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Massachusetts

Clinician license renewal in Massachusetts

Renewal cycles, fees, CE requirements, and compact membership for nurse practitioners, physician assistants, and physicians in Massachusetts. Sourced from state boards and the official compact registries; we surface the citation next to every claim and never invent a rule we can’t verify.

Last reviewed 05/08/2026.

Compact membership

Nurse Licensure Compact (NLC)

Enacted, not yet implementing

Source: nursecompact.com, as of 05/05/2026

Interstate Medical Licensure Compact (IMLC)

Not a member

Source: imlcc.com, as of 05/05/2026

APRN / nurse practitioner license

Renewal cycle
Biennial. The RN license and APRN authorization renew together on the licensee's birthday in even-numbered years. (LPN licenses renew in odd-numbered years.)
mass.gov, as of 05/08/2026
Renewal fee
$180 RN-with-APRN renewal every two years (as of 2026-05-08; BORN renew page fee table). RN-only renewal is $120 per cycle. Late renewal adds $57 if submitted after the license expiration date.
mass.gov, as of 05/08/2026
Continuing education
15 contact hours of continuing education per biennial renewal cycle (244 CMR 5.00). Hours must be earned in the 2 years before the renewal date. APRNs additionally maintain national certification through a Board-approved certifying organization (carries CE through the certifying body), complete prescriber training under M.G.L. c. 94C §18(e), and complete a one-time Alzheimer's / dementia training at initial licensure (Chapter 220 of the Acts of 2018).
mass.gov, as of 05/08/2026
Online renewal available
Confirm with Massachusetts Board of Registration in Nursing

Track this credential automatically with Larch’s License tracking.

Physician assistant license

Renewal cycle
Biennial. PA licenses renew on or before March 1 of every odd-numbered calendar year per 263 CMR 3.05.
law.cornell.edu, as of 05/08/2026
Renewal fee
$150 biennial PA license renewal fee per the Massachusetts Division of Professional Licensure (as of 2026-05-08). Confirm at the time of renewal with the Board of Registration of Physician Assistants.
mass.gov, as of 05/08/2026
Continuing education
100 hours of continuing education per renewal period per 263 CMR 3.05(3), of which at least 40 hours must be Category I (AMA or AAPA-criteria) courses and at least 4 hours must be in pharmacology or pharmacokinetics. PAs authorized to operate fluoroscopic x-ray systems also complete at least 4 hours each renewal related to fluoroscopic imaging (263 CMR 5.07).
law.cornell.edu, as of 05/08/2026
Online renewal available
Confirm with Massachusetts Board of Registration in Medicine

Track this credential automatically with Larch’s License tracking.

MD / DO license

Renewal cycle
Confirm with Massachusetts Board of Registration in Medicine
Renewal fee
Confirm with Massachusetts Board of Registration in Medicine
Continuing education
Confirm with Massachusetts Board of Registration in Medicine
Online renewal available
Confirm with Massachusetts Board of Registration in Medicine

We’re still verifying Massachusetts Board of Registration in Medicine’s MD/DO- specific renewal details. The most accurate source is the board itself — visit Massachusetts Board of Registration in Medicine.

Track this credential automatically with Larch’s License tracking.

State controlled-substance registration

Some states layer a state-level controlled-substance registration (CSR or CDS) on top of the federal DEA; others rely on the DEA alone. Where Massachusettsrequires one, it carries its own number, fee, and renewal clock — independent of the DEA cycle.

Required in this state
Confirm with Massachusetts controlled-substances regulator

We’re still verifying Massachusetts’s state CSR rules. Confirm with the Massachusettscontrolled-substances regulator (often the Board of Pharmacy or a Department of Health office) before assuming you do or don’t need a state CSR alongside your DEA.

Track DEA + state CSR together with Larch’s DEA + CSR tracker.

Federal DEA registration

DEA registration is federal, not state-issued. DEA practitioner registrations renew on a three-year cycle and are tied to a specific practice address — multi-site clinicians typically hold one DEA per practice location, each with its own number and clock. The first renewal on or after June 27, 2023 also required a one-time MATE Act 8-hour training attestation; once attested, the credit carries forward.

See Larch’s DEA tracking page for details on the federal cycle, multi-site rules, and the MATE Act attestation requirements.

Common questions about Massachusetts renewals

Is Massachusetts a Nurse Licensure Compact (NLC) state?
Massachusetts has enacted the NLC but has not yet implemented it. The implementation date is to be determined. Until implementation is complete, Massachusetts nurses cannot apply for a multistate license, and out-of-state multistate licensees cannot rely on the compact in Massachusetts. Source: NCSBN compact map.
Does the Interstate Medical Licensure Compact (IMLC) work for physicians in Massachusetts?
Massachusetts is not currently a participating IMLC member. Physicians who want to practice in Massachusetts must apply directly through the Massachusetts Board of Medicine; they cannot use the IMLC's expedited pathway. Source: IMLCC.
Does the federal DEA renewal cycle differ in Massachusetts?
No. DEA practitioner registrations are federal and renew on a three-year cycle regardless of state. Registrations are tied to a specific practice address — not to the holder personally — so multi-site clinicians typically hold one DEA per practice location. Massachusetts's state-level controlled-substance registration, if it requires one, is separate from the federal DEA.
How does Larch keep Massachusetts's rules current?
A drift-detection job re-fetches each cited source on a weekly cadence and flags pages where the source content has changed since our last review. Where we don't have a verified detail, we surface "Confirm with [Board]" with a link to the issuing board — never a guess.

Track every MA credential on one calendar.

Larch keeps a clean clock on every license, DEA, state CSR, board cert, and CE hour. Smart renewal alerts on the schedule you set. Encrypted document vault. License tracker is $5/month or $49/year — bundle with Collaboration + CE for $119/year.

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Sources for Massachusetts

Other states