medicare physician-supervision requirement; physician supervision is required for CRNA anesthesia services under Medicare. State scope may differ.

Prescriptive Authority: CRNA may prescribe, order, and administer drugs (incl. CDS, 10-day supply limit) per COMAR 10.27.06.05A(5) & .05D, but only in collaboration with an anesthesiologist, licensed physician, or dentist who is physically available for consultation (COMAR 10.27.06.06A); nurse anesthesia is defined as acts in collaboration with a physician/dentist (10.27.06.01B(10)).

1 Education Requirements

Degree Required

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

Note: As of January 1, 2025, entry-level nurse anesthetist programs must be doctoral (DNP or DNAP). CRNAs educated prior to this date with an MSN remain eligible.

Program Requirements

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

2 National Certification

Certification Body

NBCRNA

Required

Yes

National Board of Certification and Recertification for Nurse Anesthetists

3 Fees

Initial Licensure

Application Fee	$50
Total	$50

Renewal

Renewal Fee (every 2 years)

$210

Prerequisites

To become a CRNA in Maryland, you must first hold an active RN license and typically have ICU experience. Maryland is a member of the Nurse Licensure Compact (NLC), so you may hold a multistate RN license.

RN Requirements View Maryland RN Requirements