New license planner
Build an itemized budget for an additional state NP license: board fees, verification, background checks and the items you still need to price.
Informational guidance only. Confirm current requirements with the appropriate licensing authority before applying, renewing or practicing. Read the disclaimer
Choose each state you are considering. You will answer a few questions about your route before any fees are listed. Which states do telehealth employers ask for?
What this planner covers
An expansion budget for an NP who already holds at least one NP license and the required RN authority; first-license, international-education and waiver routes need separate review. Base application fees are covered for 51 of 51 jurisdictions, which does not mean every pathway or ancillary cost is priced. AANPCB sends verification to state boards at no charge; other certifiers may charge per request (AANPCB handbook (opens in a new tab)).
Licenses you already hold
Add them to calculate outgoing verification fees.
Add current and past licenses a destination may ask you to verify; no license numbers are needed. Mark the original license for each credential and the most recent state (for Louisiana, the current APRN license in your last employment state). Participating APRN records default to the $30 Nursys RN bundle; nonparticipating records use direct requests.
One destination, one verification budget. Requests are counted separately for each destination. Participating RN and APRN records are grouped into one $30 Nursys request per destination. California direct-board RN and APRN requests are combined when both are selected. Where scope or personal history is unresolved, requests remain provisional and the gap is shown.
Add at least one state to build its budget.
Shared and federal costs, counted once
$0–$99
3 questions not answered; left out of the total.
Added once to the combined plan. Existing licenses, certifications and DEA registrations are sunk costs, so include only new expenses.
One $0–$99 short-course reserve across the entire plan, not per state. The low end assumes requirements already satisfied or accepted free courses; $99 uses the published annual Unlimited Plus CE package as a planning example. Check each course’s topic, hours and board acceptance. State-specific exams already listed remain separate. Formal graduate, remedial, clinical or re-entry training is outside this reserve: enter its actual additional cost under Other Shared Costs. This is not a guarantee that one package satisfies every state. CE price example (opens in a new tab)
The correct number of DEA registrations depends on your practice locations and applicable exceptions; this page does not assume one per state. DEA fee regulation (opens in a new tab) NPDB subscription (opens in a new tab)
APRN verification outside Nursys
Add a state to see its row here, or show all states.
| Issuing state | APRN verification | Scope and source |
|---|
How to read this table
The Nursys participation tables list no APRN reporting for the states below, checked September 21, 2026. All 51 jurisdictions in this calculator report RN records to QuickConfirm; that does not establish acceptance of a particular verification service. QuickConfirm table (opens in a new tab) Endorsement table (opens in a new tab)
One $30 Nursys request can cover RN and participating APRN records. NCSBN says to select RN and that participating APRN records are included at no extra charge. Direct requests may still be needed for nonparticipating boards or additional information required by the destination. West Virginia also directs APRN requests to its board and is routed separately in the calculator. Service guidance checked October 4, 2026; the participation snapshot retains its own date because the live table could not be re-read during that review. NCSBN APRN instructions (opens in a new tab)
RN endorsement verification through Nursys is $30 for each destination state. A separate APRN request may add a fee even when the same board issues both credentials. California’s direct-board request bundles its RN and advanced-practice records; the calculator counts that bundle once.
Background check and fingerprint references
Add a state to see its background-check row here, or show all jurisdictions.
| Destination and route | Processing reference | Capture and conditions |
|---|
How to read this table
Compare the documented routes below, then select the route in your state budget. A processing fee may exclude collection, card conversion, out-of-state service or postage. A missing price means the cost or applicability is unresolved; it does not mean the check is free. Only reuse an earlier check when the receiving board explicitly accepts it.
Use the receiving board’s profession and service code when requesting a quote. Ask what the total includes, whether remote enrollment changes the price, and how rejected prints are handled. School transcripts depend on your actual programs and delivery choices. Budget only unmet education and applicant-specific extras. None has a universal state-level price.
Building a license portfolio for telehealth
For multistate telehealth work, a portfolio of roughly 5–10 strategically chosen active NP licenses can make you a fit for more employers: you can see patients in more jurisdictions and meet more employers’ licensing requirements. Treat that range as a practical expansion strategy, not a proven optimal number or a hiring threshold.
Why additional licenses can help
- More patients you can see. Each active NP license adds a jurisdiction where you can treat patients, which matters to employers staffing visits across many states.
- More postings you match. Many telehealth postings name the states they need. Holding those states makes you eligible for more of those roles.
