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New Hampshire

Clinician license renewal in New Hampshire

Renewal cycles, fees, CE requirements, and compact membership for nurse practitioners, physician assistants, and physicians in New Hampshire. 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)

Full member

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

Interstate Medical Licensure Compact (IMLC)

Member

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

APRN / nurse practitioner license

Renewal cycle
Biennial. APRN license renewal CE is measured 'within the 2 years immediately preceding date of application' (Nur 403.01(d)).
oplc.nh.gov, as of 05/08/2026
Renewal fee
$110 APRN biennial renewal + $116 RN biennial renewal (as of 2026-05-08; NH OPLC Board of Nursing fee table). RN renewal includes a mandatory $28 Professional Health Program (PHP) fee. An APRN pays $110 + $116 = $226 per biennium across the layered credentials.
oplc.nh.gov, as of 05/08/2026
Continuing education
30 contact hours per biennium specific to APRN practice, in addition to the 30 contact hours required for RN renewal — totaling 60 hours per biennium for a layered APRN+RN. Within the APRN-specific 30: at least 20 hours specific to the specialty practice area, and 5 hours in pharmacology appropriate to the specialty. For APRNs with an active DEA registration prescribing in New Hampshire, 3 of the 5 pharmacology hours must address opioid prescribing, pain management, or substance use disorder (Nur 403.01(d)).
oplc.nh.gov, as of 05/08/2026
Online renewal available
Confirm with New Hampshire Board of Nursing (OPLC)

Track this credential automatically with Larch’s License tracking.

Physician assistant license

Renewal cycle
Biennial. NH PA-C licensure cycle runs January 1 of the first year through December 31 of the second year.
oplc.nh.gov, as of 05/08/2026
Renewal fee
$203 biennial PA-C license renewal fee per the OPLC Board of Medicine fee schedule (as of 2026-05-08).
oplc.nh.gov, as of 05/08/2026
Continuing education
NH delegates PA continuing education to NCCPA — PAs must maintain current NCCPA certification (the Commission's 2-year standard is 100 CME credits including 50 Category 1 credits). Layered NH add-on: 3 hours of CE in pain management and addiction disorder for PAs required to register with the NH Prescription Drug Monitoring Program (PDMP).
oplc.nh.gov, as of 05/08/2026
Online renewal available
Confirm with New Hampshire Board of Medicine (OPLC)

Track this credential automatically with Larch’s License tracking.

MD / DO license

Renewal cycle
Confirm with New Hampshire Board of Medicine (OPLC)
Renewal fee
Confirm with New Hampshire Board of Medicine (OPLC)
Continuing education
Confirm with New Hampshire Board of Medicine (OPLC)
Online renewal available
Confirm with New Hampshire Board of Medicine (OPLC)

We’re still verifying New Hampshire Board of Medicine (OPLC)’s MD/DO- specific renewal details. The most accurate source is the board itself — visit New Hampshire Board of Medicine (OPLC).

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 New Hampshirerequires one, it carries its own number, fee, and renewal clock — independent of the DEA cycle.

Required in this state
Confirm with New Hampshire controlled-substances regulator

We’re still verifying New Hampshire’s state CSR rules. Confirm with the New Hampshirecontrolled-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 New Hampshire renewals

Is New Hampshire a Nurse Licensure Compact (NLC) state?
Yes — New Hampshire is a full NLC member. Nurses who hold an active multistate license issued by another compact state may practice in New Hampshire without applying separately, and New Hampshire residents may apply for a multistate license through the New Hampshire Board of Nursing if they meet the NCSBN's Uniform Licensure Requirements. Note that nurses changing their primary state of residence to or from a compact state generally must apply in the new home state within 60 days. Source: NCSBN compact map.
Does the Interstate Medical Licensure Compact (IMLC) work for physicians in New Hampshire?
Yes — New Hampshire participates in the IMLC. Eligible physicians can use the compact's expedited pathway to obtain medical licenses in additional member states. Whether New Hampshire serves as a physician's State of Principal License or only as a license-issuing state varies; check the IMLCC for current specifics. Source: IMLCC.
Does the federal DEA renewal cycle differ in New Hampshire?
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. New Hampshire's state-level controlled-substance registration, if it requires one, is separate from the federal DEA.
How does Larch keep New Hampshire'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 NH 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 New Hampshire

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