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Missouri CME and nursing CE requirements
Continuing education and license renewal rules for physicians, advanced practice clinicians and nurses licensed in Missouri, as recorded by ClinLicense for planning.
Planning aid only. ClinLicense is not legal or compliance advice. Boards change rules between cycles, so confirm every requirement with the board before you rely on it.
- Licensing board
- Missouri State Board of Registration for the Healing Arts
MD CME requirements
Reviewed 2026-10-31 This entry was last reviewed on 2026-10-31. That date records our own review and is not a board approval. Some details below are marked for confirmation, so treat those as unverified until the board confirms them. Always confirm with the board before you rely on it.
- Total hours
- 50 hours every 2 years, with at least 25 in Category 1 or the equivalent
Required topics
No mandated topics are recorded for this profession in this state. That is not the same as the board having none, so confirm with the board.
Notes. 50 hours per 2 years, at least 25 Category 1 (confirm).
DO CME requirements
Not yet verified Not yet verified, confirm with the board. This entry has not been checked against the board’s own published rules.
- Total hours
- 50 hours every 2 years, with at least 25 in Category 1 or the equivalent
Required topics
No mandated topics are recorded for this profession in this state. That is not the same as the board having none, so confirm with the board.
Notes. Copied from the MD block as a planning default; the osteopathic rules were not separately confirmed. Confirm with the board.
NP CME requirements
Reviewed 2026-11-01 This entry was last reviewed on 2026-11-01. That date records our own review and is not a board approval. Some details below are marked for confirmation, so treat those as unverified until the board confirms them. Always confirm with the board before you rely on it.
- Total hours
- No hour minimum recorded, and the renewal cycle is not recorded
Required topics
No mandated topics are recorded for this profession in this state. That is not the same as the board having none, so confirm with the board.
Notes. 20 CSR 2200-4.200(5)(A) (Code of State Regulations 6/30/24): certified APRNs renew with the RN license (1, 2 or 3 year periods set by the Board of Nursing) by keeping an unencumbered RN license and national certification; the rule sets no CE hours for certified APRNs (the 60 contact hour requirement applies only to uncertified APRNs). Confirm with the board.
PA CME requirements
Reviewed 2026-11-01 This entry was last reviewed on 2026-11-01. That date records our own review and is not a board approval. Some details below are marked for confirmation, so treat those as unverified until the board confirms them. Always confirm with the board before you rely on it.
- Total hours
- No hour minimum recorded, and the renewal cycle is not recorded
Required topics
No mandated topics are recorded for this profession in this state. That is not the same as the board having none, so confirm with the board.
Notes. 20 CSR 2150-7.120 (Code of State Regulations 9/30/25) sets the PA renewal date (before January 31 of the renewal year) and fee but no CE hours, and RSMo 334.735 requires active NCCPA certification. Hours 0 means no state-set CE hours were found in the rules; confirm with the board.
CRNA CME requirements
Reviewed 2026-11-01 This entry was last reviewed on 2026-11-01. That date records our own review and is not a board approval. Some details below are marked for confirmation, so treat those as unverified until the board confirms them. Always confirm with the board before you rely on it.
- Total hours
- No hour minimum recorded, and the renewal cycle is not recorded
Required topics
No mandated topics are recorded for this profession in this state. That is not the same as the board having none, so confirm with the board.
Notes. CRNA is an APRN role under 20 CSR 2200-4.200; certified APRNs renew with the RN license and national certification and the rule sets no CE hours for certified APRNs. Confirm with the board.
CAA CME requirements
Reviewed 2026-11-01 This entry was last reviewed on 2026-11-01. That date records our own review and is not a board approval. Some details below are marked for confirmation, so treat those as unverified until the board confirms them. Always confirm with the board before you rely on it.
- Total hours
- 40 hours every 2 years
Required topics
No mandated topics are recorded for this profession in this state. That is not the same as the board having none, so confirm with the board.
Notes. 20 CSR 2150-9.070: 40 hours of CE per 24-month renewal period, accredited by NCCAA or the American Academy of Anesthesiologist Assistants, plus active NCCAA certification. Rule text read is the version dated 5/31/20 on the Secretary of State site; confirm with the board.
Missouri nursing CE requirements
Nursing boards usually count continuing education in contact hours rather than CME credits, and the nursing license renews on its own schedule, which may differ from the medical board dates above. Nurse practitioners and nurse anesthetists have their own sections above.
