Pediatric Nurse Practitioner Career Overview

by Maura Deering
Reviewed by Karen Luu MSN, PMHNP-BC

Board certified as advanced practice registered nurses (APRNs), PNPs pursue their careers out of a desire to care for and treat children and teenagers. Specializations include acute care, mental health, and primary care.

Pediatric Nurse Practitioner Career Overview
Credit: Pekic / E+ / Getty Images

Pediatric Nurse Practitioner (PNP) Career in Brief

MSN required
certification required


PNPs work alongside physicians to provide healthcare services to children of all ages, ranging from birth up to the age of 21. All states require licensure through the Pediatric Nursing Certification Board to specialize practice in acute care or primary care.

Key Responsibilities

  • Assessment and diagnosis
  • Ordering and interpreting laboratory tests and other diagnostics
  • Developing, ordering, and managing therapeutic care plans, including prescribing medications
  • Participating in research studies and practicing evidence-based medicine
  • Coordinating care with other healthcare professionals
  • Counseling and educating patients, their families, and caregivers

Skills Needed

  • Effective communication
  • thinking
  • Compassion
  • Attention to detail
  • Interpersonal skills
  • Leadership
  • Resourcefulness

Credit: kali9 / E+ / Getty Images

Where Does a Pediatric Nurse Practitioner Work?

According to the U.S. Bureau of Labor Statistics (BLS), the top industries that employ nurse practitioners (NPs), including PNPs, are pediatric offices, hospitals, specialty clinics, school-based health centers, and urgent or convenient care clinics.

  • Physicians' Offices

    PNPs work with pediatricians, other healthcare professionals, and staff to provide well-child care, school and sports physicals, vaccinations, and the management of common pediatric acute illnesses and chronic conditions.

  • Hospitals

    PNPs staff emergency rooms, intensive care units, and pediatric units.

  • Outpatient Care Centers

    PNPs perform preventative, diagnostic, and treatment services at primary and specialty clinics, such as urgent care, school-based health centers, or convenient care clinics.

The Pros and Cons of Becoming a PNP

As in all careers, the decision to become a PNP includes an examination of the pros and cons. The table below lists a few to consider.

Advantages to Becoming a PNP


Greater autonomy and responsibility compared to other nursing professions like certified nursing assistants, licensed practical/vocational nurses, and registered nurses (RNs) Strong career outlook fueled by high demand for NPs, including PNPs High average salary of $111,840 for NPs Ability to manage and focus on acute and chronic illnesses in the pediatric population, leading to high job satisfaction

Disadvantages to Becoming a PNP


Challenging and lengthy education process, which includes earning an undergraduate nursing degree and a master's or doctorate in nursing Must earn RN licensure, national board certification to practice as a PNP, and continuing education units to maintain advanced practice licensure Challenging work schedules, often with long hours of standing and walking Legal responsibility that comes with diagnosing and treating patients

How To Become a PNP

Earn an associate degree in nursing (ADN) or a bachelor of science in nursing (BSN)
The two primary routes to becoming an RN comprise 1-2 year ADN programs and four-year BSNs. Both options include classroom time and supervised clinical experiences.

Pass the NCLEX-RN Exam To Receive RN Licensure
ADN or BSN degree holders take the National Council Licensure Examination (NCLEX-RN) about a month after graduation.

Gain nursing experience
Prospective PNPs will need 1-3 years of nursing experience, preferably in pediatrics. PNP programs are competitive, so hands-on nursing experience will set applicants up for success.

Earn an MSN or doctor of nursing practice
The MSN curriculum takes 2-3 years to finish and focuses on pediatric pharmacology, pathophysiology, health assessment, and nursing administration and ethics. Students also complete 500-600 clinical hours. DNP programs may take longer to complete.

Pass the certification exam offered by the Pediatric Nursing Certification Board
Graduates of PNP programs choose between two certification exams: Pediatric Nurse Practitioner - Primary Care or Pediatric Nurse Practitioner - Acute Care.

Pediatric Acute Care versus Primary Care

PNPs can become certified in primary care or acute care. Duties and work settings differ between the two practice focuses.

