Best Pediatric Nurse Practitioner (PNP) Programs in 2026

Pediatric Nurse Practitioners (PNPs) play a critical role in children's healthcare, blending advanced clinical skills with compassionate, age-specific care from infancy through adolescence. With numerous educational options available, choosing the right PNP program is an important step in building a successful career.

To help guide your decision, we've curated the best PNP programs for 2026. This guide includes program highlights, career pathways, salary expectations, and the core responsibilities of pediatric nurse practitioners—ideal for those exploring the field or ready to take the next step.

Best Pediatric NP Programs 2026 — Online & On-Campus 

The selection of the following nursing schools relies on a comprehensive methodology that includes direct input from our readers, extensive data analysis, and continuous updates to ensure accuracy and relevance. Our team of Data Analysts dedicates over 100 hours weekly to refine our database, incorporating critical criteria like reader surveys, graduation rates, cost of attendance, mode of delivery, admission rates, and more elements valued by our community.

*Tuitions are subject to change based on a student's number of transfer credits, yearly increases, and more. Our rankings are based on the latest college data from the U.S. Department of Education complemented by additional insights from our analysts.

Best Pediatric NP Program Overview 

A Pediatric Nurse Practitioner (PNP) program is an advanced educational track for Registered Nurses who want to specialize in caring for children from infancy through adolescence. These programs prepare nurses to assess, diagnose, and manage various pediatric conditions across primary and acute care settings. PNPs are essential providers in pediatric clinics, hospitals, and specialty units.

Pediatric NP Specialization Options

PNPs may specialize in either primary care or acute care, with each pathway designed to serve distinct pediatric populations.

• Primary Care PNPs provide long-term, comprehensive care for children, including well-child visits, routine health screenings, and management of chronic conditions.
• Acute Care PNPs focus on children with complex, critical, or acute conditions, delivering care in settings such as pediatric intensive care units (PICUs) or emergency departments.

Learn more about responsibilities, qualifications, and career opportunities for PNPs here:  Pediatric Nurse Practitioner: Job Description, Salary, And How to Become One. Prospective Pediatric NPs can also explore Dual PNP Programs offering specialization in both pediatric acute and primary care. 

Pediatric NP Coursework

PNP programs include pediatric-focused coursework designed to build advanced clinical expertise. Core subjects often include:

• Pediatric Pathophysiology: Understanding the unique physiological processes and potential disorders in children.
• Advanced Pediatric Nursing Practices: Techniques for addressing complex pediatric health issues.
• Pediatric Pharmacology: Considerations specific to medication administration in children.
• Developmental Care: Approaches to support the developmental milestones of children in healthcare settings.
• Ethics in Pediatric Care: Addressing ethical issues that specifically arise in pediatric healthcare settings.

Pediatric NP Clinical Training

Clinical experience is a central component of Pediatric NP programs, offering direct, supervised practice in real-world pediatric environments:

• Direct Patient Care: Supervised direct care of children, focusing on acute and chronic condition management, developmental support, and family education.
• Diverse Clinical Settings: Opportunities in pediatric units, outpatient clinics, and specialized healthcare facilities.
• Care for Diverse Populations: Training spans the care of children with a wide range of health statuses, from routine developmental checks to managing complex chronic conditions.
• Interdisciplinary Collaboration: Working alongside a team of healthcare professionals, including pediatricians, family doctors, and specialists in child health.

This structured approach ensures that PNPs are well-equipped to meet the healthcare needs of children and support their families effectively.

Pediatric NP Graduation Requirements

Graduation from a PNP program involves completing both academic coursework and clinical training requirements, such as:

• Course Completion: Successful completion of all required advanced pediatric nursing courses.
• Clinical Hours: Pediatric MSN programs mandate a minimum of 500 postgraduate clinical hours, with 750 hours being the preferred standard by the National Task Force for Quality Nurse Practitioner Education. DNP programs typically require a minimum of 1,000 clinical hours.
• Capstone or Thesis Project: Some programs require a culminating project that demonstrates a thorough understanding of a complex pediatric nursing issue.
• Certification Exam: Graduates must pass a certification exam to practice as a board-certified PNP.
• Maintaining RN Licensure: Students must keep their RN license active throughout their studies.

Best Pediatric NP Program Admission Requirements

Admission to top Pediatric NP programs typically requires a strong academic background and pediatric nursing experience. Common admission requirements include:

• Bachelor of Science in Nursing (BSN): From an accredited institution
• Active RN Licensure: Must be unencumbered and current
• Pediatric Clinical Experience: Direct care experience with infants, children, or adolescents is often preferred
• Undergraduate Coursework: May include statistics, research methods, and behavioral or physical sciences
• Minimum GPA: Usually a 3.0 or higher on a 4.0 scale

Best Pediatric NP Educational Pathways

The prerequisites and admission requirements for a Pediatric NP Program will vary depending on your chosen educational pathway. Here are some of the main pathways to consider:

• Master of Science in Nursing (MSN): An MSN program with a specialization in pediatric care is a popular route to becoming a PNP. This degree typically takes 2-3 years to complete and includes intensive coursework alongside clinical practicums
• Doctor of Nursing Practice (DNP): The DNP degree offers a more advanced level of practice, typically extending over 3-4 years. A DNP program focused on pediatrics enhances clinical skills and usually features a significant project or dissertation that demonstrates expertise in pediatric nursing.

