How to Become a Cardiac Nurse Practitioner

How would you like to work in a health care profession where intensity is woven into the job, and no two days are alike? The job of a cardiac nurse practitioner (NP) is one such role. Cardiac NPs work in cardiology, where they may specialize in treating diseases of the heart, blood vessels, and the circulatory system.
As an advanced practice registered nurse (APRN), a cardiac NP possesses the extensive education and clinical experience required to assume responsibilities such as diagnosing patients and prescribing medications (depending on the state in which they practice). Read on for an overview of how to become a cardiac nurse practitioner, along with resources for you to explore as you plan your career.
Becoming a cardiac NP doesn’t happen overnight—it takes years of schooling, many clinical hours, and national and state licensure to get there. And with good reason: the position may require you to deal with patients who have high-risk or life-threatening heart conditions such as arrhythmia, coronary artery disease, or heart failure.
There are plenty of bachelor’s and master’s degree options with specialties in cardiology that may help you check off the education and clinical requirements for this role. Below is an overview of the common steps to become a cardiac NP.
An RN license can be obtained upon completion of a registered nurse program and passing the licensure exam. Even at an entry level, nurses must commit to protecting the public. All registered nurses must pass the NCLEX-RN.
Look for a graduate or postgraduate program that aligns with your career goals and lifestyle needs. But more importantly, the program should be accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
To become a cardiac NP, nurses must become specialists in cardiac care. Aspiring cardiac NPs must have practiced as at least an RN for the equivalent of 2 years full-time, have amassed 2,000 hours of clinical practice in cardiac-vascular nursing, and completed 30 hours of continuing education over the course of three years for the American Nurses Credentialing Center’s Cardiac Vascular Nursing Certification (RN-BC).
Certification requirements vary by state, so be sure to find out what your state licensing board requires of you before you embark on your educational journey. It’s also important that you stay on top of your certification. You are required to renew your board and state nursing certifications every 5 years. This ensures your knowledge is up to date and that you are well-equipped to deliver patient care. As an NP, you are expected to manage your renewal dates and renew them before they expire.
Once these requirements have been completed, candidates may qualify to sit for a cardiac nurse exam—either the American Nurses Credentialing Center’s Cardiac Vascular Nursing Certification (RN-BC) or the American Board of Cardiovascular Credentialing’s Cardiovascular Nursing Level I (CVRN-BC).
Should I Become a Cardiac Nurse Practitioner?
Becoming a cardiac nurse practitioner may be a rewarding—albeit challenging— nursing career path. According to the U.S. Centers for Disease Control and Prevention, heart disease is the leading cause of death for adults of all backgrounds. Cardiac NPs play a vital role in helping patients who are at risk of developing a form of heart disease, or who are already living with it. Additionally, as a cardiac NP, you may have the opportunity to play a life-saving role for acute patients who have experienced a heart attack. Consider the gravity of these responsibilities when you’re making a decision. The cardiac NP role can be demanding, but it enables you to make a genuine impact on patients' lives.
Cardiac Nurse Certification
The cardiac nurse certification may help you advance your career. They may also help you develop a deeper knowledge that allows you to better care for patients. There are several options for you to become certified.
Below are a few certifications to consider.
Name of Certification: American Nurses Credentialing Center (ANCC) — Cardiac Vascular Nursing Certification (RN-BC)
Eligibility Requirements:
- Hold a current RN license (or international equivalent)
- Have completed two years of full-time nursing
- Have 2,000+ hours of clinical practice in cardiovascular nursing (completed in the last three years)
- Have 30+ hours of continuing education in cardiovascular nursing (completed in the last three years)
Fees:
- Non-ANCC member – $395
- American Nurses Association members – $295
- Society for Vascular Nursing members – $340
- Preventive Cardiovascular Nurses Association members – $340
Renewal:
- Renewal is required every five years
- Renewal fees are as follows:
- Non-ANCC member – $350
- American Nurses Association members – $250
- Preventive Cardiovascular Nurses Association member – $295
- Society for Vascular Nursing member – $295
Name of Certification: American Board of Cardiovascular Medicine (ABCM) — CVNP-BC (Cardiac Nurse Practitioners Level II)
Eligibility Requirements:
- Have 2+ years of practice as a nurse practitioner OR
- Have been a cardiac RN prior to becoming an NP
- Extensive knowledge of the cardiology field
Fee: $384 ($25 non-refundable application fee + $359 exam fee)
Renewal:
- Renewal is required every 3 years
- Renewal fees are as follows:
- On-time recertification – $149
- Late recertification – $169
Name of Certification: American Association of Critical-Care Nurses (AACN) – Cardiac Medicine Certification (CMC)
Eligibility Requirements:
- Possess a current, unencumbered RN or APRN license in the U.S.
- Possess a current nationally-accredited clinical nursing specialty certification
- Have either:
- 1,750 hours of direct care as an RN or APRN for acutely/critically ill adult patients in the last two years, with 875 accrued in the year directly before application and 875 in the care of acutely/critically ill adult cardiac patients; OR
- Practiced as an RN or APRN for at least five years with a minimum of 2,000 hours of direct care with acutely/critically ill adult patients, with 144 accrued in the most recent year before application. Half of the total hours need to be in the care of acutely/critically ill adult cardiac patients
Fee:
- Non-AACN members – $235
- AACN members – $145
Renewal:
- There are several renewal requirements certified candidates must meet for renewal—you can either earn it via continued education or by exam.
