Virginia’s pediatric healthcare needs, from the urban corridors of Northern Virginia and Hampton Roads to the rural communities of Southwest Virginia and the Shenandoah Valley, demand skilled Pediatric Nurse Practitioners (PNPs) capable of delivering comprehensive care to children across the lifespan. With over 1.8 million Virginians under age 18, the Commonwealth’s children require primary care providers who understand regional health disparities and conditions ranging from asthma in Richmond’s urban core to developmental concerns in Appalachian counties.

Virginia’s nursing programs prepare PNPs to practice in diverse settings, including the Children’s Hospital of the King’s Daughters in Norfolk, the University of Virginia Children’s Hospital in Charlottesville, Inova Children’s Hospital in Northern Virginia, VCU Children’s Hospital of Richmond, and pediatric practices throughout the Commonwealth.

In this article, you’ll learn:

  • How MSN and DNP programs prepare Virginia nurses for pediatric practice
  • The critical differences between primary care and acute care PNP specializations
  • What online, hybrid, and campus-based formats offer across the Commonwealth
  • Where Virginia PNP students complete clinical training
  • How Virginia’s practice environment and job market support PNP careers

2026 Best Pediatric Nurse Practitioner Programs in Virginia

Finding the best pediatric nurse practitioner programs in Virginia can help you start a rewarding career caring for children. At RegisteredNursing.org, we rank these programs to guide your decision. Our rankings look at factors like program quality, student support, and outcomes. We provide clear information to help you choose a program that fits your goals. Explore our list to see top options in Virginia and learn how each program can prepare you for success in pediatric nursing. For details on how we create these rankings, visit https://www.registerednursing.org/rankings-methodology/.
#1

University of Virginia

Charlottesville, VA - Public 4-Year - virginia.edu

MSN to DNP - Pediatric Nurse Practitioner - Primary Care (Primary Care)

Online & Campus Based - Visit Website

The University of Virginia's Pediatric Nurse Practitioner - Primary Care program prepares advanced practice nurses through a hybrid format combining online coursework with monthly in-person sessions. This program emphasizes comprehensive primary care skills including well-child assessments and management of acute/chronic conditions, requiring 750 clinical hours at UVA Health facilities. With full-time and part-time options available, it focuses on family-centered care and community health needs. A 3.0 minimum GPA is required for admission, and graduates are prepared for certification exams. The program does not specify entrance exam requirements for this master's level offering.

  • Hybrid learning format
  • 750 clinical practicum hours
  • Full and part-time options
  • Certification exam preparation
  • Community-based primary care focus
  • Interdisciplinary team collaboration
  • Tuition: $21,302 (VA residents)
  • 3.0 minimum GPA required
  • Multiple entry pathways
#2

Old Dominion University

Norfolk, VA - Public 4-Year - odu.edu

BSN to MSN - Pediatric Nurse Practitioner

Online & Campus Based - Visit Website

Old Dominion University's Pediatric Nurse Practitioner program delivers comprehensive primary care training for children through a hybrid format that blends online coursework with hands-on clinical experiences. This program requires no GRE for applicants with a 3.5+ GPA and maintains a perfect 100% degree completion and certification pass rate. Students complete at least 560 clinical practicum hours, developing real-world skills in health promotion, maintenance, and restorative care across pediatric settings. The distance learning approach provides flexibility while ensuring graduates are well-prepared for certification and strong career advancement opportunities in pediatric nursing.

  • 100% Degree Completion Rate
  • Primarily Online Learning
  • 560 Clinical Practicum Hours
  • No GRE Required (3.5+ GPA)
  • Hybrid Program Format
*Data obtained from: NCES IPEDS 2024 database. https://nces.ed.gov/ipeds/

Primary Care vs. Acute Care: Understanding Your Options

Primary Care Pediatric Nurse Practitioner (CPNP-PC)

Primary care PNPs manage well-child visits, immunizations, common illnesses, and chronic conditions in outpatient settings. Virginia CPNP-PC graduates practice in pediatric offices throughout Fairfax County, Newport News, and Chesapeake, school-based health centers across Virginia’s 132 school divisions, FQHCs serving underserved populations, and retail health clinics expanding throughout the Commonwealth.

This track emphasizes developmental assessment, anticipatory guidance, managing conditions like ADHD and asthma, and family-centered preventive care.

Acute Care Pediatric Nurse Practitioner (CPNP-AC)

Acute care PNPs specialize in hospitalized children with complex conditions. Virginia CPNP-AC graduates work in pediatric intensive care units at Children’s Hospital of The King’s Daughters, emergency departments throughout Sentara Healthcare and Bon Secours systems, and specialty units at UVA Children’s and VCU Children’s.

This track prepares nurses for rapid assessment, stabilization, and management of critically ill children.

TIP: Primary care suits nurses who enjoy continuity with patients and families, preventive focus, and outpatient environments. Acute care fits those drawn to hospital settings, critical thinking under pressure, and managing medically complex children.

Degree Pathways in Virginia

MSN Programs: Entry-Level Preparation

Structure: 45-52 credits, 2-3 years part-time or 18-24 months full-time | Clinical hours: 500-700

Virginia’s MSN programs provide foundational PNP education combining advanced practice nursing core courses with pediatric-specific content covering growth and development, pediatric primary care, acute illness management, and family-centered practice.

Program formats: Campus-based programs in Richmond, Charlottesville, Norfolk, and Fairfax; online programs with didactic work completed remotely and clinical practica arranged at Virginia facilities; hybrid programs combining online learning with periodic on-campus intensives.

