Adult-Gerontology Acute Care Nurse Practitioner Programs in Texas (2026)

Compare Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) pathways available to Texas nurses — online and campus MSN and DNP options with delivery mode, timeline, and tuition. AGACNPs are prepared to care for acutely and critically ill adolescent, adult, and older-adult patients.

Limited AGACNP listings for Texas

Our directory currently shows fewer than 3 AGACNP programs based in Texas. Many Texas RNs enroll in accredited online programs from out-of-state universities — these programs are authorized for Texas residents and arrange clinical hours locally. The partner programs below and our nationwide AGACNP directory are good starting points.

Why Become a AGACNP in Texas

AGACNPs fill a critical gap in hospital-based advanced practice, providing high-acuity inpatient management in ICUs, EDs, and specialty units. Demand is driven by hospitalist program growth and physician workforce shortages in acute specialties.

Registered nurses in Texas earn an average of $79,120 per year (BLS). AGACNPs in Texastypically earn around $122,636 or more, depending on setting, experience, and practice authority. With 12.1% RN job growth projected through 2032, advanced practice roles in Texas are well-positioned for the decade ahead.

AGACNP programs are graduate-level (MSN or DNP) and designed for working RNs. Most programs deliver didactic content online or in a hybrid format, with the required 500–750 supervised clinical hours completed at approved sites near you. Full-time RNs typically complete aAGACNP MSN in 24–36 months without leaving the workforce.

AGACNP at a glance

  • Patients: acutely and critically ill adolescent, adult, and older-adult patients.
  • Certification: the AACN ACNPC-AG or ANCC AGACNP-BC board exam.
  • Clinical hours required: 500–750 supervised hours.
  • Texas is a restricted-practice state — ongoing supervision or delegation is required by law.
  • Estimated AGACNP salary in Texas: $122,636+ (BLS RN base × specialty multiplier).

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AGACNP Programs Listed

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Fully Online

$123K+

Est. AGACNP Salary

Match with AGACNP Programs in Texas

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Getting Licensed as a AGACNP in Texas

Texas: Restricted Practice Authority

Texas is a restricted-practice state: state law requires nurse practitioners to practice under career-long supervision, delegation, or team management by another health provider for at least one element of practice, the most limited of the three AANP practice-environment tiers.

Verify current rules at the Texas Board of Nursing — scope-of-practice laws change as states pass legislation.

  1. 1

    Hold an active RN license in good standing

    All AGACNP programs require an unencumbered RN license. Most also require 1–2 years of clinical RN experience before admission; ICU, emergency, or specialty-unit experience can strengthen your application.

  2. 2

    Graduate from a CCNE- or ACEN-accredited AGACNP program

    Complete an MSN or DNP program with an approved AGACNP specialty track. The program must fulfill the curriculum and clinical-hours requirements recognized by the certifying body (the AACN ACNPC-AG or ANCC AGACNP-BC board exam).

  3. 3

    Pass the AACN ACNPC-AG or ANCC AGACNP-BC board exam

    Board certification is required before most state boards will issue APRN licensure. Eligibility requires graduation from an accredited program and completion of the required 500–750 supervised clinical hours.

  4. 4

    Apply for Texas APRN licensure

    Submit transcripts, national certification, and your RN license to the Texas Board of Nursing. Texas requires an ongoing supervisory arrangement with a physician or other provider — confirm current requirements with the Board of Nursing before enrolling.

  5. 5

    Obtain DEA registration if prescribing controlled substances

    Most AGACNP roles involve prescribing. A separate DEA registration is required; this is distinct from state APRN licensure and must be renewed every three years.

How to Choose a AGACNP Program in Texas

CCNE or ACEN Accreditation

Confirm the program holds CCNE or ACEN accreditation before applying. AGACNP tracks must additionally meet the requirements of the relevant certifying body (the AACN ACNPC-AG or ANCC AGACNP-BC board exam) for graduates to sit for board exams and obtain Texas APRN licensure.

