[ DATA ]License renewal requirements
Physician assistants license renewal by state
How often a PA license renews, when it's due, what it costs and how much CME the board asks for, in 50 US jurisdictions. Of these, 36 every 2 years, 11 every year, 2 every 3 years, 1 on another schedule (for example tied to a birth date or a fixed date range). Every row comes from the board's own published pages, with a source link and the date we checked it.
Checked between October 3, 2026 and November 4, 2026. Boards change fees and rules; confirm with the board before renewing.
| State | Renews | Deadline | Renewal fee | CME | Source |
|---|---|---|---|---|---|
| Alabama Alabama Board of Medical Examiners | Every year | Expires December 31 each year; renew by Dec 31 (late renewal Jan 1-31 requires CME certification; from Feb 1 proof of CME earned in the preceding 24 months) | $100 | 50 AMA PRA Category 1 credits (or equivalent) every 2 years | ALBME - PA/AA License/Registration Checked November 4, 2026 |
| Alaska Alaska State Medical Board | Every 2 years | Expires December 31 of even-numbered years (renewal period Jan 1, 2027 - Dec 31, 2028 on the current form); renewal notice sent at least 30 days before; no grace period, illegal to practice once lapsed | $150 full-term biennial renewal (licenses first issued on or before Dec 31, 2025); $75 prorated (first issued on or after Jan 1, 2026); inactive renewal $175 (12 AAC 02.250(b)) | Maintain current NCCPA certification, including NCCPA CME and recertification exam (12 AAC 40.470); DEA holders attest to 2 hours of education in pain management, opioid use and addiction (certificate if audited; waivable until a DEA registration is sought) | Alaska State Medical Board - Physician Associate License Renewal Application (08-0079, Rev. 10/05/2026, period 2027-2028) Checked November 4, 2026 |
| Arizona Arizona Regulatory Board of Physician Assistants | Every 2 years | Renew every other year on or before the licensee's birthday; penalty applies if not renewed within 30 days after the birthday; license automatically expires if not renewed within 90 days after the birthday | $370 (if postmarked no later than the birthdate) Late: $100 | 40 hours of Category I CME (AAPA, AMA, AOA or other board-accepted accreditor) completed before the renewal date; deemed satisfied if the PA holds NCCPA certification in good standing at renewal (A.R.S. 32-2523(F)); the first biennial period may be pro-rated (R4-17-205(B)) | A.R.S. 32-2523 - Licensure; renewal; continuing education; audit; penalty fee; expiration Checked November 3, 2026 |
| Arkansas Arkansas State Medical Board | Every year | Renews annually on a birth-month cycle (CME period runs from birth month of the previous year through birth month of the current year) | $3 (reduced fee in effect July 1, 2023 - June 30, 2027) Late: $25 | 20 CME hours per year (any category), certified on each annual renewal; random monthly audits | Arkansas State Medical Board - Fee Schedule Checked October 3, 2026 |
| California Physician Assistant Board | Every 2 years | Expires at midnight on the last day of the licensee's birth month in the second year of the two-year term (first license runs 13-24 months); renew online within 120 days before expiration (reminder mailed about 120 days out) or mail renewals at least 4 weeks before expiration; no grace period - unrenewed licenses become delinquent | $300 renewal fee plus a $30 CURES fee (licenses expiring on or after July 1, 2025; CURES fee not charged on inactive licenses) Late: $75 delinquency fee if not renewed within 30 days of expiration | 50 hours of approved Category 1 CME each 2-year renewal period, or current NCCPA certification (NCCPA certification itself is not required to renew) | Physician Assistant Board - Renewal Information Checked November 4, 2026 |
| Connecticut Connecticut Department of Public Health, Practitioner Licensing and Investigations (Physician Assistant Licensure) | Every year | Renews annually during the licensee's birth month (first expiration is the first birth month after issuance); 90-day grace period after expiration, after which reinstatement is required | $155 | Meet NCCPA mandatory CME (and any NCCPA exam/continued competency assessment) for maintaining certification, plus state-specific topics below | CT DPH - Health Care Practitioner Renewal Information Checked October 3, 2026 |
