Blank Mississippi Nurse Renewal Form

Things You Should Do:

• Make sure to pay the correct renewal fee. Active nurses owe $100.00, while inactive nurses pay $25.00.
• Include your phone number and either your social security number or nursing license number with your payment.
• Submit any name change documents along with the $25.00 fee if your name has changed.
• Complete both the RN and APRN forms if you are renewing your APRN certification.

Things You Shouldn't Do:

• Do not send cash with your application. Only checks or money orders are accepted.
• Do not forget to renew your license by the expiration date, or you may face penalties.
• Do not assume that your license will remain valid without timely renewal.
• Do not return the instruction page with your application; it is not needed.

Detailed Instructions for Using Mississippi Nurse Renewal

Completing the Mississippi Nurse Renewal form is essential for maintaining your nursing license. After submitting the form, the Mississippi Board of Nursing will process your renewal application. Make sure all information is accurate to avoid delays or penalties.

1. Obtain the Mississippi Nurse Renewal form from the Mississippi Board of Nursing website or office.
2. Fill in your personal information, including your license number, social security number, and phone number.
3. Provide your full name, including your first, middle, maiden, and last names.
4. Complete your address, including P.O. Box or street, city, state, zip code, and county.
5. Indicate your primary state of residence.
6. Circle the appropriate information regarding your gender, highest degree held, major clinical area, and major field of employment.
7. Fill in your date of birth in the specified format.
8. Choose your marital status.
9. Indicate your employment status and type of position.
10. If applicable, answer the question regarding any disciplinary actions or convictions. Attach necessary documentation if you answer "YES."
11. Sign and date the form to certify the accuracy of the information provided.
12. Make your renewal fee payment, ensuring it is payable to the Mississippi Board of Nursing. Include your phone number and social security number or nursing license number on the payment.
13. Mail the completed form and payment to the Mississippi Board of Nursing at 713 S. Pear Orchard Rd, Suite 300, Ridgeland, MS 39157.

What are the renewal fees for the Mississippi Nurse Renewal form?

The renewal fees vary based on your license status. For active nurses, the fee is $100.00. If you are inactive, the fee is reduced to $25.00. Advanced Practice Registered Nurses (APRNs) also pay $100.00, with an additional $50.00 for each certification. If you have Controlled Substance Prescriptive Authority (CSPA), that will cost you an extra $50.00. Remember, payments must be made by check or money order, as cash is not accepted.

What happens if I do not renew my license by the expiration date?

Your current license will become invalid if not renewed by December 31, 2014. Additionally, a penalty will be assessed. If you miss this deadline, reinstatement fees will apply. These fees are the same as renewal fees, but additional charges may be incurred. It’s crucial to act promptly to avoid complications.

How can I change my name on my nursing license?

If you need to change your name, you must submit a fee of $25.00 along with legal documentation that supports your name change. This could include a marriage license, divorce decree, or other legal documents. Ensure that these documents are sent directly to the Mississippi Board of Nursing for processing.

Do I need to submit separate forms if I am an APRN?

Yes, if you are an APRN, you must complete both the RN and APRN renewal forms. This ensures that your certifications are properly renewed. Failing to do so may result in delays or complications with your license status.

What does "primary state of residence" mean?

Your primary state of residence is defined as your declared fixed, permanent, and principal home for legal purposes. This is important for determining your licensure status and any applicable multi-state practice regulations.

What should I do if I do not wish to renew my RN license?

If you decide not to renew your RN license, it’s important to notify the Board office in writing. This step is necessary to avoid any misunderstandings regarding your licensure status. Taking this action ensures that your records are updated accordingly.

What is multi-state licensure, and how does it affect me?

Multi-state licensure allows you to practice as a Registered Nurse (RN) in other Compact states under your Mississippi RN license. However, this does not extend to expanded roles. If you change your primary state of residency to another Compact state, you must obtain licensure in that new state within 30 days.

How can I verify my nursing license status?

License wallet cards will no longer be distributed, but you or your employer can easily check your licensure status online. Simply visit www.msbn.ms.gov for verification. This resource is convenient and helps maintain transparency regarding your professional standing.

Misconceptions about the Mississippi Nurse Renewal form can lead to confusion and delays in the renewal process. Here are four common misconceptions:

• Misconception 1: The renewal fee is the same for all nurses.

Many believe that all nurses pay the same renewal fee. In reality, the fees vary based on the nurse's status. For example, active nurses pay $100, while inactive nurses pay only $25. Advanced Practice Registered Nurses (APRNs) also have specific fees associated with their certification.

• Misconception 2: Licenses automatically renew if not expired.

Some nurses think their licenses will renew automatically as long as they submit their application on time. However, if the renewal application is not submitted by the expiration date, the license becomes invalid, and penalties will be assessed. It is crucial to ensure that all paperwork is submitted before the deadline.

• Misconception 3: Cash payments are accepted for renewal fees.

There is a common belief that cash payments can be made when renewing a license. However, the Mississippi Board of Nursing does not accept cash. All payments must be made by check or money order, payable to the Mississippi Board of Nursing.

• Misconception 4: Name changes do not require documentation.

Some individuals think that simply notifying the Board of a name change is sufficient. In fact, a name change requires a fee of $25 and must be accompanied by legal documentation, such as a marriage license or divorce decree. This ensures that the Board has accurate records.