Step 1 — March 1–30: Applications
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Obtain your NPI number via NPPES
- Use “student” taxonomy and school address as business/practice address

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Submit your NCMB application
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Tip: Applications are processed in the order they are submitted — apply early!
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Authorize NCCPA information release
Step 2 — April 1–7: Fingerprints
Location: Forsyth Sheriff Fingerprinting (M-F 8:30am - 3:30pm)
- Obtain fingerprints — can take 8–10 weeks to process
- Bring both required forms
Goal by Graduation: Have everything submitted and received/processed by NCMB — except your Graduation and NCCPA verifications.
Step 3 — May/June: Graduation
- Study for the PANCE
- Graduate!
- Your PA program must send graduation verification to NCMB
Step 4 — PANCE
- Take the PANCE
- Pass the PANCE ✓
- Ensure NCCPA sends your PANCE certification to NCMB
Waiting period — things are processing…
You will receive a series of updates regarding your application
- NCCPA credentials received
- Application has moved to quality assurance review
Step 5 — NC Licensed!
- Congratulations!
- Update your NPI taxonomy: Student → Physician Assistant
- Now apply for your DEA license
Step 6 — DEA License
Do NOT apply for DEA until you have your NC state license in hand.
- NC does not require any additional DEA specific forms beyond your state license
- Complete the required 8-hour Opioid CME (an option: free via NEJM)
Step 7 — Starting Your Job
- Submit NC Intent to Practice form to NCMB
- Sometime your job will do this for you - verify
- Update your NPI with your new practice/business address
