How to Become an Adult-Gerontology Nurse Practitioner (AGNP) in 2025

Become an Adult-Gerontology Nurse Practitioner in 3 Steps
An Adult-Gerontology Nurse Practitioner (AGNP) is an advanced practice registered nurse who specializes in providing comprehensive healthcare to adults, from adolescence through old age. As the U.S. population ages, the demand for AGNPs continues to grow, offering a rewarding career path for those interested in adult and geriatric care.
Understanding the AGNP Role
AGNPs focus on the unique health needs of adults and the elderly. Their responsibilities include:
- Conducting physical examinations
- Diagnosing and managing acute and chronic conditions
- Prescribing medications and therapies
- Educating patients on disease prevention and healthy lifestyles
- Collaborating with other healthcare professionals to coordinate care
AGNPs can work in various settings, such as hospitals, primary care clinics, long-term care facilities, and specialty practices.
Educational Pathway
1. Obtain a Bachelor of Science in Nursing (BSN)
Begin by earning a BSN from an accredited nursing program. This typically takes four years and includes clinical rotations to gain hands-on experience.
2. Pass the NCLEX-RN Exam
After completing your BSN, you must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to obtain your RN license. The Next Generation NCLEX (NGN) was introduced in April 2023, incorporating case studies and enhanced item types to better assess clinical judgment.
3. Gain Clinical Experience
Work as a registered nurse to acquire experience in adult or geriatric care. This experience is valuable when applying to graduate programs and provides a solid foundation for advanced practice.
4. Earn a Graduate Degree
Enroll in a Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) program with a focus on adult-gerontology. These programs typically take 2-4 years to complete and include both coursework and clinical practicum hours.
5. Obtain Certification
After graduating, you must achieve certification to practice as an AGNP. Certification options include:
- American Nurses Credentialing Center (ANCC): Offers the AGPCNP-BC (Adult-Gerontology Primary Care Nurse Practitioner-Board Certified) and AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner-Board Certified) credentials.
- American Association of Nurse Practitioners (AANP): Provides the NP-C (Nurse Practitioner-Certified) credential for primary care AGNPs.
Certification must be renewed every five years through continuing education and clinical practice hours.
Salary and Job Outlook
As of January 2025, the average annual salary for AGNPs in the United States is $109,022, with a typical range between $94,014 and $127,017. Salaries can vary based on location, experience, and education level. For example:
- New York, NY: Average salary of $127,337
- Denver, CO: Average salary of $110,240
- Seattle, WA: Average salary of $117,265
The demand for nurse practitioners, including AGNPs, is projected to grow significantly due to an aging population and increased emphasis on preventive care.
Additional Resources
For those interested in exploring job opportunities and furthering their nursing careers, visit GoodWork for a curated list of positions and resources.