- Which states matters as much as how many. Some employers accept fewer licenses; others ask for more than ten. A few well-chosen states can do more than many unrequested ones.
A license expands eligibility. It does not guarantee an offer, patient volume, higher pay or completed credentialing. Employers also weigh your specialty, experience, prescribing authority, the practice conditions in each state and where you live.
Counting your licenses
Count the distinct states where you hold an active NP (APRN) license. An RN license and an NP license in the same state cover one state, not two.
RN compact (NLC) privileges do not give NP authority in any state.
States requested by employers in our review
From 11 telehealth employers’ own postings and recruiting pages for urgent care, primary care, general telehealth and weight-management roles, checked October 14, 2026. A small sample that shows examples, not a national ranking. Postings that give a number asked for anywhere from at least 3 to 30 or more licenses.
How we reviewed employers, license counts and specialty roles
Reopened the three seed sources, then pulled full posting text from public ATS APIs (Lever, Greenhouse, Ashby, Workable, Workday CXS) for ~90 telehealth company slugs and from leads found by web search (standard mode). Only states that the posting or guidance text explicitly names as required, preferred, or high-demand were recorded. Syndicated duplicates and per-shift variants were collapsed, and closed or unverifiable leads went to excludedLeads.
How many licenses employers ask for
- OpenLoop, Telehealth nurse practitioner recruiting guidance: “3-5 state licenses”
- Everlywell, Nurse Practitioner (contract): “Valid Nurse Practitioner license in at least 15 states.”
- Florida Telehealth Medical Group, Part Time Telemedicine Nurse Practitioner: “Active NP licenses in 15+ additional/minor states (alternative to CA or IL)”
- Florida Telehealth Medical Group, Telemedicine Nurse Practitioner (EVENING/NIGHT SHIFT REQUIRED): “Holds 6 or more active NP state licenses with prescriptive authority. (preferred)”
- Included Health, Urgent Care Nurse Practitioner: “Ideal candidates will hold five or more active state licenses. / Active multi-state licensure (5+ licenses preferred)”
- Included Health, Virtual Primary Care Nurse Practitioner: “Multi-state licensure highly preferred”
- LumiMeds, Nurse Practitioner (Weight Management & Metabolic Health)/ +15 licences: “Minimum of 15 active, unrestricted state licenses required (30+ state licenses strongly preferred)”
- LumiMeds, Telehealth Nurse Practitioner (FNP/AGNP) – Weight Management & Metabolic Health: “Active licensure in 30+ U.S. states (required)”
- Ro, Virtual Nurse Practitioner (1099 Contractor): “A minimum of 11 state licenses in Independent Practice States”
- SteadyMD, Nurse Practitioner (Remote) - 1099, majority async: “Active Nurse Practitioner (NP) license in at least 5 states”
- SteadyMD, Nurse Practitioner (Remote, Full-time): “Active Nurse Practitioner (NP) license in at least 30 states”
- Teladoc Health, Nurse Practitioner, 24/7 Care (1099): “Candidates must hold active, unrestricted licensure in a minimum of four (4) states at the time of hire.”
- Teladoc Health, Staff Nurse Practitioner, Primary Care: “Must hold Nurse Practitioner licensure in at least 3 states at time of interview.”
