Apply and Register for the NP/PA-CCKE

This is a comprehensive assessment of clinical cardiovascular knowledge, designed for more experienced NP or PA clinicians. It is not intended for those who are newly out of training.

Eligibility Requirements

  • Practicing NPs/PAs in the United States
  • Minimum of 2,000 hours in cardiovascular medicine in the last 3 years, with a portion of that time spent in direct cardiovascular patient care
  • Professional Associate Recommendations to confirm experience

NP/PA fellows and residents who are completing a post-graduate training program are encouraged to apply for the CCKE!

  • To be eligible, you must have completed a fellowship or residency program before the date of the next CCKE exam
  • If you meet this requirement and would like to apply, please submit documentation verifying the completion of your post-graduate training program, along with your formal CV and all other required application materials.

View a print-friendly list of eligibility requirements.

Application Instructions

Submit the application fee and complete the online application before the deadline.

Step 1: Ready to Apply?

  • Application fee (nonrefundable): $30
  • Please allow at least four weeks for your application to be reviewed.

Once your application has been reviewed, you will receive an email notification regarding your approval status.


Step 2: Once Approved, Register for the CCKE

Special Testing Accommodations & Accessibility Considerations

The American College of Cardiology provides reasonable accommodations to examinees with documented needs for special accommodation. Examinees wishing to request accommodation should submit a completed request form and supporting documentation at least 60 days prior to the exam date. Submit requests to ccke-nppa@acc.org.