Nurse Licensure Compact Missouri has implemented the Nurse Licensure Compact. A registered or practical nurse whose primary state of residence is Missouri can hold a multistate license issued by Missouri, which carries the privilege to practice in the other compact states, and a nurse with a multistate license from another compact state can practice in Missouri under that privilege. Renewal and CE for a multistate license follow the rules of the home state that issued it. The compact covers RN and LPN/LVN licenses only, and advanced practice authority is still granted state by state. This compact list was last reviewed on November 3, 2026. Read the compact guide for RNs and LPNs.
Registered nurses (RN)
Reviewed 2026-11-03 This entry was last reviewed on 2026-11-03 against the source linked below. That date records our own review and is not a board approval.
- Continuing education
- The board requires no continuing education for this license.
- Nursing license renewal
- Every 2 years, based on a fixed calendar date (04-30)
- Board
- Missouri State Board of Nursing
- Source
- The board page this entry was checked against
Notes. 20 CSR 2200-4.020(8) and 4.010 set no continuing education hours for RN or LPN renewal. The renewal period is set by the Board at one, two or three years; the fee rule describes biennial renewal with RN licenses expiring April 30 of odd-numbered years and LPN licenses May 31 of even-numbered years.
Licensed practical and vocational nurses (LPN/LVN)
Reviewed 2026-11-03 This entry was last reviewed on 2026-11-03 against the source linked below. That date records our own review and is not a board approval.
- Continuing education
- The board requires no continuing education for this license.
- Nursing license renewal
- Every 2 years, based on a fixed calendar date (05-31)
- Board
- Missouri State Board of Nursing
- Source
- The board page this entry was checked against
Notes. 20 CSR 2200-4.020(8) and 4.010 set no continuing education hours for RN or LPN renewal. The renewal period is set by the Board at one, two or three years; the fee rule describes biennial renewal with RN licenses expiring April 30 of odd-numbered years and LPN licenses May 31 of even-numbered years.
Certified nurse-midwives (CNM)
Reviewed 2026-11-03 This entry was last reviewed on 2026-11-03 against the source linked below. That date records our own review and is not a board approval.
- Continuing education
- The board requires no continuing education for this license.
- Continuing competency
- Certified APRNs (CRNA, CNM, CNS, CNP) renew with the RN license by keeping an unencumbered RN license and national recertification; 20 CSR 2200-4.200(5)(A) sets no CE hours for certified APRNs (the 60 contact hours with 800 practice hours apply only to uncertified APRNs).
- Nursing license renewal
- Every 2 years, based on a fixed calendar date (04-30)
- Board
- Missouri State Board of Nursing
- Source
- The board page this entry was checked against
Notes. Certified APRNs (CRNA, CNM, CNS, CNP) renew with the RN license by keeping an unencumbered RN license and national recertification; 20 CSR 2200-4.200(5)(A) sets no CE hours for certified APRNs (the 60 contact hours with 800 practice hours apply only to uncertified APRNs).
Clinical nurse specialists (CNS)
Reviewed 2026-11-03 This entry was last reviewed on 2026-11-03 against the source linked below. That date records our own review and is not a board approval.
- Continuing education
- The board requires no continuing education for this license.
- Continuing competency
- Certified APRNs (CRNA, CNM, CNS, CNP) renew with the RN license by keeping an unencumbered RN license and national recertification; 20 CSR 2200-4.200(5)(A) sets no CE hours for certified APRNs (the 60 contact hours with 800 practice hours apply only to uncertified APRNs).
- Nursing license renewal
- Every 2 years, based on a fixed calendar date (04-30)
- Board
- Missouri State Board of Nursing
- Source
- The board page this entry was checked against
Notes. Certified APRNs (CRNA, CNM, CNS, CNP) renew with the RN license by keeping an unencumbered RN license and national recertification; 20 CSR 2200-4.200(5)(A) sets no CE hours for certified APRNs (the 60 contact hours with 800 practice hours apply only to uncertified APRNs).
See nursing CE requirements by state to compare Missouri with other states.
Plan this renewal
Use the free opioid CME planner to see the controlled-substance rules for Missouri next to other states, or the license cost calculator to estimate fees. Read how multi-state CME works if you hold more than one license.
Nurse practitioners, physician assistants, nurse anesthetists and anesthesiologist assistants usually also maintain national certification, which has its own cycle. The recertification basics guide explains how that fits alongside state rules. Nurses who hold licenses in more than one state can read the Nurse Licensure Compact for RNs and LPNs.
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