Home › CME by state › Nevada
Nevada CME requirements 2026 rules for physicians, NPs, PAs, CRNAs and CAAs
Nevada regulates five clinician professions through different boards, each with its own continuing-education rules: physicians (MD/DO), nurse practitioners (APRN/NP), physician assistants (PA), nurse anesthetists (CRNA) and anesthesiologist assistants (CAA), regulated by the Nevada State Board of Medical Examiners. Below, each profession's total hours, mandated topics, opioid/controlled-substance rule, and tracking, plus the one federal rule they share. Physician rules reviewed October 13, 2026.
Physicians (MD / DO)
Set by the Nevada State Board of Medical Examiners. Verified October 13, 2026.
General CME: 40 hours every 2 years; 20 of them must be in your scope of practice or specialty (NAC 630.153(1)).
Opioid / controlled substance
2 hours per biennium: misuse/abuse of CS, opioid prescribing, or addiction. Trigger: MDs registered to dispense CS.
✓ No board pre-approval needed: generic AMA PRA Category 1 accepted; topic must be CS misuse / opioid prescribing / addiction.
All mandated CME topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Medical ethics | 2 | per cycle | all |
| Suicide prevention/detection/intervention | 2 | within 2 years of licensure, then every 4 years | all |
| SBIRT (substance use) | 2 | one-time (within 2 years of licensure) | all (the training must now include nutrition for people with or at risk of a substance use disorder, R111-25) |
| Controlled substances / opioid / addiction | 2 | per licensure period | controlled-substance registrants |
| HIV/AIDS stigma, discrimination & bias | 2 | once, within 2 years of beginning emergency or primary care practice | emergency and primary-care physicians (family medicine, pediatrics, internal medicine, obstetrics and gynecology) |
| Cultural competency (including implicit bias, systemic racism and transgender care) | 2 | biennial | psychiatrists and the PAs they supervise only |
Citation: NRS 630.2535 / 630.253
Nurse Practitioners (APRN / NP)
Set by the Nevada State Board of Nursing, separate from the physician rules above, with its own hours and topics. Verified July 20, 2026.
General CE: 45 hours of continuing education per biennial (birthday-based) renewal that must be directly related to the APRN's role or population of focus; may include the RN renewal CE. No separate mandatory general-pharmacology hour requirement exists in Nevada. Citation: NAC 632.291(1)(a)(3); NRS 632.343(1).
Opioid / controlled substance
2 hours, every 2 years, for holders of controlled-substance prescriptive authority. Timing is built into the free multi-state planner.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Pharmacology / pharmacotherapeutics (prescriptive authority) | 2 hours | per cycle | prescribers |
| Opioid / controlled-substance prescribing | 2 | Each 2-year renewal cycle | APRN authorized to prescribe controlled substances under NRS 639.2351 or registered to dispense controlled substances under NRS 453.231 |
| Suicide prevention and awareness (evidence-based) | 2 | Within 2 years after initial licensure, then at least every 4 years | All APRNs |
| Bioterrorism / medical consequences of an act of terrorism involving a weapon of mass destruction (WMD) | 4 | One-time, within 2 years after initial licensure (or by 9/30/2005 for pre-existing licensees) | All nurses licensed under NRS ch. 632, including APRNs |
| SBIRT (screening, brief intervention and referral to treatment for substance use disorder) | 2 | One-time, within 2 years after initial licensure | All APRNs |
| Cultural competency and diversity, equity and inclusion (DEI) | 4 | Biennially (each renewal cycle) | All nurses licensed under NRS ch. 632, including APRNs |
| HIV stigma, discrimination and unrecognized bias | 2 | Within 2 years after beginning to provide/supervise the services (conditional) | APRNs who provide or supervise emergency medical services in a hospital or primary care |
Tracking: Self-attestation of CE at biennial birthday-based renewal on Board forms; Board performs random audits requiring authenticated certificates of completion (title, provider, approving body, date, license number, contact hours) covering the 24 months preceding the licensee's most recent birthday; licensees must retain CE documentation for 4 years. Citation: NAC 632.291(1),(3)-(4); NAC 632.343(4)-(5).
Physician Assistants (PA)
Set by the Nevada State Board of Medical Examiners (PAs supervised by DOs are licensed/regulated by the Nevada State Board of Osteopathic Medicine), separate from the physician rules above, with its own hours and topics. Verified July 20, 2026.
General CE: 40 hours of continuing medical education per biennium, as defined by the American Academy of Physician Assistants (AAPA) or documented as AMA Category 1 credit. Citation: NAC 630.350(1). (Osteopathic board: 20 hours per year AAPA-defined CME plus current NCCPA certification, NAC 633.285(3).)