- Renewal fees are as follows:
- CERPs option:
- Non-AACN members – $130
- AACN members – $75
- Exam option:
- Non-AACN members – $165
- AACN members – $120
- CERPs option:
Name of Certification: AACN – Cardiac Surgery Certification (CSC)
Eligibility Requirements:
- Possess a current, unencumbered RN or APRN license in the U.S.
- Possess a current nationally-accredited clinical nursing specialty certification
- Have either:
- Provided 1,750 hours of direct care as an RN or APRN for acutely/critically ill adult patients in the last two years, with 875 accrued in the year directly before application and 875 in the care of acutely/critically ill adult cardiac surgery patients within the first 48 hours post-operation; OR
- Practiced as an RN or APRN for at least five years with a minimum of 2,000 hours of direct care with acutely/critically ill adult patients, with 144 accrued in the most recent year before application. Half of the total hours need to be in the care of acutely/critically ill adult cardiac surgery patients within their first 48 hours post-operation.
Fee:
- Non-AACN members – $235
- AACN members – $145
Renewal:
- There are several renewal requirements certified candidates must meet for renewal—you can either earn it via continued education or by exam. View a complete list of requirements here.
- Renewal fees are as follows:
- CERPs option:
- Non-AACN members – $130
- AACN members – $75
- Exam option:
- Non-AACN members – $165
- AACN members – $120
- CERPs option:
State Nursing Licensure Information
Select your state
- Alabama (AL)
- Alaska (AK)
- Arizona (AZ)
- Arkansas (AR)
- California (CA)
- Colorado (CO)
- Connecticut (CT)
- Delaware (DE)
- Florida (FL)
- Georgia (GA)
- Hawaii (HI)
- Idaho (ID)
- Illinois (IL)
- Indiana (IN)
- Iowa (IA)
- Kansas (KS)
- Kentucky (KY)
- Louisiana (LA)
- Maine (ME)
- Maryland (MD)
- Massachusetts (MA)
- Michigan (MI)
- Minnesota (MN)
- Mississippi (MS)
- Missouri (MO)
- Montana (MT)
- Nebraska (NE)
- Nevada (NV)
- New Hampshire (NH)
- New Jersey (NJ)
- New Mexico (NM)
- New York (NY)
- North Carolina (NC)
- North Dakota (ND)
- Ohio (OH)
- Oklahoma (OK)
- Oregon (OR)
- Pennsylvania (PA)
- Rhode Island (RI)
- South Carolina (SC)
- South Dakota (SD)
- Tennessee (TN)
- Texas (TX)
- Utah (UT)
- Vermont (VT)
- Virginia (VA)
- Washington (WA)
- Washington, DC (DC)
- West Virginia (WV)
- Wisconsin (WI)
- Wyoming (WY)
Cardiac Nurse Practitioner Resources
For aspiring or current cardiac NPs, several resources can help you stay informed and deepen your education in the field. Below is a list of some resources and organizations for cardiac nurses and nurse practitioners.
- American Association of Critical-Care Nurses (AACN): The AACN is one of the leading professional membership organizations in nursing. Membership can offer you networking benefits and access to other experts in cardiology. The organization also offers cardiac nurse certifications that may help you further your career.
- American Board of Cardiovascular Medicine (ABCM): The ABCM is strictly a credentialing organization, but they offer various courses and conferences that can help you gain additional knowledge and experience as a cardiac NP.
- American Nursing Association (ANA): The ANA is another professional organization that connects nurses with news, education, and certification opportunities. Representing 4 million nurses in the U.S., the ANA is the largest professional nursing organization in the country.urses in the country.
- American Nursing Credentialing Center (ANCC): The ANCC administers certifications that help nurses advance professionally and broaden their practices.
- The American Journal of Cardiology: As a cardiac NP, you may choose to subscribe to a medical journal. The American Journal of Cardiology can help you to gain insight into the latest therapies, studies, and medications in the field.
- Centers for Disease Control and Prevention (CDC): The CDC is a trusted authority for national health statistics and warnings. If you’re exploring the field of cardiac health, their site provides an overview of the breadth of heart problems Americans are facing—and the most common ailments and risk factors leading to them.
- Journal of Cardiovascular Nursing: This medical journal contains insights and resources tailored to cardiac nurses.
- Preventive Cardiovascular Nurses Association (PCNA): The PCNA provides education and practice resources, as well as news about new evidence-based treatments. Specializing in preventative care, the PCNA can be a resource for nurses looking to mitigate patient risks.
FAQs
A cardiac nurse is a certified nurse who cares for patients at risk of or with existing chronic or acute heart conditions. The heart is one of the most essential organs, so professionals in cardiology need an extensive understanding of heart health, diseases, and prevention methods. A cardiac nurse performs many essential responsibilities that support a cardiologist. Some of a cardiac nurse’s responsibilities may include:
- Performing assessments
- Treating patients
- Providing postoperative care
- Educating patients and families about cardiovascular health.
Depending on the state in which you practice, your education level, and the licenses and certifications you hold, you may be able to diagnose patients and prescribe medications—responsibilities that typically only fall under a physician’s role.
Because cardiac nurses perform in a specialized role, they may experience greater career advancement throughout their lifetimes. You may qualify for certain nursing licenses and positions with an associate’s or bachelor’s degree. But additional education, like the master’s, can help you to fulfill higher education and clinical hours requirements for certain certifications.
If that’s a career goal of yours, you can pursue the track to become a registered cardiac nurse and work your way up to being a cardiac nurse practitioner.
Information last updated: October 2025