| Delaware Delaware Board of Medical Licensure and Discipline (with the Regulatory Council for Physician Associates) | Every 2 years | Expires March 31 of odd-numbered years; renew in DELPROS before expiration; late renewal allowed up to 1 year after expiration | Not published Late: 50% of the renewal fee (in addition to the renewal fee) | 100 hours of approved CME per full renewal period: current NCCPA certification or 50 hours AMA Category 1 + 50 hours Category 2 | Delaware DPR - Board of Medical Licensure and Discipline License Renewal Checked November 4, 2026 |
| District of Columbia District of Columbia Board of Medicine (Advisory Committee on Physician Assistants) | Every 2 years | Expires on the last day of the licensee's birth month (birth-month cycle since June 16, 2024; odd or even year based on birth year) | Not published | 100 hours of CE every 2 years (40 Category 1 + 60 Category 1 or 2), or current NCCPA certification in place of the general hours; LGBTQ and public health priority hours are required either way. NCCPA certification itself is not required to renew | DC Health - Board of Medicine (birth-month renewal transition) Checked October 3, 2026 |
| Florida Florida Board of Medicine (with the Council on Physician Assistants) | Every 2 years | Expires at midnight ET on January 31 of each even-numbered year; 'Renew My License' appears in the portal no later than 90 days before expiration | $280 (active to active, before expiration: $275 renewal + $5 unlicensed activity) plus $10 prescribing registration for prescribing PAs (Rule 64B8-30.019: $150, reduced to $10 through January 31, 2030) Late: $380 after expiration (active to active); $660 once 120-day notified delinquent | 100 hours CME per biennium (at least 50 Category I); a current NCCPA certificate substitutes for the general hours but not the mandatory topics (s. 458.347; Board renewal page) | Florida Board of Medicine - Physician Assistant Renewal Checked November 4, 2026 |
| Georgia Georgia Composite Medical Board | Every 2 years | Expires on the last day of the licensee's birth month, every two years; late renewal allowed up to 3 months after expiration, after which the license is administratively revoked | $105 Late: $205 (late renewal within 3 months of expiration); reinstatement $400 | At least 40 hours Board-approved CME every 2 years (AMA/AOA/AAPA/AAFP/AAAA Category 1) | Ga. Comp. R. & Regs. 360-5-.06 Renewal of Physician Assistant License Checked November 3, 2026 |
| Hawaii Hawaii Medical Board | Every 2 years | Expires January 31 of even-numbered years (current period Feb 1, 2026 to Jan 31, 2028); renewal forms are mailed in November of the odd year (Nov 10, 2025 to Jan 31, 2026 last cycle) | $150 (active); $12 (inactive) Late: No late renewal after January 31; restoration within 2 years: $150 (active) or $40 (inactive) | 40 hours of Category 1 CME (AMA Category 1, AOA Category 1A or AAPA Category 1) each biennium under HRS 453-5.3; NCCPA certification does not count toward the CME. Documentation is submitted only if randomly audited. Current NCCPA certification is also required to renew. | Hawaii Medical Board (renewal and restoration fees) Checked November 4, 2026 |
| Idaho Idaho State Board of Medicine (with the Physician Assistant Advisory Committee) | Every 2 years (biennial since April 1, 2026; previously annual) | Expires on the licensee's birthdate every two years; renewal opens up to 60 days before the birthday expiration | $84 (biennial renewal); $42 for licensees still on the annual cycle during the transition Late: $35 reinstatement fee for a lapsed license | Attest to current NCCPA (or Board-approved equivalent) certification, which requires at least 100 hours CME over two years | Idaho DOPL - Physician Assistant Advisory Committee Checked October 3, 2026 |
| Illinois Illinois Department of Financial and Professional Regulation - Physician Assistant licensing (Medical Licensing Board; Physician Assistant Advisory Committee) | Every 2 years | Expires March 1 of each even-numbered year; renewal available during the month before expiration | $40 per year ($80 per 2-year renewal) per 68 Ill. Adm. Code 1350.25 Late: Restoration of a lapsed license: $20 plus all lapsed renewal fees | 50 hours approved CE per 2-year cycle (at least 25 NCCPA Category 1), completed in the 24 months before expiration | IDFPR - Physician Assistant Checked November 4, 2026 |
| Indiana Indiana Physician Assistant Committee (Medical Licensing Board of Indiana) | Every 2 years | Expires June 30 of even-numbered years; renewal notices go out about 90 days before expiration | $50 plus processing fees ($25 to renew to inactive status) | Maintain current NCCPA certification to renew to Active status (844 IAC 2.2-2-3 requires evidence of current NCCPA certification); no separate state CME hour count | Indiana PLA - Physician Assistant Licensing Information Checked November 4, 2026 |