Opioid / controlled substance
2 hours, every 2 years, for holders of controlled-substance prescriptive authority. Timing is built into the free multi-state planner.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Pharmacology / pharmacotherapeutics (prescriptive authority) | 2 hours | per cycle | prescribers |
| Opioid / controlled-substance prescribing | 2 | BME: each 2-year biennium. Osteopathic: each annual renewal. | BME: PA registered to dispense controlled substances under NRS 453.231. Osteopathic: all PAs (unconditional). |
| SBIRT (screening, brief intervention and referral to treatment for substance use disorder) | 2 | One-time, within 2 years after initial licensure | All PAs (Board of Medical Examiners) |
| Suicide detection, intervention and prevention (evidence-based) | 2 | Within 2 years after initial licensure, then every 4 years | All PAs per NV Board of Medical Examiners CME guidance (underlying statute NRS 630.253 is worded for physicians; BME applies it to PAs/AAs) |
| Cultural competency and diversity, equity and inclusion (DEI) | 2 | Biennially (each licensing period) | PAs practicing under the supervision of a psychiatrist (conditional) |
| HIV stigma, discrimination and unrecognized bias | 2 | Within 2 years after beginning to provide/supervise the services (conditional) | PAs who provide or supervise emergency medical services in a hospital or primary care |
Tracking: Board of Medical Examiners: proof of CME submitted at biennial registration/renewal; Board audits and reports expired PA licenses to the DEA. Citation: NAC 630.350. Osteopathic board: annual renewal with proof of current NCCPA certification and 20 hours CME. Citation: NAC 633.285.
Nurse Anesthetists (CRNA)
Set by the Nevada State Board of Nursing: certificate of registration as a Certified Registered Nurse Anesthetist (NRS 632.2395; NAC 632.495-632.550), separate from the physician rules above, with its own hours and topics. Verified August 24, 2026.
General CE: NAC 632.540: (1) CRNA certificate 'expires biennially upon expiration of the holder's license as a registered nurse'; (2) renewed upon (a) evidence of RN renewal, (b) 'evidence of current certification as a nurse anesthetist from the National Board of Certification and Recertification for Nurse Anesthetists', and (c) 'documentation of 45 contact hours of continuing education related to practice as a nurse anesthetist'; (3) 'If the national recertification occurs within 1 year before the nurse anesthetist's birthday, the Board will consider it sufficient evidence of: (a) The successful completion of 40 contact hours of continuing education related to practice as a nurse anesthetist; and (b) Validation of his or her professional practice during the previous 2 years' (as amended R060-23, eff. 6/20/2024). NAC 632.545: certificate 'expires automatically whenever there is a lapse in his or her national certification'. Underlying RN: 30 hours/2 years (NRS 632.343(1)) plus NRS 632.343(3) mandated courses.
NBCRNA recertification counts toward state CE (partial). Current NBCRNA certification is mandatory for renewal and lapse auto-expires the certificate (NAC 632.540(2)(b), 632.545). NBCRNA recertification within 1 year before the birthday is deemed evidence of 40 contact hours (NAC 632.540(3)): 5 hours short of the 45-hour requirement in (2)(c); the regulation does not say whether the remaining 5 hours must be documented separately. Sources disagree on 45 vs 40 hours: check the board. Recertification outside that 1-year window does not substitute for hours. National layer: NBCRNA continued certification (4-year cycle: 60 Class A + 40 Class B credits, MAC Check).
Opioid / controlled substance Confirm with the board
2 hours, every 2 years, for CRNAs who hold controlled-substance registration. Timing is built into the free multi-state planner.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Anesthesia-specific CE Confirm with the board | 45 | per cycle | all CRNAs |
| Bioterrorism / medical consequences of an act of terrorism involving a weapon of mass destruction Confirm with the board | 4 | One-time, within 2 years after initial licensure | 'each person licensed pursuant to this chapter': all NRS 632 licensees incl. CRNAs |
| Cultural competency and diversity, equity and inclusion Confirm with the board | 4 | Biennially (each renewal cycle) | 'each person licensed pursuant to this chapter': all NRS 632 licensees incl. CRNAs |
| HIV stigma, discrimination and unrecognized bias Confirm with the board | 2 | Within 2 years after beginning to provide/supervise the services (conditional) | Licensees who provide or supervise emergency medical services in a hospital or primary care (rarely CRNAs) |
| Suicide prevention and awareness Confirm with the board | 2 | Within 2 years after initial APRN licensure, then every 4 years | APRN licensees only (NRS 632.343(3)(a)(1)): does not reach a CRNA certificate holder unless also licensed as an APRN |
| SBIRT (screening, brief intervention, referral to treatment) Confirm with the board | 2 | One-time within 2 years after initial APRN licensure | APRN licensees only (NRS 632.343(3)(d)), not CRNA-certificate holders |
| Controlled-substance misuse/abuse, opioid prescribing, or addiction Confirm with the board | 2 | Each 2-year APRN renewal | APRNs with NRS 639.2351 prescribing or NRS 453.231 dispensing registration, not the CRNA certificate |
Tracking: Self-attestation at biennial birthday-based renewal; CRNA renewal submits evidence of current NBCRNA certification and 45 hours (or NBCRNA recert within 1 year = 40 hours); Board random audit with authenticated certificates; retain documentation 4 years (NAC 632.343; NAC 632.540).
