Nurse Midwife

License Information

Per Wis. Stat. § 440.08 (2), the required renewal date for the Nurse Midwife credential is 02/28 or 29/even years.  Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.

  • Must possess a current Registered Nurse license in Wisconsin or a multi-state Registered Nurse license in a compact state.
  • Completion of an educational program in nurse-midwifery approved by the American College of Nurse-Midwives.
  • Complete and submit Application for Certification as a Nurse-Midwife including all required documentation.
  • Prior to obtaining certification from the American College of Nurse-Midwives an applicant may be able to obtain a temporary permit.
    • To obtain a temporary permit, the application must be submitted to the Department and the $10.00 temporary permit fee must be paid.
    • Applicants practicing under temporary permits are required to be directly supervised by either a nurse-midwife or a physician. 
  • Obtain certification from American College of Nurse-Midwives.
  • Board review of application.

Application for Licensure

FormDescription
407

Application for Licensure as a Nurse-Midwife
2610

Certification Form for Malpractice Insurance Coverage for Nurse-Midwife
2551

Certification of Nurse-Midwifery Degree
​2459

​Request for a Temporary Permit for Nurse-Midwife
​2829​Malpractice Suits or Claims Form (If applicable)
2252

​Convictions and Pending Charges
3071

​Fax Payment Form

Renewal Information

Requirements

  • FEE (See Renewal Dates and Fees)
  • SIG (Signature regarding current malpractice insurance)
  • SVY (Nursing Workforce Survey is required to renew)
  • RES (Report state of Primary Residency)
  • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or dsps@wisconsin.gov.

*On November 14, 2013, the Wisconsin Board of Nursing moved to allow the DSPS and the DWD to accept a shortened version of the survey outside of the active renewal cycle, which begins 7-8 weeks prior to the renewal deadline.  After the renewal deadline, licensees will need to complete the shortened survey to fulfill the renewal requirements.  The shortened version of the survey will be incorporated into the renewal questions and will not be provided as a separate link.

Wisconsin is a member of the Nurse Licensure Compact, please visit the NCSBN website for more details.

If you also hold a Wisconsin Registered Nurse license, renewing the Nurse Midwife license will automatically renew your Registered Nurse license, unless you are a Primary Resident of another Compact State.

Renewal Methods

  • Online Log In: License Renewal Online
  • Request a Paper Renewal Form: (888) 506‑4239 or (608) 261‑4460 for the Madison area
FormDescription
RDAFRenewal Dates and Fees
R210Active Duty/Discharge Renewal Extension

Wisconsin Act 210 (effective June 1, 2012)

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.