| Iowa Iowa Board of Physician Associates | Every 2 years | Expires September 30 at the end of a two-year period that begins October 1; renewal opens 60 days before expiration; 30-day grace period with late fee, after which the license becomes inactive | $120 Late: $60 (within the 30-day grace period); reactivation $180 | 100 hours CE per biennium (at least 50 Category I); current NCCPA certification can be shown as proof of meeting the requirement | Iowa DIAL - Physician Associates Checked October 3, 2026 |
| Kansas Kansas State Board of Healing Arts | Every year | Renew November 15 - December 31 each year; January 1-31 is the late period (late fee); unrenewed licenses are cancelled for failure to renew on February 1 (K.A.R. 100-28a-15 sets cancellation at December 31; a license issued or reinstated Oct 1 - Dec 31 runs to December 31 of the following year) | $150 (annual renewal, paper or online) Late: $208 online / $215 paper late renewal (January 1-31); reinstatement after cancellation $250 | 50 CE hours in the preceding year (at least 20 Category I and 1 Category III), or 100 hours over the preceding two years (at least 40 Category I and 2 Category III) | K.S.A. 65-28a03 - PA license renewal, late renewal, cancellation Checked November 3, 2026 |
| Kentucky Kentucky Board of Medical Licensure | Every 2 years | Renewal opens February 1 of the renewal year (the board emails a notice) and is due by March 31. A 30-day grace period with a penalty runs to April 30, after which the renewal window closes | $150 (biennial renewal) Late: $50 penalty for renewing after March 31 (through April 30); $150 to reregister an inactive license | 100 hours of CE every 2 years (AMA, AOA, AAFP, AAPA or board-approved) plus proof of current NCCPA certification | KBML - Physician Assistant Application Process and FAQ (renewal, CME) Checked November 3, 2026 |
| Louisiana Louisiana State Board of Medical Examiners (LSBME) | Every year | Renews annually on or before the last day of the PA's birth month (initial license expires the last day of the year issued); renewal opens 56 days before expiration | $150 Late: Expired under 1 year: renew online with a penalty equal to the renewal fee; 1-2 years: reinstatement application with a penalty equal to twice the renewal fee (§1519); over 2 years must apply as new | Current NCCPA certification, verified annually and tracked in CE Broker | LSBME - Renewals Checked November 4, 2026 |
| Maine Maine Board of Licensure in Medicine | Every 2 years | By the last day of the PA's birth month - even-numbered years if born in an even year, odd-numbered years if born in an odd year | $250 (biennial) Late: $50 | 100 hours CME per renewal cycle (50 Category 1) including 3 hours on opioid prescribing; current NCCPA certification satisfies the 100 hours but not the opioid hours | Maine Board of Licensure in Medicine - Physician Associates License Checked November 4, 2026 |
| Maryland Maryland Board of Physicians (Physician Assistant Advisory Committee) | Every 2 years | Expires June 30 of odd-numbered years; online renewal opens in early May (May 2 in 2025) and closes 11:59 p.m. ET on June 30 - no grace period | $401 (includes $360 processing fee, $15 PA Preceptorship Fund surcharge and $26 Maryland Health Care Commission assessment) Late: No late renewal: an expired license must be reinstated ($400 reinstatement fee plus a new criminal history records check) | 50 hours Category 1 CE (at least 8 in pharmacology) in the 2 years before expiration, OR proof of current NCCPA certification | Maryland Board of Physicians - Allied Health License Renewal Checked October 3, 2026 |
| Massachusetts Massachusetts Board of Registration of Physician Assistants | Every 2 years | Renew on or before March 1 of every odd-numbered year | $150 (biennial) Late: $57 (if the renewal is received after the license expiration date) | 100 hours CE per 2-year renewal period, including at least 40 hours AMA/AAPA Category I | 263 CMR 3.05 - License Renewal (via Cornell LII) Checked November 3, 2026 |
| Michigan Michigan Task Force on Physician's Assistants | Every 3 years | Renew by the expiration date on the license (3-year license); renewal opens in MiPLUS 90 days before expiration, with a 60-day grace period after expiration | $181.80 Late: $20 additional if renewed during the 60-day grace period; after that, relicensure is required | No general CE hours required for renewal; training attestations required (implicit bias each cycle, one-time human trafficking, opioid awareness for prescribers) | LARA - Physician Assistant Licensing Guide and FAQs (renewal checklist, fees, grace period) Checked November 4, 2026 |
