CRNA Advanced Practice

Texas CRNA License Requirements

Complete guide to becoming a Certified Registered Nurse Anesthetist in Texas

Processing Time

4-8 weeks

Initial Cost

$100

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: Collaborative/delegated: per Tex. Occ. Code Sec. 157.058, a CRNA orders and selects anesthesia drugs only pursuant to a physicians delegation and order in a hospital or ASC; no independent prescriptive authority.

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	$100
Total	$100

Renewal

Renewal Fee (every 2 years)

$70

Continuing Education Requirements

Contact hours required

2 years

Renewal cycle

2 jurisprudence/ethics every 3rd renewal; 400 practice hours required

Prerequisites

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

RN Requirements View Texas RN Requirements