What the CPNP-PC costs, exam to first renewals

1. Application: $407, paid once, of which $134 is a registration fee the board keeps even if you withdraw in time.
2. The board's own practice tools (optional): $52 for a 75-question module with rationales, or $26 for a 50-question drill with answers only (exam resources, archived May 2026).
3. Running short of time: a single 90-day extension is $155. Letting the window lapse without one forfeits all fees.
4. A retest: $288, after a review course or the contact hours required first (retest rule). Budget for the course or hours as well.
5. Renewal from the next enrollment on: every year, with the price set by method and month; details are on recertification.

• Pass first time, no extras: one exam fee, then the first renewal in the enrollment after the year you pass.
• One practice module and a pass: the exam fee plus the module; the drill is cheaper but has no explanations.
• A fail and a pass: the exam fee, the retest fee and a review course or hours, with at least the wait for the official result in between.
• Renewal over a seven-year cycle: two Pediatric Updates modules a year is the cheapest line on PNCB's fee table at the November early-bird price of $0 / $90 (modules / contact hours); submitting in February costs $141 / $231.

NPCB and ANCC both price their exams by association membership and renew every five years, so their costs come in larger, rarer bills. Those models are on NPCB certification and ANCC NP certification. For this exam, membership in a pediatric association does not lower this fee; any value it has lies elsewhere, such as review courses or conference hours that count toward renewal.