FNP-C vs. FNP-BC: Meaning and Overview
Did you know that over 70% of nurse practitioners choose to become family nurse practitioners (FNPs)? The reason is straightforward. When comparing FNP to other NP specialties, the key difference lies in the wide scope of practice — FNP graduates can work with people of all ages, from infants to older adults. The other NP specialties are more focused, centering on a specific age group or medical specialty.
However, it’s important to understand that there are two distinct routes FNPs can take when it comes to their certifications: FNP-C and FNP-BC. If you’re deciding between these two certifications, this article is your guide. Here, we break down both certifications, shedding light on their key differences and allowing you to confidently choose the one that suits you best.
FNP-C vs. FNP-BC: What’s the Difference?
The key difference between FNP-BC (Family Nurse Practitioner-Board Certified) and FNP-C (Family Nurse Practitioner-Certified) lies in the certifying organizations that issue the credentials.
- FNP-BC is awarded by the American Nurses Credentialing Center (ANCC) — a credentialing organization that provides certification for various nursing specialties.
- FNP-C is granted by the American Association of Nurse Practitioners Certification Board (AANPCB) — an independent certification board that focuses on certifying nurse practitioners.
Both organizations have a solid standing in the field, earning credibility and respect. However, it’s important to note that the certification exams focus on slightly different content areas. Therefore, the exam you choose should align with your career goals.
FNP-BC: Meaning and Key Details
What Is FNP-BC?
This certification is earned through a competency-based exam, offering a reliable assessment of entry-level clinical knowledge and skills for FNPs. Upon meeting eligibility and passing the exam, you earn this credential.
- Exam: A computer-based test with a 120-day testing window. You’ll have 3.5 hours to answer 175 questions, with 25 pretest questions.
- Pricing: The FNP-BC certification cost is $395.
- Application process: Online through the ANCC’s eBiz portal.
- Test preparation: The ANCC offers educational materials to help you prepare for the test, including review, practice questions, and test-taking strategies course.
- Validity: The credential is valid for 5 years.
- Renewal: To keep the certification current, you need to meet renewal requirements each 5-year cycle.
What Is the FNP-BC Curriculum?
The program curriculum covers major body systems, drug agents, and patient age groups from infants to frail elderly. Test questions focus on the following areas:
- Assessment 19%
- Diagnosis 17%
- Planning 19%
- Implementation 29%
- Evaluation 15%
Who Is It For?
Some nurse practitioners aiming for academic or leadership roles choose this certification. However, it’s worth noting that this credential allows you to work in a clinical setting as well as pursue an academic route.
FNP-C: Meaning and Key Details
What Is FNP-C?
Similar to the FNP-BC, FNP-C is a competency-based examination that tests clinical knowledge of FNPs. Upon successful completion, you receive an FNP-C credential.
- Exam: There are 150 questions on each examination. A candidate’s score is based solely on the 135 scored questions, 15 are pretest questions.
- Pricing: The FNP-C certification cost is $315.
- Application process: You can apply online or through a paper application form.
- Test preparation: The AANPCB offers a candidate handbook, practice examinations, test-taking tips, how-to videos, and other resources to help you prepare for the test.
- Validity: The certification is valid for 5 years.
- Renewal: To keep your certification active, you need to comply with renewal requirements.
What Is the FNP-C Curriculum?
Regarding the FNP-C curriculum, the exam tests clinical knowledge in family or individual care across the lifespan, from prenatal to elder adulthood. It covers pathophysiology, pharmacology, physical assessment, and evidence-informed practice sections. Test questions focus on the following areas:
- Assessment 27%
- Diagnosis 26%
- Planning 25%
- Evaluation 22%
Who Is It For?
Some nurse practitioners aiming to work in a clinical setting choose this certification due to its strong emphasis on clinical skills and knowledge necessary for providing direct patient care.
FNP-C vs. FNP-BC: What To Choose?
Put plainly, many nurses choose FNP-C if they plan to work in direct patient care and FNP-BC if they want to pursue academic and leadership positions within the nursing field.
Key Advantages of FNP-C:
- Clinical emphasis: FNP-C emphasizes strong clinical skills and knowledge essential for direct patient care.
- Lower price: This certification is a wallet-friendly choice, with a cost of $315.
- Fewer exam questions: The exam has 135 scored questions, which is fewer than the alternative.
Key Advantages of FNP-BC:
- Broader knowledge base: This certification, while including clinical aspects, typically encompasses a wider knowledge base extending beyond direct patient care.
- Academic preparedness: This certification is often perceived as more aligned with academic roles, research, policy, and leadership positions in the nursing field.
- More comprehensive exam: Featuring 150 scored questions, the exam is more comprehensive than the alternative option.
Keep in mind that both certifications can be used for clinical practice as well as academic roles. They indicate a high level of competence in family nursing practice, making individuals qualified for a range of positions within the field.
FNP-BC Salary
The average salary for NPs, including FNPs, in the U.S. is $124,680 per year, with a range from $87,340 to $165,240. Your certifications, years of experience, location, and employer type can affect your salary.
If you are willing to relocate, these states offer the most competitive pay for NPs:
Frequently Asked Questions
Can FNP-BC write prescriptions?
Yes, family nurse practitioners with this certification are authorized to write prescriptions in the U.S. This credential signifies board certification, granting nurse practitioners the authority to prescribe medications as part of their clinical practice. Keep in mind that an NP’s scope of practice can vary from state to state.
Is a FNP-BC a doctor?
No, NPs and MDs have distinct career paths. While FNPs have advanced education and training in nursing, including obtaining a master’s or doctoral degree, they are not medical doctors. The title “doctor” typically refers to individuals with a doctor of medicine (MD) or doctor of osteopathic medicine (DO) degree.
Is it easy to find a job as an FNP?
The job outlook for NPs is promising. Overall employment for NPs is projected to grow 45% in the next decade — significantly faster than the 3% expected growth for all occupations.
What are the eligibility requirements for FNP-C vs. FNP-BC?
Eligibility requirements for both certifications generally include completing an accredited family nurse practitioner program, obtaining a master’s or doctoral degree in nursing, and acquiring a certain number of clinical practice hours.
Why pursue NP certification?
Overall, certifications open up avenues for career growth and increase earning potential through enhanced professional credibility. Additionally, many states and regulatory bodies require nurse practitioners to have certification to practice. Some insurance companies may require healthcare providers to be nationally certified for participation in reimbursement programs. Last but not least, patients are more likely to trust and seek care from a certified FNP.
What’s Your Next Job?
Want a job you love? Your FNP-C or FNP-BC certification opens up numerous career opportunities. Learn how IntelyCare can match you with nursing jobs tailored to your skills and preferences.