- Teladoc Health, Urgent Care Nurse Practitioner (Full Time): “Must hold four active state license with full practice and prescriptive authority”
- Tia, Nurse Practitioner / Physician Assistant - Full Spectrum Primary Care - Remote - Talent Community: “active, unrestricted license in one or more states where Tia provides care”
- Vida Health, Nurse Practitioner (Prescribing, virtual obesity/cardiometabolic care): “10+ states”
- Midi Health, Nurse Practitioner - [State] License (per-state postings): “Multiple active state licenses”
- Teladoc Health, Staff Nurse Practitioner, Mental Health: “Must hold two independent, active state licenses”
Specialty roles, not counted in the table
- Equip (opens in a new tab), Telehealth Family Nurse Practitioner - Eating Disorders (per-state postings) (FNP, eating disorders): NJ, NY and OR
- Midi Health (opens in a new tab), Nurse Practitioner - [State] License (per-state postings) (NP, women's midlife/menopause care): CA, FL, IL, MD, MA, MO, NJ, NY, NC, OK, PA, TX, WA and VA
- Ophelia (opens in a new tab), Telehealth Nurse Practitioner or Physician Assistant (Remote) - [State] License (NP/PA, opioid use disorder): DE, NJ, NY and PA
- Parsley Health (opens in a new tab), Virtual Advanced Practice Provider (Nurse Practitioner/Physician Assistant) (NP/PA, functional medicine): NY, CA, MO, AR, IN, FL, CT, DE, CO and ME
- Teladoc Health (opens in a new tab), Staff Nurse Practitioner, Mental Health (PMHNP): AZ, IA, WA, NV, IL, VA, OR, MN and UT
- Tia (opens in a new tab), Nurse Practitioner / Physician Assistant - Virtual - Remote (virtual gynecology) (NP/PA, gynecology/women's health): CA
- Two Chairs (opens in a new tab), Psychiatric Nurse Practitioner (Part-time, W2) - Illinois (PMHNP): IL, TX, GA, NJ, PA and AZ
- Two Chairs (opens in a new tab), Psychiatric Nurse Practitioner (Part-time, W2) - North Carolina (PMHNP): NC, NY, DC, MD, VA, FL, WA and CA
- Two Chairs (opens in a new tab), Psychiatric Nurse Practitioner (Part-time, W2) - Pennsylvania (PMHNP): PA, TX, GA, NJ, IL and AZ
Sources
We counted a state only when an employer named it as required, as one of a list of states that meets a requirement (for example, “at least two of” a list), or as preferred or high-demand, once per employer per state, and kept active postings separate from recruiting guidance. States an employer merely serves, job locations, salary, population and practice authority were not counted as demand. Closed or redirected postings and specialty-only roles (for example, psychiatric NP roles) are excluded from the counts. Employer wording such as “independent practice states” is the employer’s, not a legal classification; see practice authority for each state’s rules.
Sample: 15 employers with open postings and 1 with recruiting guidance. Postings change often; reopen the source before relying on it.
- OpenLoop: Telehealth nurse practitioner recruiting guidance (opens in a new tab) Recruiting guidance, open, checked October 14, 2026
- Everlywell: Nurse Practitioner (contract) (opens in a new tab) Posting, open, checked October 14, 2026
- Florida Telehealth Medical Group: Part Time Telemedicine Nurse Practitioner (opens in a new tab) Posting, open, checked October 14, 2026
- Florida Telehealth Medical Group: Telemedicine Nurse Practitioner (EVENING/NIGHT SHIFT REQUIRED) (opens in a new tab) Posting, open, checked October 14, 2026
- Florida Telehealth Medical Group: Telemedicine Nurse Practitioner in Illinois (Overnights) (opens in a new tab) Posting, open, checked October 14, 2026
- Included Health: Urgent Care Nurse Practitioner (opens in a new tab) Posting, open, checked October 14, 2026
- Included Health: Virtual Primary Care Nurse Practitioner (opens in a new tab) Posting, open, checked October 14, 2026
- K Health: Family Nurse Practitioner (FNP) | FL, NJ, NY, MA, VA, NLC | Remote (Weekdays) (opens in a new tab) Posting, open, checked October 14, 2026
- LumiMeds: Nurse Practitioner (Weight Management & Metabolic Health)/ +15 licences (opens in a new tab) Posting, open, checked October 14, 2026
- LumiMeds: Telehealth Nurse Practitioner (FNP/AGNP) – Weight Management & Metabolic Health (opens in a new tab) Posting, open, checked October 14, 2026
- Ro: Virtual Nurse Practitioner (1099 Contractor) (opens in a new tab) Posting, open, checked October 14, 2026
- SteadyMD: Nurse Practitioner (Remote) - 1099, majority async (opens in a new tab) Posting, open, checked October 14, 2026
- SteadyMD: Nurse Practitioner (Remote, Full-time) (opens in a new tab) Posting, open, checked October 14, 2026
- Teladoc Health: Nurse Practitioner, 24/7 Care (1099) (opens in a new tab) Posting, open, checked October 14, 2026
- Teladoc Health: Staff Nurse Practitioner, Primary Care (opens in a new tab) Posting, open, checked October 14, 2026
- Teladoc Health: Urgent Care Nurse Practitioner (Full Time) (opens in a new tab) Posting, open, checked October 14, 2026
- Tia: Nurse Practitioner / Physician Assistant - Full Spectrum Primary Care - Remote - Talent Community (opens in a new tab) Posting, open, checked October 14, 2026
- Vida Health: Nurse Practitioner (Prescribing, virtual obesity/cardiometabolic care) (opens in a new tab) Posting, open, checked October 14, 2026
- Equip: Telehealth Family Nurse Practitioner - Eating Disorders (per-state postings) (opens in a new tab) Posting, open, checked October 14, 2026
