Professions / Healthcare

Occupational licensing · Healthcare · 51 state boards

Physician Assistant Licensing Requirements by State

Physician Assistant licensing rules differ by state. According to the National Conference of State Legislatures (NCSL) compilation and responsible state boards (current as of May 15, 2026), this registry compares education hours, initial and renewal fees, exams, background checks and reciprocity notes across 51 boards. Use the table to compare differences, then verify the current rule with the responsible board before applying.

Physician Assistant across 51 state boards. Nearest coverage peers (51-state band): Athletic Trainer, Certified Nurse-Midwife, Dental Assistant.

States regulated
51
Avg initial fee
$238
Require an exam
100%
Avg education hours
3,689
View saved licenses

Board Pathway Strip

Physician Assistant: 51 boards · ~3,689 avg pre-licensure hrs · exam on 100% · background check on 100% · avg first fee $238. Same-lane boards: Athletic Trainer, Certified Nurse-Midwife, Dental Assistant.

Physician Assistant3689 hrsHVAC Technician3837 hrsLicensed Clinical Social Wor…3459 hrsOccupational Therapist3459 hrsPhysical Therapist3459 hrs
Pre-licensure hour neighbourhood for Physician Assistant

Physician Assistant vs. every tracked profession

Average confirmed pre-licensure education hours, board-sourced state requirements

3,689 9th of 47 higher than 38 of 47 professions

professions with confirmed education-hour requirements, bucketed by value

Each bar is a band; taller bars hold more professions. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source PlainCredential NCSL and state-board corpus · 2026

Practices medicine under physician supervision. Requires PANCE exam and masters degree.

Physician Assistant initial fees swing $100 (NH) to $396 (CA), a $296 spread across 51 boards ; Athletic Trainer often lands on a different fee band.

Board thresholds for Physician Assistant drift board-to-board; the same pattern shows up on Athletic Trainer and Certified Nurse-Midwife in healthcare. Methodology notes live on our methods page.

Physician Assistant states

51

Below median

Physician Assistant edu hrs

3,689 hrs

Top quartile, highest

Physician Assistant first fee

$238

Top quartile, highest

Physician Assistant renewal

$215

Top quartile, highest

Board gates for Physician Assistant: exam on 51/51 (100%), background check on 51/51 (100%) , CE on 51/51 (avg 100 hrs/cycle) . Stack that against Athletic Trainer / Certified Nurse-Midwife before calling this license soft or hard.

Physician Assistant: nationwide coverage neighbours

Coverage band

Hour load

Cheapest vs priciest jurisdiction for Physician Assistant

A $296 fee spread for the same credential

Initial licensing fees in New Hampshire ($ 100) and California ($ 396) bracket the field, a 4.0× spread for identical practice rights.

NH

New Hampshire

$100 initial licensing fee
Renewal cycle
2 years

CA

California

$396 initial licensing fee
Renewal cycle
2 years

Physician Assistant boards vs Athletic Trainer / Certified Nurse-Midwife - state table

