- This page, Apply for a physician assistant license, is offered by
- Board of Registration of Physician Assistants
- Bureau of Health Professions Licensure
- Department of Public Health
Apply for a physician assistant license
Contact for Apply for a physician assistant license
Board of Registration of Physician Assistants
Phone
The Details of Apply for a physician assistant license
What you need for Apply for a physician assistant license
Please refer to the Physician Assistant Full Licensure Application (PDF) | (DOC)
Complete applications must include the following documents:
- Completed application form, signed, dated, and notarized
- 2x2 passport style color photo
- White or off-white background
- Copies and printer generated photos are not acceptable
- Signed and notarized Criminal Offender Record Information (CORI) Request Form (if applicable)|(DOC)
- Application fee
- Official transcripts in signed, sealed envelopes from physician assistant programs/degrees with proof of a bachelor’s degree or higher
- When requesting official transcripts, please inform each school’s registrar that the transcript must be complete and indicate the degree and date conferred in mm/dd/yyyy format
- NCCPA documentation of certification is required. This must be sent directly from NCCPA. Email verifications are not acceptable.
- A form to request NCCPA verification is included in the application packet
If you are licensed in any a state or jurisdiction outside of Massachusetts
Submit verification of your licensure status, in signed, sealed envelopes, from any state or jurisdiction in which you now or have ever held any professional license or board certification. Verifications must be sent directly to the Board by the state or other jurisdictions.
Fees for Apply for a physician assistant license
Check or money order payable to:
The Commonwealth of Massachusetts
Cash or foreign currency is not accepted.
Note: If you hold a Temporary Practice Certificate, you must pay this fee in addition to the fee previously paid for your Temporary Practice Certificate.
Name | Fee | Unit |
---|---|---|
Application fee | $225 | per applicant |
How to apply Apply for a physician assistant license
Mail all required materials and fee payment to:
Bureau of Health Professions Licensure
Board of Registration of Physician Assistants
250 Washington St.
Boston, MA 02108
For further information, please contact the Board office at (800) 414-0168 or (617) 973-0806.
Once you have read the eligibility requirements, you can apply for your license online.
- Go the Mass. Department of Public Health Online Licensing web portal.
- At the bottom, click on register a Person-based license.
- Follow the prompts to complete the application.
More info for Apply for a physician assistant license
- Application must be submitted on single-sided paper
- All requested information must be provided; failure to provide requested information may result in a delay in processing of application. We will return any incomplete applications.
- Do not leave blanks. If you are unable to provide the requested information, attach a separate sheet with an explanation.
- Keep a copy of your completed application for your records. The Board is not able to provide copies of your application. Employers may require that you provide them with a copy.