| Minnesota Minnesota Board of Medical Practice | Every year | Due the last day of the PA's birth month each year | $115 Late: $50 | Current NCCPA certification, or at least 50 contact hours of Category 1-equivalent CE in the 2 years before renewal | Minnesota Board of Medical Practice - Fee List Checked October 3, 2026 |
| Mississippi Mississippi State Board of Medical Licensure | Every year | Expires June 30 each year; renewal period runs May 1 - June 30 | $150 plus a MELS convenience fee Late: $25 base fine plus $5 for each month the license remains delinquent | 100 hours CME every 2 years (50 Category 1), or current NCCPA certification | MSBML - Physician Assistant (PA) License Renewal Checked November 4, 2026 |
| Missouri Missouri State Board of Registration for the Healing Arts | Renewal period set by the Board (check your license expiration in MOPRO) | Renew before January 31 of the year the license is due; renewals after January 31 are delinquent (next business day if Jan 31 falls on a weekend or holiday) | $28 Late: $25 delinquent fee, plus the renewal fee | No separate CE hour requirement in Board rules; active NCCPA certification is part of the statutory PA definition (RSMo 334.735.1(7)), so keep it current | Missouri Board of Healing Arts - Physician Assistants Checked November 4, 2026 |
| Montana Montana Board of Medical Examiners | Every 2 years | Expires October 31 of the renewal year; online renewal open September 1 - October 31 | $190 per the PA Active Renewal Application (Rev. 8/2023) - confirm: ARM 24.156.409(1) (as amended 2026) is headed 'Initial and active license renewal application fees' and lists the PA at $375 Late: 100% late fee (equal to the renewal fee) if renewed after October 31 | Not published | Montana Board of Medical Examiners - Renewal Process Checked November 3, 2026 |
| Nebraska Nebraska Board of Medicine and Surgery (Physician Assistant Committee) | Every 2 years | PA licenses expire October 1 of odd-numbered years | $110 Late: Practicing after expiration carries an administrative penalty of $10 per day, up to $1,000 | 50 hours of Category 1 CE (ACCME, AOA or AAPA) in the 24 months before expiration, or meet NCCPA re-registration requirements in that period | Nebraska DHHS - Physician Assistant licensing Checked November 4, 2026 |
| Nevada Nevada State Board of Medical Examiners | Every 2 years | Biennial registration period runs July 1 of an odd-numbered year to June 30 of the next odd-numbered year (current period ends June 30, 2027); the Board sends a renewal notice at least 60 days before expiration | $400 active / $200 inactive (2027 renewal cycle) Late: No grace period: an unpaid license expires; reinstatement within 2 years costs twice the current biennial registration fee plus proof of CME | 40 hours of AMA or AAPA Category 1 CME per biennium (prorated to 30/20/10 hours if licensed later in the period); not required for inactive licensees | NSBME - CME Requirements Summary for MDs and PAs Checked November 4, 2026 |
| New Hampshire New Hampshire Board of Medicine | Every 2 years | License expires 2 years from the date it was issued; submit the complete renewal application, fee and documents on or before the expiration date (OPLC emails a notice at least 2 months before) | $220 (2-year license; $192 license fee plus the mandatory $28 Professional Health Program fee) | Maintain NCCPA certification, or 100 CME credit hours each renewal period (at least 40 Category 1, no more than 60 Category II) | NH Board of Medicine rules Med 100-600 (Med 607.01, 608.01, 613.01) Checked November 4, 2026 |
| New Jersey New Jersey State Board of Medical Examiners, Physician Assistants Advisory Committee (PAAC) | Every 2 years | Every PA license expires August 31 of odd-numbered years; CE must be completed before renewal | $220 | 50 Category I CE credits every 2-year renewal period (fewer may apply in the first period licensed) | NJ PAAC - Application Process Overview (licenses valid 2 years, expire August of odd years, $220 renewal, 50 credits) Checked November 3, 2026 |