DNP Programs: Doctoral Preparation

BSN to DNP pathway: 75-85 credits, 3-4 years

BSN to DNP programs integrate master’s-level PNP clinical training with doctoral content in healthcare systems, quality improvement, and leadership. Students complete scholarly projects addressing Virginia-specific pediatric healthcare challenges.

Post-Master’s DNP pathway: 30-40 credits, 1-2 years

Already certified as a PNP? Post-master’s DNP programs add doctoral credentials for Virginia PNPs pursuing leadership at Sentara Healthcare, Inova Health System, or faculty positions at University of Virginia or Virginia Commonwealth University.

Post-Master’s PNP Certificates

Structure: 36-48 credits, 12-18 months | Clinical hours: 500-600

Virginia nurses holding master’s degrees in other specialties can enter pediatrics through focused PNP post-master’s certificate programs, which are particularly valuable in rural Virginia, where providers often serve generalist roles.

Explore nurse practitioner schools in Virginia.

Clinical Training Across Virginia

All PNP programs require substantial hands-on clinical experience at Virginia pediatric facilities.

Clinical Sites Throughout the Commonwealth

RegionHealthcare FacilitiesClinical Opportunities
Northern VirginiaInova Children’s Hospital, Kaiser Permanente pediatricsDiverse populations, specialty services, suburban care
Hampton RoadsChildren’s Hospital of The King’s Daughters, Sentara pediatrics, military facilitiesMilitary family care, Level I trauma, coastal communities
Richmond MetroVCU Children’s Hospital, community health centersAcademic medicine, urban health disparities
Central VirginiaUVA Children’s Hospital, Carilion Clinic (Roanoke)Academic medical center, Appalachian health, rural populations
Southwest VirginiaBallad Health pediatrics, rural health clinicsFrontier healthcare, medically underserved communities

Placement considerations: Northern Virginia and Hampton Roads offer abundant clinical sites. Students in rural areas may need to travel to regional hubs for certain specialty rotations, though programs increasingly facilitate local placements for primary care experiences.

TIP: Seek clinical experience across different regions of Virginia, if possible. Rotating through both urban and rural settings builds versatility that is valuable for practice anywhere in the Commonwealth.

Admission Standards

RequirementTypical Expectation
RN LicenseCurrent Virginia RN license (or compact state license)
Undergraduate DegreeBSN from accredited program, minimum 3.0 GPA
Nursing Experience1-2 years recommended; pediatric experience valued but not required
GREWaived by most Virginia programs
References2-3 professional letters
Personal StatementEssay demonstrating commitment to pediatric nursing

Financial Investment and Virginia Resources

Program Costs

Program TypeEstimated Total Cost
Public university MSN (Virginia residents)$18,000 – $32,000
Public university MSN (non-residents)$38,000 – $62,000
Private university MSN$40,000 – $70,000
Public university DNP (Virginia residents)$32,000 – $52,000
Private university DNP$62,000 – $92,000
Post-master’s certificate$20,000 – $40,000

Virginia-Specific Funding

TIP: Virginia’s Southwest and Southside regions, Eastern Shore, and parts of the Shenandoah Valley need pediatric providers. Scholarship and loan repayment programs targeting these areas can significantly reduce educational costs

Virginia APRN Licensure and Practice Authority

Certification and Licensure

  1. Complete Virginia Board of Nursing-approved PNP program
  2. Pass national certification (CPNP-PC or CPNP-AC through PNCB)
  3. Apply for Virginia APRN licensure
  4. Establish practice agreement if required

Virginia Scope of Practice

Autonomous practice after meeting requirements: Virginia APRNs who complete 5 years of practice can practice without a practice agreement, gaining full autonomy including independent prescriptive authority.

Initial practice agreement: New graduate PNPs must maintain a practice agreement with a licensed physician for the first years of practice. This is collaborative rather than supervisory.

Full prescriptive authority: Virginia PNPs prescribe all medications, including Schedule II-V controlled substances. After meeting experience requirements, this authority becomes completely independent.

Career Opportunities in Virginia

Employment settings: Primary care practices in metropolitan and suburban areas; children’s hospitals and specialty clinics in Richmond, Norfolk, and Northern Virginia; school-based health centers; community health centers addressing health disparities; urgent care centers; military treatment facilities; and telehealth platforms that expand rural access.

Compensation expectations:

RegionAnnual Salary Range
Northern Virginia$105,000 – $130,000
Hampton Roads$95,000 – $120,000
Richmond Metro$95,000 – $118,000
Charlottesville/Roanoke$90,000 – $115,000
Rural Virginia$88,000 – $110,000 (plus loan repayment/bonuses)

Northern Virginia’s proximity to Washington, DC drives higher compensation. Rural areas offer lower base salaries but frequently include signing bonuses and generous loan repayment packages totaling $30,000-$50,000.

Frequently Asked Questions

Q: Do Virginia PNP programs require pediatric nursing experience for admission?

A: Most Virginia programs prefer but don’t require pediatric RN experience. Strong academic performance, professional references, and demonstrated interest in pediatric care can offset lack of pediatric background. Programs provide foundational pediatric nursing content assuming diverse nursing backgrounds.

Q: How does Virginia’s practice agreement requirement affect new graduate PNPs?

A: Minimally, in most cases. The practice agreement is consultative; the physician provides backup and guidance but doesn’t supervise daily practice. Most Virginia employers help new PNPs establish these agreements, and after gaining experience, you practice completely independently.

Q: Will my Virginia PNP license allow me to practice in neighboring states?

A: Virginia participates in the Enhanced Nurse Licensure Compact for RN licensure but not for APRN licensure. You’ll need separate APRN licensure for Maryland, DC, West Virginia, North Carolina, or other states. Your national PNP certification is recognized nationwide, simplifying out-of-state applications.

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