Why Dual Certifications Are Growing: Demand and Benefits

Nurse practitioners (NPs) are advanced-level nursing professionals who provide many of the same services as physicians, but with a holistic approach that emphasizes both disease prevention and overall wellness.

To perform the high-level tasks typically required of nurse practitioners — including ordering and reviewing diagnostic tests and monitoring patient medication responses — they need to hold advanced practice registered nurse (APRN) licenses. To gain this licensing, nurses generally need to be certified in their selected areas of specialization.

Certification provides national recognition of nursing professionals’ education, knowledge, and skills in treating a particular patient population. Once a nurse practitioner gains certification in one area, they can then choose to add another specialty certification to gain dual certification.

Common  NP certifications and their populations of focus include:

• Adult-gerontology acute care nurse practitioner (AGACNP) — Acute care for adults of all ages
• Adult-gerontology primary care nurse practitioner (AGPCNP) — Primary care for adults of various ages
• Family nurse practitioner (FNP) — Primary care for patients of all ages
• Pediatric (primary care) nurse practitioner (PNP) — Primary care for patients from birth to young adulthood
• Psychiatric mental health nurse practitioner (PMHNP) — Mental health care for individuals, families, and groups

In 2022, 70% of U.S. nurse practitioners were certified as FNPs, according to the American Association of Nurse Practitioners (AANP). In fact, 88% of NPs held certification in some type of primary care.

A national shortage of healthcare providers has led to an increased demand for medical professionals who hold dual certification, with expertise in more than one area of specialization, according to The Journal for Nurse Practitioners.

Ninety-nine million people across the country lived in primary care health professional shortage areas (HPSAs), for instance, and 158 million lived in mental health professional shortage areas, according to a January 2023 report from the U.S. Health Resources & Services Administration (HRSA). FNPs who also hold certification as PMHNPs are equipped to help fill the gaps in both types of care.

In addition, nurse practitioners in general are experiencing high demand. They can anticipate employment in their field to grow 46% between 2021 and 2031, according to the U.S. Bureau of Labor Statistics (BLS).

Nurse practitioners obtain their certifications from one of several national organizations. The focus areas of certifications offered vary by organization. The key certifying bodies are:

• American Academy of Nurse Practitioners Certification Board (AANPCB)
• American Association of Critical-Care Nurses (AACN)
• American Nurses Credentialing Center (ANCC)
• National Certification Corp. (NCC)
• Pediatric Nursing Certification Board (PNCB)

In addition to ensuring that patients have more options for getting the type of care they need, dual certification can provide nurse practitioners with a host of benefits. The following are some of the ways that dual certification can positively impact NPs’ careers:

By definition, NPs are nursing leaders who are experts in their area of specialization. Adding a second certification enables nurse practitioners to build on this accomplishment by exhibiting their expertise — and being regarded as leaders — in an additional area of focus.

Gaining a second certification allows nurse practitioners to broaden their expertise. This knowledge can inform their work in both of their areas of specialization, helping them to identify and address a more well-rounded range of concerns in their patient population.

NPs who hold certifications in more than one practice area specialize in treating more than one type of patient population. This designation can create more opportunities to attract and treat patients, and it can set them apart when they seek new jobs.

NPs generally earn annual salaries that are above the national average. The median annual salary for nurse practitioners was $120,680 in May 2021, according to the BLS. But certain NP certifications can be more lucrative than others and adding one of those specializations has the potential to lead to a higher salary. The following focus areas are among those with the highest earning potential, according to the employment website Indeed:

• Pediatrics
• Adult gerontology
• Psychiatrics
• Families

For example, while the median annual salary for PMHNPs in November 2022 was about $99,000, according to compensation data provider Payscale, salaries reached as much as $140,000 with experience, bonuses, and profit sharing.

NPs typically perform a variety of tasks related to patient care; they often order and review tests, diagnose patients’ conditions, and prescribe medications. This level of responsibility requires advanced education, training, and licensing in addition to certification.

Before they can seek national certification and state licensing, nurse practitioners need to be RNs who have completed a graduate-level program focused on the patient population they want to serve. NPs who have one certification and want to add a second need to take some additional steps. The process for nurse practitioners to seek dual certification includes:

Earning certification requires education that provides the skills and expertise necessary to care for a specific patient population. While some programs allow nursing professionals to work toward certification in two areas simultaneously, many NPs who want two certifications already have one and are adding another.

For licensed and certified nurse practitioners, seeking certification to serve an additional patient population typically starts with pursuing additional education focused on that area of specialization. Because they already hold advanced degrees, these NPs could select post-master’s nurse practitioner certification as a cost-effective option that focuses on the specialization they want to add.

After completing the education and training program for the additional certification, NPs need to take the exam required by the certifying body for that specialization area. NPs seeking a second, or dual, certification as a PMHNP could qualify by passing an exam from the ANCC, for example. Those seeking FNP certification need to pass an exam offered by the AANPCB or the ANCC.

NP national certification typically requires periodic renewal. This process varies according to the certification and the organization providing it, but it generally includes participating in professional development and meeting practice hour requirements.

Nurse practitioners provide services that can help address healthcare shortages, while enjoying the benefits of a well-paying job that’s in high demand. If you’re an NP who wants to build on those benefits by adding a new certification to your work, explore Maryville University’s online Post-Master’s Nurse Practitioner Certificate programs.

Through flexible, supportive, and convenient scheduling and courses that are perfect for working professionals, the program can help you gain the knowledge and skills you’ll need to pursue NP certification in a new area. You can prepare for certification as an:

• AGACNP
• AGPCNP
• FNP
• PHP
• PMHNP

Discover how one of Maryville’s  can help you achieve your goals as a nursing leader.

American Academy of Nurse Practitioners Certification Board, Vision, Mission, and Purpose

American Association of Critical-Care Nurses, “Certification Benefits Patients, Employers and Nurses”

American Association of Nurse Practitioners, NP Fact Sheet

American Association of Nurse Practitioners, Nurse Practitioner (NP) Certification

American Association of Nurse Practitioners “The Path to Becoming a Nurse Practitioner (NP)”

American Nurses Credentialing Center, Our Certifications

Health Resources & Services Administration, Health Workforce Shortage Areas

Indeed Career Guide, “11 of the Highest-Paid Types of Nurse Practitioners (FAQ)”

The Journal for Nurse Practitioners, “Dual-Track Education for Nurse Practitioners: Current and Future Directions”

National Certification Corporation, Certification Exams

Payscale, Average Psychiatric Mental Health Nurse Practitioner Salary

Pediatric Nursing Certification Board, PNCB Exams

U.S. Bureau of Labor Statistics, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners

U.S. News and World Report, Nurse Practitioner – Career Rankings, Salary, Reviews and Advice