| New Mexico New Mexico Medical Board | Every 2 years (tied to the NCCPA certification cycle) | Expires March 1 of the year following expiration of your NCCPA certification; renew by March 1 to avoid late fees (late window March 2-May 30); unrenewed licenses lapse June 1 | $150 biennial renewal Late: $50 if renewed after March 1 but by April 15; $75 if renewed between April 15 and May 30 | Proof of current NCCPA certification at each renewal (NCCPA itself requires 100 CME hours every two years, as the NMMB FAQ notes); PAs holding DEA and NM controlled-substance registrations also need 3 hours of pain-management CME per biennial cycle | 16.10.15 NMAC - Physician Assistants: Licensure and Practice Requirements Checked November 3, 2026 |
| New York New York State Education Department, Office of the Professions - Physician Assistant | Every 3 years (registration; the license itself is for life) | Registration expires at the end of your 3-year registration period (periods may be shortened once to align with your birth month); renew online during the final 5 months of the period, or up to 4 months after it expires | $45 triennial registration fee | No general CE hour requirement for NY PA registration; infection control and barrier precautions coursework is required every four years (Public Health Law 239), and prescribers with a DEA number need NYSDOH prescriber education every 3 years | NYSED Office of the Professions - Online Registration Renewal Checked November 3, 2026 |
| North Carolina North Carolina Medical Board | Every year (CME tracked on a 2-year cycle) | Renew annually within 30 days of your birthday, even if the birthday falls shortly after the license is issued | $200 Late: $25 | Current NCCPA certification, or 50 hours of NCCPA Category I CME every 2 years (cycle starts on the birthday after licensure) | NC Medical Board - Licensing, Registration and Renewal Fees (last updated 08.20.2026) Checked October 3, 2026 |
| North Dakota North Dakota Board of Medicine | Every 2 years | Since August 1, 2023, ND PA licenses expire every other year on December 31; renewal opens October 1 of the year the license expires | $100 plus $5 processing fee Late: Arrearage fee of $50 per year plus $5 processing fee (license expired less than 3 years; after 3 years a new application is required); a $250 fee applies if found practicing on an expired license (N.D.A.C. 50-03-01-17) | Evidence of current NCCPA certification required with each renewal (N.D.A.C. 50-03-01-14); ND does not set a separate CME hour count for PAs | ND Board of Medicine - Renew or Reactivate a PA License Checked November 4, 2026 |
| Ohio State Medical Board of Ohio | Every 2 years | License expires 2 years after its issue date; apply before expiration (the Board sends a renewal notice at least 1 month before). A license not renewed by its expiration date is automatically suspended | $200 biennial renewal fee Late: $50 reinstatement penalty if suspended for non-renewal 2 years or less; $100 restoration penalty after more than 2 years | 100 CME hours per licensure period plus current NCCPA certification and compliance with NCCPA CME | Ohio Revised Code 4730.14 - Renewing license Checked October 3, 2026 |
| Oklahoma Oklahoma State Board of Medical Licensure and Supervision (Physician Assistant Committee) | Every year | March 31 each year (OAC 435:15-3-1(b)(5), effective September 1, 2026): the license expires if not renewed by March 31; April 1-May 31 renewals take the late fee; after May 31 a new initial application is required | $125 annual reregistration fee Late: $100 | 20 hours of Category I CME during the preceding calendar year | Oklahoma Medical Board - Physician Assistants (CE requirements, 59 O.S. 519.8, OAC 435:15-3-17, licensing FAQ) Checked November 3, 2026 |
| Oregon Oregon Medical Board (Physician Associate Committee) | Every 2 years | Active licenses expire December 31 of even-numbered years (current cycle ends December 31, 2026); renewal opens October 5, 2026 and the Board recommends renewing by December 1 | $606 for an active license ($478 registration + $50 HPSP + $70 prescription monitoring + $8 OHA workforce database), effective 7/2/2026 Late: $195 if not submitted and paid before December 31 | 30 hours of practice-relevant CME per year (60 per 2-year period), plus pain management and cultural competency | Oregon Medical Board - Renew a License Checked October 3, 2026 |
| Pennsylvania Pennsylvania State Board of Medicine (PAs working with MD supervisors; the State Board of Osteopathic Medicine licenses PAs supervised by DOs) | Every 2 years | Medicine: biennial period January 1 of odd years through December 31 of the next even year. Osteopathic Medicine: November 1 through October 31 of even years. Renew by the end of the period | $40 biennial renewal (State Board of Medicine); $80 (State Board of Osteopathic Medicine) Late: Osteopathic Medicine: $5 per month or part of a month (49 Pa. Code 25.231); Medicine: none listed in 16.13 | Maintain current NCCPA certification and complete NCCPA-required CME (49 Pa. Code 18.145(c)), plus Board-mandated child abuse and (DEA holders) opioid education | PA State Board of Medicine - CME Requirements for Physician Assistant License Checked November 3, 2026 |
