Kentucky Coalition of Nurse Practioners and Nurse Midwives

The DEA is now accepting applications from
Kentucky ARNPs

Applying for DEA Registration

It is preferred by the DEA that you register online and pay by credit card. The cost is $551.00 and this is non-refundable.

To apply online go to:
http://www.deadiversion.usdoj.gov/drugreg/reg_apps/onlineforms_new.htm
Select DEA Form 224.

To apply by mail:
Call the Drug Enforcement Administration at 1-800-882-9539 to request an application (DEA Form 224) or download an application at: http://www.deadiversion.usdoj.gov/drugreg/reg_apps/onlineforms_new.htm
Scroll down for a pdf version to print and complete.

Special Note Regarding Collaborative Prescribing Agreement-Scheduled Substances:

All Kentucky ARNP DEA applicants must fax or mail a copy of their Collaborative Agreement for Prescriptive Authority for Controlled Substances (CAPA-CS) to the DEA. Failure to send a copy of the CAPA-CS will delay the processing of the application.

Copies of the CAPA-CS can be faxed directly to Pam Bixler, Registration Technician, Detroit DEA Division at (313) 234-4149. Questions can also be directed to Pam Bixler at (313) 234-4334.

To mail copy of CAPA-CS
Mail to:DEA 431 Howard Street Detroit, Michigan 48226 Attn: Pam Bixler, Diversion

Some important points to remember:

If the ARNP collaborates with more than one physician, he/she will need to send a copy of each agreement they have signed to the DEA.
Unless otherwise directed on the CAPA-CS, the applicant will have Schedules II-V on their license.
The ARNP must meet the requirements set forth by the Kentucky Board of Nursing, specifically that the ARNP shall have been registered to practice as an ARNP for one (1) year with the Kentucky Board of Nursing; or
Be nationally certified as an ARNP and be registered, certified, or licensed in good standing as an ARNP in another state for one (1) year prior to entering into a CAPA-CS and making application to the DEA for registration.
The U.S. Drug Enforcement Administration must be notified in writing whenever a CAPA-CS is changed or rescinded.

Completing the DEA Application

The sections below are included on the paper/mail in application. If you are applying on line, the sections will vary slightly, but the required information is the same.

Section 1 - Personal Information: This section requests your name, business address, phone number and social security number. You cannot use your home address. It must be your practice address. If you practice at more than one site, use the address of your primary practice site.

Section 2 - Business Activity: Check Mid-level provider (MLP) and in the box requesting professional degree, write in "NP". The DEA uses the term NP for all ARNPs. Kentucky ARNPs (NP, CNM, CNS, CRNA) should write in "NP" as the professional degree.

Section 3 - Drug Schedules: Kentucky law grants ARNPs authority to prescribe schedule II - V, but in some cases the CAPA-CS may limit the schedules you may prescribe beyond limitations in the statute and regulation. Check the boxes for all schedules you will be prescribing including "Schedule II Non Narcotic" and Schedule III Non Narcotic" if you will be prescribing schedule II and schedule III drugs. You may only request to prescribe the schedules for which you are legally authorized by your CAPA-CS. The DEA will need verification of the schedules you may prescribe.

Section 4 - State Licenses: Check "yes" for state license and in the blocks to the right write in your ARNP registration number. Check "no" for state controlled substance license number. Kentucky does not require a separate controlled substance number.

Section 5 - Background Information: This section includes questions regarding conviction for any crimes.

Section 6 - Certification of Exemption: If you work in a federal, state or local government owned hospital or institution and are a government employee, the application fee is waived. Check the box and have the certifying official sign the form.

Section 7 - Method of Payment: Remember, the application fee is non refundable. The fee is good for 3 years and there is no additional charge if you make changes during that 3 year period of time.

Section 8 - Signature: If completing the application on line, a signature is not required, but the applicant will be asked to confirm the entered information.

Don't forget to mail or fax your CAPA-CS.

* There is no additional DEA charge for changing your name, business address, or the schedules that you prescribe. You must notify the DEA if any of these things change.