North Carolina Patient Care Technician

In North Carolina, Patient Care Technicians are required to be listed on the N.C. Nurse Aide I Registry. Certain basic criteria must be met first before applying.

Basic requirements for Nurse Aide I in North Carolina:

To become a Nurse Aide I, one must do one of the following:

  • Pass state-approved Nurse Aide I training (or comparable) and competency testing
  • Pass state-approved Nurse Aide I competency testing
  • Request listing based on a qualified N.C. nursing license

Other Requirements that May Be Helpful:

  • Strong desire to help people
  • Excellent Communication skills
  • Good physical conditioning

You must also obtain national certification as a Patient Care Technician. We highly recommend seeking certification through the National Healthcare Association (NHA).

Eligibility requirements to take an NHA certification exam:

  • Possess a high school diploma or GED
  • Have completed a training program or have one year work experience in the field
  • Be at least 18 years of age

Note: The current fee for taking the exam is $149. Check with your PCT training program to see if this is included in your tuition and fees.


Your Patient Care Technician program should fulfill the state’s education requirements to become a Nurse Aide and allow you to sit for the exam. We strongly recommend you confirm this with both your school/program’s administration as well as with the state registry.


North Carolina does not list nurse aides by reciprocity, endorsement, or transfer from other states. To be listed on the N.C. Nurse Aide I Registry, an out-of-state nurse aide must qualify through the basic requirements of a Nurse Aide I listed at the top of this page.


Pearson VUE is the state-contracted provider of Nurse Aide I competency testing. NACES Plus Foundation, Inc., works with Pearson VUE to schedule and provide tests. Candidates must obtain registration information, apply for and schedule their Nurse Aide I Competency exam by visiting the Pearson VUE website. Candidates can obtain a Nurse Aide I candidate handbook in these ways:

  • By contacting their training program instructor
  • By visiting the Pearson VUE web site
  • By calling NACES Plus Foundation at 1-888-282-6904

Required Re-testing

A new competency test is required if a nurse aide does not perform at least 8 hours of qualified work during any 24-month period.


A nurse aide may renew through qualified work experience (at least 8 hours) completed during every two years. The qualified work can occur in a nursing home or other health care setting and must meet ALL of the following criteria:

  1. The work is for pay (monetary compensation)
  2. The duties are those of a nurse aide (refer to the N.C. Board of Nursing Nurse Aide I task list)
  3. The duties are supervised by a registered nurse (refer to the N.C. Board of Nursing Nurse Aide I task list )
  4. The number of hours worked is at least eight (8), during the aide’s 24 month registry listing period

Aide’s Responsibility

Renewal is the aide’s responsibility.

Report name and address changes promptly. Contact the registry if you do not receive your renewal application on time.

You can download a Request for a Replacement Renewal Form to request that a renewal application be sent to you by mail.

Contact Information


Center for Aide Regulation and Education
2709 Mail Service Center
Raleigh, NC 27699-2709

Health Care Personnel Registry – Investigations Branch
2719 Mail Service Center
Raleigh, NC 27699-2719

24-Hour Listing Verification:

By Phone: 919-715-0562
Online: Verify Registry Listings

Center for Aide Regulation and Education Branch – Registry Staff
8 a.m. – 12 noon, and 1 p.m. – 3 p.m., Monday-Friday
Phone: 919-855-3969
Fax: 919-733-9764