Pediatric Acute Care versus Primary Care
Focus Pediatric Primary Care Pediatric Acute Care
Duties
  • Focus on providing ongoing care to ages 0-21.
  • Provide well-child care and the prevention and management of common pediatric acute illnesses and chronic conditions.
  • Prescribe a comprehensive therapeutic treatment plan including pharmacological and nonpharmacological strategies.
  • Focus on providing acute care, or short-term care, to ages 0-21.
  • Treatment and management of unstable chronic, complex acute, and critical health conditions.
  • Coordinate with multidisciplinary teams to optimize patient outcomes in the acute care setting.
Work Setting Private practice, school-based clinics, community clinics, or home care. Hospitals, emergency rooms, subspecialty surgical services, or specialty clinics.
Salary $115,000 $115,000

How Much Does a Pediatric Nurse Practitioner Make?

A 2019 compensation overview by the American Association of Nurse Practitioners (AANP) lists the median annual salaries for PNPs in three different specialty areas. Pediatrics primary care and pediatrics acute care NPs earned a total annual income of $115,000. Pediatrics primary care mental health NPs made $128,000.

In addition to high salaries, the BLS projects an employment change of 52% from 2019 to 2029 for all NPs. According to the AANP report, only 3.7% of NPs became certified in pediatrics primary care, 0.8% in pediatrics acute care, and 0.4% in pediatrics primary care mental health.

Frequently Asked Questions


How long does it take to become a PNP?

PNPs spend 2-4 years earning their undergraduate degrees in nursing. Once they have completed their ADNs or BSNs, they take the NCLEX-RN and begin work as an RN. Most graduate nursing programs prefer (or even require) applicants to gain clinical nursing experience prior to applying. MSN or DNP degrees can be completed in 2-3 years.

Can PNPs prescribe medicine?

PNPs can prescribe medication, including controlled substances and medical devices. However, depending on the state, the PNP may need to do so under a physician's supervision. PNPs who require supervision prescribe under a collaboration agreement with a pediatrician or other physician.

How much does a PNP make in a year?

Most PNPs earn average annual salaries of $115,000, but certain specialists may make higher salaries; for example, primary care mental health PNPs bring in $128,000. Other considerations that can affect wages include whether PNPs hold doctoral degrees and the geographical locations in which they practice.

Where do PNPs work?

A large portion of PNPs work in physicians' offices (such as pediatricians), hospitals, outpatient facilities like specialty clinics (e.g., dermatology, gynecology, and oncology), urgent care, community health centers, and behavioral health services. Other potential employers include school- or employer-based clinics, long-term care facilities, and home healthcare.

Resources for PNPs

  • The AANP supports NPs with free continuing education courses, clinical resources, scholarships and grants, online forums, and advocacy at the state and federal levels. The organization hosts an annual conference and provides free member subscriptions to the Journal of the American Association of Nurse Practitioners.
  • NAPNAP's 52 local chapters, special interest groups, and partner-based initiatives strive to improve the lives of children and youth. An annual conference and other events cover topics applicable to pediatric nurses. Members can access pediatric continuing education and advocacy resources. NAPNAP offers a discounted career starter/student membership rate.
  • ANA serves as a resource for all nurses, including pediatric NPs. ANA's website features a community discussion board, career center, and professional development resources like free webinars and discounted continuing education courses online. Members receive the American Nurse journal monthly and can access professional liability insurance and student loan repayment assistance.
  • NBNPA seeks to empower APRNs of color with news briefs, online networking and educational events, job listings, and provider and preceptor directories. Members also receive a $10 discount on AANP membership, legislative updates, and continuing education opportunities. Free monthly meetings take place in the Houston area.
  • IPN conducts research in pediatric nursing and advocates for pediatric nursing organizations, pediatric nurses, and children's hospitals. Anyone can access its website and materials free of charge; IPN does not impose membership fees. IPN's online information includes news articles, nursing student resources, and links to continuing education resources.


Related Pages


Reviewed By:

Karen Luu is a board-certified psychiatric mental health nurse practitioner. Luu holds an MSN from Azusa Pacific University as well as an undergraduate degree in public health science. She currently works at a private practice which specializes in bipolar disorder, schizophrenia, depression, anxiety, and PTSD.

Luu is a paid member of our Healthcare Review Partner Network. Learn more about our review partners.

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