Some figures are marked “Confirm with the board”: the research could not pin them to a primary source. Verify with the board.
Anesthesiologist Assistants (CAA)
Set by the Nevada State Board of Medical Examiners (simultaneous licensure available with the State Board of Osteopathic Medicine, NRS 630.26835), separate from the physician rules above, with its own hours and topics. Verified August 24, 2026.
General CE: Board regulation (LCB adopted 2024, codified in NAC 630 AA sections; 'Sec. 11'): AA must complete 40 hours of CE per biennial licensing period – 40 if licensed in first 6 months of the period, 30 / 20 / 10 if licensed in the 2nd/3rd/4th 6-month block – and hold current NCCAA certification; licenses renew by June 30 of each odd-numbered year (2025-2027 cycle per board site). Up to 10 hours credit for performing medical review for the Board (Sec. 12 / NAC 630.920).
NCCAA recertification counts toward state CE (partial). Current NCCAA certification is required for renewal in addition to the 40-hour CE requirement; the regulation does not state that NCCAA certification alone replaces the hours. National layer: NCCAA certification (50 CME hours every 2 years, 40 anesthesia + 10 general, plus the CDQ exam).
Opioid / controlled substance
No standalone state opioid/controlled-substance CE mandate identified for this profession. The federal DEA MATE Act (one-time 8-hour training) still applies if you hold a DEA registration.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Medical consequences of an act of terrorism involving a weapon of mass destruction Confirm with the board | Course (no set hours) | per NAC 630.922 (course requirement applied to AAs) | Anesthesiologist assistants |
| Screening, brief intervention and referral to treatment (SBIRT) for substance use disorder Confirm with the board | Course (no set hours) | per NAC 630.924 | all anesthesiologist assistants |
Tracking: Attestation at biennial renewal; board audit.
Some figures are marked “Confirm with the board”: the research could not pin them to a primary source. Verify with the board.
Federal: DEA MATE Act (all professions)
One rule is the same for every profession on this page. Every DEA-registered prescriber (physicians, nurse practitioners, physician assistants, and any CRNA or CAA who holds a DEA registration) must complete a one-time 8-hour training on treating patients with opioid or other substance use disorders, as a condition of DEA registration/renewal (since June 27, 2023). It is federal and applies in every state, and it does not replace Nevada's recurring opioid/controlled-substance CME. A MATE-qualifying accredited course will usually still count toward your state general CME/CE total. How the MATE Act differs from state rules
Authority: MATE Act §1263, Consolidated Appropriations Act 2023 (21 U.S.C. §823).
Notes (physician data)
- WMD/bioterrorism course repealed by AB 56 effective 1/1/2026. Ethics may be met by pain-management/SBIRT substitute.
- DOs: the figures above are the allopathic board's (NRS ch. 630). Osteopathic requirements now diverge: AB 56 + reg R092-25 move osteopathic renewal from annual to biennial (40 hours per 2-year period, was 35/year), raise the AOA Category 1-A minimum from 10 to 20, and raise substance-abuse/opioid CME from 2 to 4 hours. Verify with the Nevada State Board of Osteopathic Medicine.
Pick your profession and all your states in the free planner and get one 5-year schedule that batches your opioid/controlled-substance CME so a single course covers as many licenses as possible.
This page summarizes Nevada board rules and statutes as of October 13, 2026 for five separately-regulated professions: physicians (MD/DO), nurse practitioners (APRNs), physician assistants (PAs), nurse anesthetists (CRNAs), and anesthesiologist assistants (CAAs). Each is governed by its own board and its hour totals and mandated topics differ. Never assume one profession's figures apply to another. Physician data is compiled from FSMB and state medical-board sources; APRN/PA data was validated against nursing- and PA/medical-board rules on July 20, 2026, with the opioid/controlled-substance timing structured on July 23, 2026; CRNA and CAA data was researched against nursing-board, medical-board and practice-act primary sources on August 24, 2026 (items the research could not pin to a primary source are marked “Confirm with the board”). This is educational information, not legal advice. Always verify current requirements with your own board before relying on them.