- Midi Health: Nurse Practitioner - [State] License (per-state postings) (opens in a new tab) Posting, open, checked October 14, 2026
- Ophelia: Telehealth Nurse Practitioner or Physician Assistant (Remote) - [State] License (opens in a new tab) Posting, open, checked October 14, 2026
- Parsley Health: Virtual Advanced Practice Provider (Nurse Practitioner/Physician Assistant) (opens in a new tab) Posting, open, checked October 14, 2026
- Teladoc Health: Staff Nurse Practitioner, Mental Health (opens in a new tab) Posting, open, checked October 14, 2026
- Tia: Nurse Practitioner / Physician Assistant - Virtual - Remote (virtual gynecology) (opens in a new tab) Posting, open, checked October 14, 2026
- Two Chairs: Psychiatric Nurse Practitioner (Part-time, W2) - Illinois (opens in a new tab) Posting, open, checked October 14, 2026
- Two Chairs: Psychiatric Nurse Practitioner (Part-time, W2) - North Carolina (opens in a new tab) Posting, open, checked October 14, 2026
- Two Chairs: Psychiatric Nurse Practitioner (Part-time, W2) - Pennsylvania (opens in a new tab) Posting, open, checked October 14, 2026
How to choose your next licenses
- List the roles you would actually take, and note the states those postings require or prefer.
- Favor states that appear across several employers you are targeting, not just one.
- Check practice conditions. A collaboration agreement or transition period can limit what a new license lets you do at first.
- Price the first year and every renewal, and keep the licenses you can afford to maintain.
- Apply first for what a written offer requires, then for states that are only preferred.
Price and review those states
- Add states to this planner to price applications, verifications and shared costs.
- Compare renewal fees before adding a license you will need to keep.
- Review application requirements for each state.
- Check practice authority and prescribing for each state.
Before you apply
Your target work, existing credentials and budget should set the order of applications. Four decisions to settle before paying a board fee.
Separate credentials from permissions
An RN license, APRN authority and prescribing approval answer different questions. An RN multistate license does not supply APRN authority in every compact state.
Record for each target state: RN license or privilege, APRN credential, national certification, prescribing approval and any collaboration or experience condition. Mark each confirmed, needed or not applicable, with the official source and the date checked. NLC: RN compact eligibility and APRNs
Give every license a job
A license has value when it supports work you can realistically obtain and maintain. Write the employer or practice plan, patient population and anticipated start date next to each proposed state.
Ask the employer: is the credential required before the interview, the offer or the first patient? What is reimbursed, and does reimbursement carry repayment terms? Sort states into apply now, clarify first and hold. Fund a written offer’s requirement before a state that is only preferred.
Budget the first year and the renewal cycle
Application fees alone understate the cost. The planner above prices the initial application; renewal fees, CE, collaboration fees and other ongoing obligations need a separate maintenance list with actual due dates.
Keep visible: who pays each item, a contingency for documents that must be reordered, and the difference between verified board fees and your own estimates. Revisit unused licenses at renewal using their full recurring cost.
Sequence applications around real dependencies
Each board sets what it needs before submission, approval and prescribing. Record its prerequisites and whether it asks for original, current, all held or previously held licenses; RN verification and advanced-practice verification are separate requests.
Plan the order: run independent tasks together (transcripts, fingerprints) and put approvals that depend on an earlier license on the timeline. Read each application’s update obligations and disclose every required license and change; do not assume one board’s process applies nationally.
References and methodology
This is an expansion budget for a U.S. NP who already holds at least one NP license and the required RN authority. Published fees, dated evidence, planning allowances, user-entered quotes and unresolved costs remain distinct. The planning range is not a statistical confidence interval or a guaranteed maximum. State rules and population data are stored in the site; opening this page does not trigger a new source lookup.
Base application fee coverage: 51 / 51 jurisdictions, including DC. Coverage establishes at least one standard route. Other routes and costs may apply. Reconfirm current checkout amounts.
Additional official-source findings and the complete APRN verification and fingerprint reference tables remain available in the reference sections above. Base fee review: September 21, 2026. Targeted fee and verification audit: October 4, 2026. Next fee review: December 21, 2026.
Renewal fees, ongoing CE, ongoing collaboration fees, malpractice and business operating costs are not included. The application budget separately shows unmet application courses and any documented setup charges. Download the budget before leaving because plans are held only while this page is open.