• Post-Graduate Certificate: For nurses who already hold an MSN or DNP in another nursing specialty and wish to move into pediatric care, post-graduate certificates provide a targeted education. These programs, generally completed in about a year, concentrate on the specific competencies needed for effective pediatric nursing.

• RN to Nurse Practitioner (RN-NP): RN to NP programs offer multiple pathways, allowing RNs to advance directly into a nurse practitioner role. Some programs include a BSN as part of the curriculum, while others allow RNs to move straight into MSN or DNP studies. Depending on the program, you can specialize in areas like Pediatric Nurse Practitioner (PNP) and complete the degree in 2-4 years. The program's structure and duration vary based on the degree level (MSN or DNP) and whether it's full-time or part-time.

Best Pediatric NP Program Costs 

The costs associated with Pediatric NP programs can vary based on several factors such as the institution, location, and program length. Here's a general breakdown of what to expect:

• Tuition: Typically, the most significant cost, charged per credit hour or semester. Public, in-state, and online programs are often more budget-friendly.
• Institutional Fees: Application, registration, technology, and lab fees can add significantly to total expenses.
• Books and Supplies: Includes textbooks and clinical tools like stethoscopes and lab coats.
• Clinical Costs: Some programs require students to arrange their clinical sites or travel, which may lead to additional costs.
• Licensing and Certification: Fees apply for certification exams and state licensure upon graduation.
• Living Expenses: Full-time students should account for housing, food, transportation, and other personal costs.
• Health Insurance: Coverage is often required and may need to be purchased separately.
• Continuing Education: Ongoing costs after graduation for maintaining licensure and certifications.

Planning ahead and comparing tuition models can help students manage costs. Many affordable programs also offer scholarships, tuition assistance, and part-time options to ease the financial burden. To further reduce overall costs, consider exploring the most affordable Pediatric NP programs.

Pediatric NP Salary Expectations in 2026

According to the U.S. Bureau of Labor Statistics (BLS), the mean annual wage for nurse practitioners—including Pediatric NPs—was $132,000 or $63.46 per hour. However, this national average may not reflect the specific salaries Pediatric NPs earn as the BLS does not differentiate NP specialties.

The top-paying states for NPs are:

• California: $173,190
• New York: $148,410
• Oregon: $148,030
• Massachusetts: $145,140
• Washington: $143,620

While the BLS does not separate NP salaries by specialty, ZipRecruiter estimates that Pediatric NPs earn an average annual salary of $135,161, or about $65 per hour.

The top-paying states for PNPs are:

• Washington: $153,083
• District of Columbia: $152,735
• New York: $147,871
• Massachusetts: $147,612
• Alaska: $145,561

PNPs may also receive additional compensation through health insurance, bonuses, incentive pay, retirement benefits, and paid time off. Salary may vary depending on setting—such as private practice, academic institutions, or hospital-based roles—and some employers offer differential pay for nights, weekends, or holidays.

Remember that salaries can shift over time based on factors like demand, geographic location, and healthcare policy changes. Prospective PNPs should research local job markets and consult updated salary reports and professional organizations for the most accurate data.

Pediatric NP Career Outlook

The U.S. Bureau of Labor Statistics projects a 40% growth in Advanced Practice Registered Nurse (APRN) roles from 2023 to 2033. Pediatric Nurse Practitioners are expected to be a vital part of this trend, particularly as the demand for specialized pediatric care continues to rise.

• Physicians Offices or Primary Care Practices: 47%
• General Medical & Surgical Hospitals: 25%
• Outpatient Care Centers: 9%

PNPs are increasingly essential in expanding access to child-focused healthcare, especially in underserved areas. As population growth and preventative health initiatives drive the need for pediatric services, PNPs will continue to play a leading role in addressing both routine and complex health conditions in children.

Are the Best Pediatric NP Programs Worth It?

If you're wondering whether enrolling in a top-tier Pediatric Nurse Practitioner (PNP) program is worth it, the answer depends on your career goals, financial situation, and preferred learning environment. Here's a quick breakdown of the pros and cons to help you decide.

Best Pediatric NP Program – Pros

• Enhanced Career Prospects: Top PNP programs often lead to stronger job opportunities due to their reputation and established alumni networks.
• Advanced Resources: These programs typically offer state-of-the-art technology, research opportunities, and smaller class sizes for more personalized learning.
• High-Caliber Faculty: Renowned schools attract experienced faculty and respected leaders in pediatric nursing who provide valuable mentorship.
• Strong Clinical Partnerships: The best pediatric NP programs often have affiliations with leading healthcare institutions, ensuring high-quality clinical training.
• Robust Return on Investment: While tuition is higher, the career advancement and increased earning potential can offer a strong long-term payoff.