| Rhode Island Rhode Island Board of Licensure of Physician Assistants | Every 2 years | Licenses expire June 30 of odd-numbered years; file the renewal application and fee on or before June 1 of the odd-numbered year (renewal applications go out by March 1) | $110 | 25 hours of approved CME every year (statute: October 1-September 30 accumulation period; regulation 24.8: July 1-June 30); attested at renewal, proof kept 4 years for random audit | 216-RICR-40-05-24 - Licensure of Physician Assistants (24.6 issuance and renewal) Checked November 4, 2026 |
| South Carolina South Carolina Board of Medical Examiners (Physician Assistant Committee) | Every 2 years | PA licenses renew by December 31 of odd-numbered years; an unrenewed license lapses at the close of the renewal period | $45 biennial renewal | Maintain active NCCPA certification; PAs with controlled-substance prescriptive authority also need 4 hours on prescribing and monitoring controlled substances every two years; one-hour human trafficking course every six years | SC Board of Medical Examiners - CE requirements and renewal deadlines Checked November 3, 2026 |
| South Dakota South Dakota Board of Medical and Osteopathic Examiners (SDBMOE) | Every year | File the annual renewal application and fee before May 1 each year | $100 annual renewal Late: Lapsed licenses are reinstated for $125 | 30 hours of Board-approved post-graduate study in the preceding 12 months, or proof of current NCCPA certification | SDCL 36-4A-31 - PA license renewal requirements Checked November 4, 2026 |
| Tennessee Tennessee Board of Physician Assistants | Every 2 years (birth-month cycle) | Renew every two years in your birth month, on or before the expiration date on the license; online renewal opens 60 days before expiration and notices are mailed 60 days ahead | $175 biennial renewal plus $10 state regulatory fee (Rule 1130-01-.06) Late: $50, for renewals received after expiration but before the last day of the following month | 100 hours of CME satisfactory to the Board in the 2 years before renewal | Tennessee Department of Health - Physician Assistant licensure (renewal and CME) Checked November 4, 2026 |
| Texas Texas Physician Assistant Board | Every 2 years | Expires on the registration expiration date printed on the license (biennial); online renewal opens 60-90 days before expiration, reminders sent at least 60 days ahead. No grace period. | $576.48 (24-month registration: $535 agency fee + $2 Office of Patient Protection + $21 NPDB + $7 PHP + $11.48 PMP); ~$13.23 extra for credit card Late: Penalty of one-half the registration fee once expired; increases to a full registration fee after 90 days; license automatically cancelled after 1 year expired | 40 hours CME every 24 months (at least 20 hours Category I from AAPA-approved sponsors); NCCPA certification exempts some CME requirements | TMB - Physician Assistant Renewal Checked October 3, 2026 |
| Utah Medical Licensing Board | Every 2 years | Due May 31 of even-numbered years; renewal notices sent about 90 days before expiration | $133 Late: $20 late renewal fee; $50 reinstatement fee (DOPL division fees) | Current NCCPA certification or 40 CE hours (at least 34 ACCME Category 1) per cycle, as outlined in R156-70a-304 | Utah DOPL - Physician Assistant Renew a License Checked November 4, 2026 |
| Vermont Vermont Board of Medical Practice | Every 2 years | Expires January 31 of even-numbered years; licenses issued before November 1 of an odd year expire that January 31 and pay the full renewal fee | $215 | 100 approved CME hours every 2 years (at least 50 Category 1), or NCCPA certification/recertification during the period in lieu of the 100 hours | Vermont Board of Medical Practice - Applications, Licensing and Fees Checked October 3, 2026 |
| Virginia Virginia Board of Medicine (Advisory Board on Physician Assistants) | Every 2 years | Renews in each odd-numbered year by the end of the licensee's birth month | $135 (active); $70 (inactive) Late: $50 late renewal fee within one renewal cycle; $180 reinstatement if expired 2 years or more | Verify compliance with NCCPA continuing medical education standards; NCCPA certification must not lapse | 18VAC85-50-35 Fees Checked November 4, 2026 |
