CNN Eligibility Criteria

  1. The applicant must hold a full and unrestricted license as a registered nurse in the United States, or its territories.
  2. Completed a minimum of 3000 hours of experience as a registered nurse in nephrology nursing within the three (3) years prior to application.
    Effective for all CNN examinations offered beginning January 1, 2015, if the applicant is working in an outpatient hemodialysis facility, at least 750 hours (25%) of the 3000 hours of experience must also include one or more of the following:
    • Home hemodialysis
    • Home peritoneal dialysis
    • Inpatient acute kidney injury on RRT
    • Inpatient critical care on RRT
    • CKD management not on RRT
    • Kidney transplant
    • Apheresis
  3. The applicant must possess a Baccalaureate in Nursing or a Master’s in Nursing Degree.
  4. The applicant must have completed thirty contact hours of approved continuing education credit in nephrology nursing within three years prior to submitting this application. Continuing education must be approved by one of the following:
    • Organizations accredited by the American Nurses’ Credentialing Center – Commission on Accreditation (ANCC-COA) the credentialing body of the American Nurses Association.
      For example, The American Nephrology Nurses’ Association (ANNA), which is both an accredited provider and approver of CE in nursing.
    • The American Association of Critical-Care Nurses (AACN).
    • The Council of Continuing Education.
    • California, Florida, Iowa, Kansas, or Ohio State Boards of Nursing.

Please be aware that although programs may meet requirements set forth by other state boards of nursing, they may not meet the Nephrology Nursing Certification Commission criteria.


No individual shall be excluded from the opportunity to participate in the NNCC certification program on the basis of race, national origin, religion, sex, age or disability.

Recertification Information