Nurse Aide I · rules checked October 22, 2026
Work at least 8 hours for pay performing Nurse Aide I duties delegated and supervised by a Registered Nurse during your 24-month listing period. You file the online renewal form before your listing expires, and the RN who supervised you (or an RN with access to the employer's records) must then file the matching online Employment Verification Form within 7 calendar days; the RN signature verifies the work dates, not your competency. Private duty and sitter work do not count, but home care for a licensed facility/agency and Medicaid CAP waiver work are not treated as private duty.
If you have never worked for pay since certifying, use your certification date.
| Credential | Nurse Aide I |
|---|---|
| Registry | North Carolina Nurse Aide I Registry (NC Department of Health and Human Services, Division of Health Service Regulation) · (919) 855-3969 |
| Training required | 75 hours |
| Exam | Credentia — $140 (written $40 · skills $100) |
| How renewal works | Stays active through paid work inside the window — no calendar expiry while you keep working. Renewal fee: $0. |
| Keep-active work rule | Work at least 8 hours for pay performing Nurse Aide I duties delegated and supervised by a Registered Nurse during your 24-month listing period. You file the online renewal form before your listing expires, and the RN who supervised you (or an RN with access to the employer's records) must then file the matching online Employment Verification Form within 7 calendar days; the RN signature verifies the work dates, not your competency. Private duty and sitter work do not count, but home care for a licensed facility/agency and Medicaid CAP waiver work are not treated as private duty. |
| Continuing education | No continuing education requirement to renew. The 8 hours of RN-supervised paid Nurse Aide I work is the whole requirement, and there are no registry fees. |
| Who reports your work | You do — nobody files it for you |
Changing soon: Credentia/NNAAP total is $140, split for retests as $40 written (or oral) / $100 skills in the Credentia candidate handbook; a newer secondary table lists $50/$90 retests, so confirm the split in CNA365 at scheduling - the $140 total is consistent everywhere.
Portal, forms, the steps in order, the exact fee, and the trap that lapses North Carolina aides — our guide How to renew your CNA license in North Carolina walks the renewal end to end.
If you are still within your listing period but cannot reach the 8 hours, NC lets you retest instead: submit the training waiver application (registry guidance: at least 45 days, and up to 90 days, before your listing expiration date) and pass the Credentia competency exam before your listing expires, with no additional training.
If you do not perform at least 8 hours of qualified work during any 24-month period, NCDHHS requires new state-approved Nurse Aide I training and competency testing to be listed again. Community colleges offer Nurse Aide I refresher courses for formerly listed aides, which is the usual retraining route.
Both forms must be in before expiration and the registry does not promise a reminder; if the RN misses the 7-day verification window you both start again. Renewal is for 24 months from the last qualified work date reported, and expiration dates fall at the end of the month. Exam attempts: pass both parts within 24 months of training or 3 attempts, whichever comes first.
Application fee: $0. Two primary-source routes on the NCDHHS registry page: (1) Reciprocity - completed a state-approved training program, passed competency testing, listed on another state's registry in unexpired good standing with no pending/substantiated findings, AND employed as a nurse aide for pay for at least 8 hours performing RN-delegated/supervised nursing tasks in the previous 24 consecutive months. Out-of-state private duty employment does not qualify. (2) Training Waiver - completed a state-approved nurse aide training program in another state within the last 24 months and currently listed unexpired/in good standing; this route can lead to NC competency testing. NCDHHS FAQ states there are no registry fees. Work-history requirement: At least 8 hours of paid, RN-supervised nurse aide work in the previous 24 consecutive months (reciprocity route). Fee conflict flagged: the DHHS primary FAQ says 'There are no registry fees,' so endorsement is listed as $0; one secondary fee table lists NC at $188, which appears to bundle the competency exam charged on the training-waiver/testing route rather than a reciprocity fee. Verify the route you qualify under before assuming a cost.
The table below is computed for an active aide in good standing, trained to the origin state's standard hours. Your own hours or status can change your row — run the transfer checker with your real facts.
| Certified in | Verdict for North Carolina | Fee | Why |
|---|---|---|---|
| Alabama | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Alaska | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Arizona | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Arkansas | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| California | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Colorado | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Connecticut | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Delaware | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| District of Columbia | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Florida | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Georgia | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Hawaii | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Idaho | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Illinois | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Indiana | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Iowa | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Kansas | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Kentucky | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Louisiana | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Maine | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Maryland | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Massachusetts | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Michigan | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Minnesota | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Mississippi | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Missouri | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Montana | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Nebraska | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Nevada | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| New Hampshire | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| New Jersey | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| New Mexico | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| New York | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| North Carolina | Same state — no transfer needed | ||
| North Dakota | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Ohio | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Oklahoma | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Oregon | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Pennsylvania | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Rhode Island | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| South Carolina | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| South Dakota | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Tennessee | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Texas | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Utah | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Vermont | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Virginia | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Washington | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| West Virginia | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Wisconsin | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
| Wyoming | Accepted — with conditions | $0 | North Carolina accepts active certifications with a work-history requirement, a possible exam, decided on your file. |
The kit carries North Carolina's full recovery path — the forms, the order to file them, the phone scripts — plus transfer checklists for every destination. See the kit →