| Washington Washington Medical Commission | Every 2 years | Expires every two years on the PA's birthday; renewal fees accepted no sooner than 90 days before expiration | $419 (two-year renewal: $247 + $32 HEAL-WA + $140 WPHP surcharge); $174 retired active per WMC fees page Late: $124 late renewal penalty ($35 retired active); expired over two years: $419 renewal + $124 penalty + $50 reissuance = $593 | 100 hours CME every 2 years (at least 40 Category I), or current NCCPA certification / AAPA or NCCPA maintenance-of-competency program in lieu | WMC - Fees Checked November 4, 2026 |
| West Virginia West Virginia Board of Medicine (PAs collaborating with MDs or DPMs); West Virginia Board of Osteopathic Medicine (PAs collaborating with DOs) | Every 2 years | All PA licenses expire March 31 of odd-numbered years (renew before April 1); no grace period after expiration | $150 (2025 renewal) Late: No late renewal or grace period; a license expired less than one year is reinstated with the $150 renewal fee plus a reinstatement fee of 50% of the renewal fee | 100 hours CME in the two-year reporting period (at least 50 Category I, at most 50 Category II), plus 3 hours Board-approved controlled substance prescribing CME for prescribers | WV Board of Medicine - Physician Assistant License Renewal (2025) Checked November 4, 2026 |
| Wisconsin Wisconsin Physician Assistant Affiliated Credentialing Board | Every 2 years | Expires the last day of February (listed as 02/29) of even-numbered years; renewal opens about 4 weeks before expiration with an emailed notice | $75 Late: $25 (DSPS: all business and health credentials renewed after the expiration date) | 30 hours Category 1 CME per 2-year period (March 1 of an even year through February 28 of the next even year), or active NCCPA certification accepted in lieu | Wisconsin DSPS - Physician Assistant (PA) Checked November 4, 2026 |
| Wyoming Wyoming Board of Medicine (with its Physician Assistant Advisory Council) | Every year | Renew by December 31 each year; grace period with surcharge through March 31. First renewal: licenses issued Jan 1-Aug 31 renew by the following Dec 31; issued Sep 1-Dec 31 are valid through Dec 31 of the next year. | $80 (annual renewal) Late: $50 license renewal grace period surcharge (renewal by March 31); $10 paper form renewal processing fee; lapsed licenses require reactivation ($100) | Continued NCCPA maintenance of certification or at least 60 CME hours over the preceding three calendar years | Wyoming Board of Medicine - PA Applications (renewal via portal) Checked November 4, 2026 |
Questions
How often do physician assistants have to renew their license?
It depends on the state. Of the 50 jurisdictions in this table, 36 every 2 years, 11 every year, 2 every 3 years, 1 on another schedule (for example tied to a birth date or a fixed date range). These are the cycles each board publishes (verified between October 3, 2026 and November 4, 2026); confirm with the board before renewing.
How many CME hours does a physician assistant need to renew?
37 of 50 boards state a CME hour total. The CE period doesn't always match the license cycle, so compare each board's own wording. The highest stated totals are Delaware (100 hours of approved CME per full renewal period: current NCCPA certification or 50 hours AMA Category 1 + 50 hours Category 2); District of Columbia (100 hours of CE every 2 years (40 Category 1 + 60 Category 1 or 2), or current NCCPA certification in place of the general hours; LGBTQ and public health priority hours are required either way. NCCPA certification itself is not required to renew); Florida (100 hours CME per biennium (at least 50 Category I); a current NCCPA certificate substitutes for the general hours but not the mandatory topics (s. 458.347; Board renewal page)). See the table for every state.
Can a physician assistant hold licenses in more than one state?
Yes. Each state issues and renews its own license on its own cycle, fee and CME rules, so a physician assistant licensed in several states has several renewal dates to track. Rivon Health tracks every license and its expiration date and alerts the team before each one is due.
Where does this renewal data come from?
Each row is taken from the licensing board's own published pages, linked in the Source column with the date we last checked it (between October 3, 2026 and November 4, 2026). Boards change fees and rules, so treat this as a starting point and confirm with the board before renewing.
Next step
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