Best Pediatric NP Programs – Cons

• Higher Costs: Tuition at top programs can be significant, resulting in larger student loan burdens.
• Competitive Entry: Admission is selective, often requiring excellent academic records and pediatric nursing experience.
• Demanding Pace: Rigorous academic expectations and clinical hours may lead to burnout without careful planning.
• Limited Flexibility: Some programs have rigid schedules, making it harder for working nurses or those with family obligations.
• Pressure to Specialize: Top-tier programs may emphasize research or subspecialties, which may not align with students focused on general clinical practice.

Why Pediatric NP Program Accreditation Matters 

Choosing an accredited Pediatric Nurse Practitioner (PNP) program is paramount for a variety of important reasons:

• Quality education
• Skill development
• Emphasis on research and innovation
• Required clinical practice hours
• Eligibility for national certification
• Eligibility for state licensure 
• Improved job opportunities
• Transferable credits
• Professional credibility
• Financial aid eligibility

With these considerations in mind, aspiring Pediatric Nurse Practitioners should choose programs accredited by recognized bodies such as the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN).

Pediatric NP Certification & State Regulations 

The scope of practice for Pediatric Nurse Practitioners (PNPs) is defined by state-specific regulations that determine how independently they can diagnose, treat, and prescribe. Some states allow full autonomy, while others require physician oversight or collaborative agreements.

Before choosing a PNP program, it's essential to understand the regulations in the state where you plan to practice. Not all programs prepare students for licensure or autonomous practice in every state, so aligning your education with your career goals and local laws is critical.

Key factors to consider:

• State Licensure: You must be licensed in the state where you plan to practice. Relocating typically requires applying for licensure in the new state.
• Levels of Practice Authority: Defined by the American Association of Nurse Practitioners (AANP), states fall into three categories:
  • Full Practice: PNPs can assess, diagnose, order tests, and prescribe independently (e.g., Arizona, Colorado, New Mexico).
  • Reduced Practice: Requires a collaborative agreement or partial supervision (e.g., Alabama, Oklahoma).
  • Restricted Practice: Requires full physician oversight for one or more elements of care (e.g., California, Texas, Florida).

Understanding your intended state's practice laws ensures your chosen PNP program supports your professional goals and prepares you to meet certification and licensure requirements at the APRN level. 

PNP National Certification

While licensure requirements may vary by state, national certification is universally required for all NPs, including Pediatric NPs. This certification validates the specialized knowledge and skills in pediatric care necessary for practice.

For PNPs, national certification can be obtained by:

• PPCNP-BC through the American Nurses Credentialing Center (ANCC)
• CPNP-Acute Care or CPNP-Primary Care certifications by the Pediatric Nursing Certification Board (PNBC).

National certification typically precedes state licensure and is a prerequisite in most states, confirming a PNP's readiness to provide high-quality care.

Frequently Asked Questions

Can I complete a Pediatric NP Program online?

Yes, many accredited PNP programs offer online coursework combined with in-person clinical requirements. These hybrid models provide flexibility for working nurses while still meeting certification and licensure standards.

Do I need pediatric nursing experience before applying to a PNP program?

While not always required, many programs prefer or strongly recommend that applicants have 1-2 years of pediatric nursing experience. Direct experience with infants, children, or adolescents can strengthen your application and prepare you for pediatric-focused clinical training.

What is the difference between a pediatric primary care NP (PPCNP) and a pediatric acute care NP (PACNP)?

• PPCNPs, or Primary Care Pediatric NPs, provide long-term, comprehensive care in primary care settings, managing common and chronic conditions in children from birth through young adulthood.

• PACNPs, also known as Acute Care Pediatric Nurse Practitioners, treat children with acute, critical, or complex illnesses in inpatient and specialty settings.

Join other nurses in discussing which PNP specialty is best for you or explore Dual PNP Programs that focuses on both specialties. 

What are the essential skills for a PNP?

PNPs need strong clinical judgment and excellent communication skills to interact effectively with children and families. Compassion, patience, and the ability to stay calm under pressure are key. Critical thinking, problem-solving, and leadership skills are also important, especially when coordinating care with interdisciplinary teams.

What certification do I need to practice as a Pediatric NP?

Graduates must pass a national certification exam to practice as a PNP. The most common pediatric certifications are the CPNP-Acute or Primary Care through the PNCB (Pediatric Nursing Certification Board), or the PPCNP-BC through the ANCC (American Nurses Credentialing Center).

What are the pathways to becoming a PNP?

• BSN to Pediatric NP: For BSN-prepared RNs pursuing an MSN with a pediatric NP specialization

• Direct Entry MSN: For non-nursing bachelor's degree holders entering a combined BSN and MSN PNP program
• RN to PNP: For ADN/ASN RNs bridging directly to an MSN with a PNP focus
• Post-Master's Certificate: For MSN-prepared nurses seeking a PNP post-master's certificate
• Doctor of Nursing Practice PNP: For nurses who wish to pursue a DNP with a pediatric nurse practitioner concentration