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Arkansas CRNA License 2026: APRN Requirements, Practice Model, Salary

Ava Health Team
9 min read

In brief

How to get your CRNA license in Arkansas 2026. Arkansas State Board of Nursing APRN process, collaborative agreement requirements, and CRNA salary data for Little Rock, Fayetteville, and Fort Smith.

Steps at a glance

  1. Complete CRNA program and obtain NBCRNA certification

    Graduate from a COA-accredited nurse anesthesia program and pass the NBCRNA NCE. Arkansas requires current CRNA national certification for APRN licensure.

  2. Hold or obtain Arkansas RN license

    Arkansas is an NLC compact member. CRNAs with a multistate compact license may practice in Arkansas. If your primary state is non-compact, apply for AR RN licensure by endorsement through the Arkansas State Board of Nursing.

  3. Submit Arkansas State Board of Nursing APRN application

    Apply online at arsbn.org. Submit CRNA certification, RN license verification, anesthesia program documentation, and the $100 APRN application fee.

  4. Execute collaborative practice agreement

    Arkansas requires a written collaborative practice agreement with a licensed Arkansas physician for CRNA practice. In ACT settings, physician direction satisfies this requirement. Independent CRNA roles require a formal written agreement.

In this article
  1. Practice Model
  2. Application Requirements
  3. Processing Timeline
  4. CRNA Salary in Arkansas (2026)
  5. Top Employers in Arkansas
  6. What We See at Ava Health

Arkansas CRNAs are licensed as APRNs by the Arkansas State Board of Nursing. Arkansas is a reduced practice state, a written collaborative practice agreement with a physician is required. Arkansas has NOT opted out of the federal Medicare CRNA supervision requirement. Little Rock (UAMS, Baptist Health, Mercy) is the dominant market; Northwest Arkansas (Fayetteville/Bentonville) is growing rapidly driven by Walmart headquarters and associated commercial growth. Rural Arkansas has significant CRNA shortages, particularly in the Mississippi Delta and Ouachita Mountain communities.

Practice Model

  • Written collaborative practice agreement with licensed Arkansas physician required
  • Arkansas has NOT opted out of federal Medicare CRNA supervision requirement
  • ACT model: UAMS Medical Center (Little Rock), Arkansas Children's Hospital
  • CRNA-independent (with collaborative agreement): Baptist Health, Mercy Health, Conway Regional, rural CAH facilities
  • Northwest Arkansas (Springdale/Fayetteville/Bentonville) is the fastest-growing CRNA market in the state

Application Requirements

  • Active Arkansas RN license (compact or AR-issued)
  • Current NBCRNA certification
  • Official nurse anesthesia program documentation
  • Completed arsbn.org application + $100 fee
  • Criminal background check via Arkansas State Police

Processing Timeline

Arkansas State Board of Nursing processes APRN applications in 6-10 weeks from complete submission. Temporary authorization to practice is not routinely available. Complete applications process at a standard pace with no common bottlenecks beyond background check timing.

CRNA Salary in Arkansas (2026)

MarketAvg CRNA SalaryNotes
Little Rock$185,000-$215,000UAMS, Baptist Health, CHI St. Vincent; academic + community market
NW Arkansas (Fayetteville/Bentonville)$188,000-$218,000Washington Regional, Mercy NWA; fastest-growing AR market; Walmart-driven COL
Fort Smith$182,000-$208,000Mercy Fort Smith, UAMS Fort Smith; river valley regional hub
Jonesboro$180,000-$205,000NEA Baptist, St. Bernards; Delta-adjacent market
Rural / Delta / CAH Arkansas$185,000-$218,000Critical shortage areas; CRNA-only; signing bonuses $20K-$40K

Top Employers in Arkansas

  • UAMS (University of Arkansas for Medical Sciences), Little Rock; academic medical center; ACT model; CRNA training partnerships
  • Baptist Health, Little Rock + statewide; largest Arkansas health system; CRNA-independent at most facilities
  • Mercy Health Arkansas, Fort Smith + NW Arkansas; Catholic system; CRNA-independent model
  • Arkansas Children's Hospital, Little Rock; pediatric anesthesia; ACT model
  • Washington Regional Medical Center, Fayetteville; NW Arkansas regional health system; growing CRNA program

What We See at Ava Health

Northwest Arkansas is Arkansas's most dynamic CRNA market, the Bentonville/Fayetteville corridor has seen explosive growth driven by Walmart headquarters, Tyson Foods, and a growing tech sector that drives elective surgical demand. Little Rock remains the academic and acute care hub. Rural Delta communities (Helena, Marianna, Dumas) have among the most severe CRNA shortages of any market in the Mid-South; Critical Access Hospitals here struggle to fill CRNA positions for months or years despite offering competitive packages.

Related: CRNA Salary by State 2026, NP License Arkansas 2026, CRNA License Louisiana 2026.

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