Clinical Placement Support

AGACNP programs require 500–750 supervised clinical hours. Ask whether the program secures preceptors for you or requires you to self-arrange. Texas students enrolling in out-of-state online programs should confirm the program has a placement support process in Texas specifically.

Texas State Authorization

Confirm the program is authorized to enroll Texas residents. SARA authorization covers most online programs for didactic content, but APRN clinical requirements and scope-of-practice rules are Texas-specific. Verify authorization directly with the program's enrollment team.

MSN vs. DNP Track

MSN-entry AGACNP programs (24–36 months) are sufficient for licensure and board certification. DNP tracks (36–48 months) are increasingly preferred by hospital systems and academic programs. Choose based on your career trajectory — DNP adds value in leadership, faculty, and system roles.

Total Cost and Employer Support

AGACNP program tuition ranges from under $20K at public in-state universities to $60K+ at private institutions. Many Texas hospital systems offer tuition reimbursement — especially for high-shortage specialties. Calculate total cost including fees, books, and clinical travel before comparing sticker prices.

Schedule and Delivery Format

Online asynchronous didactic coursework is standard for most AGACNP programs. Cohort-paced and weekend-hybrid formats vary in intensity. Full-time RNs typically complete a AGACNP MSN in 24–36 months while continuing to work; confirm expected weekly study hours with each program.

Where AGACNPs Practice in Texas

Adult-Gerontology Acute Care Nurse Practitioners in Texas work across a range of settings. Practice authority — restricted in Texas — determines whether independent practice is possible in each setting.

  • Intensive care units (ICU, MICU, SICU, CVICU)
  • Hospital medicine and inpatient medicine teams
  • Emergency departments and trauma centers
  • Post-acute and step-down units
  • Cardiology, pulmonology, and surgical specialty practices

Related NP options in Texas

AGACNP programs in other states

AGACNP Programs Available in Texas

We don't list AGACNP-specific programs in our directory for Texas yet. The sponsored partner schools above are accepting applications from Texas RNs, and you can also explore AGACNP programs nationwide.

Get Matched with AGACNP Programs in Texas

RNs in Texas average $79,120/year — AGACNPs typically earn $122,636+. Tell us your timeline and we'll match you with accredited programs accepting applications now.

How long do AGACNP programs take in Texas?
Most Adult-Gerontology Acute Care Nurse Practitioner pathways available to Texas nurses take 24 to 48 months — MSN-entry AGACNP tracks typically run 24 to 36 months and BSN-to-DNP AGACNP tracks 36 to 48 months. Part-time enrollment usually adds 12 to 18 months.
What do AGACNP programs cost in Texas?
AGACNP program tuition varies by degree level (MSN vs DNP), institution type, and residency status. Compare total tuition, required fees, and clinical-placement logistics when calculating real program cost in Texas.
Can I complete a AGACNP program online in Texas?
Many AGACNP programs use online or hybrid delivery for didactic coursework. Online and hybrid options may be available to you. The 500–750 supervised clinical hours required for the AGACNP specialty must still be completed in person at approved sites.
What certification do AGACNPs need in Texas?
After completing an accredited AGACNP-track program, graduates sit for the AACN ACNPC-AG or ANCC AGACNP-BC board exam. National certification is required for state APRN licensure and to care for acutely and critically ill adolescent, adult, and older-adult patients. Confirm current requirements with the Texas Board of Nursing (https://www.bon.texas.gov).
Does Texas give nurse practitioners full practice authority?
Texas is a restricted-practice state: state law requires nurse practitioners to practice under career-long supervision, delegation, or team management by another health provider for at least one element of practice, the most limited of the three AANP practice-environment tiers.
Is a AGACNP worth it in Texas?
For many nurses, yes. RNs in Texas earn an average of $79,120 annually (BLS), while AGACNPs often earn $122,636 or more depending on setting and experience. The strongest ROI comes from an accredited program priced sensibly relative to your expected earnings increase.
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