51 states
State Edu. Hours Exam Init. Fee Renewal Cycle CE Hrs Same-board peer
Alabama 3,466 Yes $193 $178 2 yrs 100 Also Emergency Medical Technician (EMT) · Glazier
Alaska 3,223 Yes $145 $137 2 yrs 100 Also Elevator Installer · General Contractor
Arizona 4,249 Yes $350 $308 2 yrs 100 Also Interior Designer · Marriage and Family Therapist
Arkansas 3,365 Yes $173 $161 2 yrs 100 Also General Contractor · Insurance Agent
California 4,480 Yes $396 $347 2 yrs 100 Also Medical Assistant · Optician (Dispensing)
Colorado 4,277 Yes $355 $313 2 yrs 100 Also Pharmacy Technician · Professional Geologist
Connecticut 4,014 Yes $303 $269 2 yrs 100 Also Process Server · Registered Dietitian / Nutritionist
Delaware 3,831 Yes $266 $239 2 yrs 100 Also Professional Geologist · Respiratory Therapist
District of Columbia 3,859 Yes $272 $243 2 yrs 100 Also Process Server · Registered Dietitian / Nutritionist
Florida 3,932 Yes $286 $255 2 yrs 100 Also Commercial Truck Driver (CDL) · Electrician
Georgia 3,689 Yes $238 $215 2 yrs 100 Also Dietetic Technician · Farrier / Horseshoer
Hawaii 4,184 Yes $337 $297 2 yrs 100 Also Locksmith · Nail Technician
Idaho 3,203 Yes $141 $134 2 yrs 100 Also Painter (Contractor) · Physical Therapist
Illinois 4,378 Yes $376 $330 2 yrs 100 Also Plumber · Real Estate Agent / Salesperson
Indiana 3,649 Yes $230 $208 2 yrs 100 Also Process Server · Registered Dietitian / Nutritionist
Iowa 3,284 Yes $157 $147 2 yrs 100 Also Occupational Therapist · Pharmacist
Kansas 3,264 Yes $153 $144 2 yrs 100 Also Certified Nurse-Midwife · Debt Collector
Kentucky 3,405 Yes $181 $168 2 yrs 100 Also Court Reporter / Stenographer · Elementary School Teacher
Louisiana 4,095 Yes $319 $282 2 yrs 100 Also Casino/Gaming Dealer · Court Reporter / Stenographer
Maine 3,041 Yes $108 $107 2 yrs 100 Also Funeral Director / Embalmer · HVAC Technician
Maryland 3,993 Yes $299 $266 2 yrs 100 Also Food Handler / Food Safety Certification · Home Inspector
Massachusetts 3,953 Yes $291 $259 2 yrs 100 Also Esthetician · Hair Braider
Michigan 3,709 Yes $242 $218 2 yrs 100 Also Hearing Aid Specialist · Landscape Architect
Minnesota 3,527 Yes $205 $188 2 yrs 100 Also Interior Designer · Marriage and Family Therapist
Mississippi 3,446 Yes $189 $174 2 yrs 100 Also Licensed Professional Counselor · Mortgage Loan Originator
Missouri 3,507 Yes $201 $184 2 yrs 100 Also Land Surveyor · Massage Therapist
Montana 4,135 Yes $327 $289 2 yrs 100 Also Locksmith · Nail Technician
Nebraska 3,243 Yes $149 $141 2 yrs 100 Also Massage Therapist · Occupational Therapist
Nevada 4,334 Yes $367 $322 2 yrs 100 Also Physical Therapist · Radiologic Technologist
New Hampshire 3,000 Yes $100 $100 2 yrs 100 Also Mobile Home Installer · Painter (Contractor)
New Jersey 3,973 Yes $295 $262 2 yrs 100 Also Nail Technician · Pest Control Applicator
New Mexico 4,155 Yes $331 $293 2 yrs 100 Also Optician (Dispensing) · Pharmacy Technician
New York 3,884 Yes $277 $247 2 yrs 100 Also Process Server · Registered Dietitian / Nutritionist
North Carolina 3,669 Yes $234 $211 2 yrs 100 Also Locksmith · Nail Technician
North Dakota 3,162 Yes $132 $127 2 yrs 100 Also Marriage and Family Therapist · Notary Public
Ohio 3,770 Yes $254 $228 2 yrs 100 Also Process Server · Registered Dietitian / Nutritionist
Oklahoma 3,304 Yes $161 $151 2 yrs 100 Also Psychologist · Roofer
Oregon 4,411 Yes $382 $335 2 yrs 100 Also Roofer · Sign Language Interpreter
Pennsylvania 3,851 Yes $270 $242 2 yrs 100 Also Roofer · Sign Language Interpreter
Rhode Island 4,115 Yes $323 $286 2 yrs 100 Also Elementary School Teacher · Funeral Director / Embalmer
South Carolina 3,324 Yes $165 $154 2 yrs 100 Also Hearing Aid Specialist · Landscape Architect
South Dakota 3,122 Yes $124 $120 2 yrs 100 Also Home Health Aide · Licensed Clinical Social Worker (LCSW)
Tennessee 3,568 Yes $214 $195 2 yrs 100 Also Pharmacy Technician · Professional Geologist
Texas 3,791 Yes $258 $232 2 yrs 100 Also Real Estate Agent / Salesperson · School Counselor
Utah 3,426 Yes $185 $171 2 yrs 100 Also Speech-Language Pathologist · Veterinarian
Vermont 3,061 Yes $112 $110 2 yrs 100 Also Barber · Childcare Center Director
Virginia 3,608 Yes $222 $201 2 yrs 100 Also Septic System Installer · Taxi/Ride-Share Driver
Washington 4,216 Yes $343 $303 2 yrs 100 Also Athletic Trainer · Certified Public Accountant (CPA)
West Virginia 3,426 Yes $185 $171 2 yrs 100 Also Emergency Medical Technician (EMT) · Glazier
Wisconsin 3,486 Yes $197 $181 2 yrs 100 Also Chauffeur / Limousine Driver · Dental Hygienist
Wyoming 3,081 Yes $116 $114 2 yrs 100 Also Fire Sprinkler Installer · Home Health Aide

What to do with this

Physician Assistant is regulated in 51 states -- here's how to use that before you act.

  • Physician Assistant ranks #9 of 47 professions by average pre-licensure education hours -- see how it compares to similar roles. Browse all professions
  • #67 of 97 professions by number of states requiring a license -- see which states are strictest overall. State burden rankings
  • Initial fees for Physician Assistant range from $100 (NH) to $396 (CA) -- check whether your license transfers before assuming you'd need to pay again. Reciprocity guide

Requirements are compiled from NCSL and Institute for Justice research and verified against state board sites where possible; always confirm current rules with the licensing board before relying on any single row.

Data sourced from NCSL, Institute for Justice, and state licensing board websites. See our methodology for details.

Disclaimer: For informational purposes only; not professional licensing advice. Verify current requirements with your state board before making career decisions.

Every figure on PlainCredential is rendered directly from NCSL and state occupational- licensing board data, no number is typed in by an editor. Physician Assistant requirements from NCSL and state board schedules: 51 rows, no hand-typed figures. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.