Clinical Nurse Specialist - CNS
Can a Clinical Nurse Specialist become a certified Medical Examiner with the DOT? To be listed as a certified Medical Examiner with the DOT/FMCSA NRCME program, a Clinical Nurse Specialist (CNS) must be licensed, certified, or registered in accordance with applicable state laws and regulations to perform physical examinations.
Please see the table below for a Clinical Nurse Specialist's eligibility in the state they are licensed to practice in to become a certified Medical Examiner with the DOT:
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Alabama - ![]() |
Montana - ![]() |
Alaska - ![]() |
Nebraska - ![]() |
Arizona - ![]() |
Nevada - ![]() |
Arkansas - ![]() |
New Hampshire - ![]() |
California - ![]() |
New Jersey - ![]() |
Colorado - ![]() |
New Mexico - ![]() |
Connecticut - ![]() |
New York - ![]() |
Delaware - ![]() |
North Carolina - ![]() |
District of Columbia - ![]() |
North Dakota - ![]() |
Florida - ![]() |
Ohio - ![]() |
Georgia - ![]() |
Oklahoma - ![]() |
Hawaii - ![]() |
Oregon - ![]() |
Idaho - ![]() |
Pennsylvania - ![]() |
Illinois - ![]() |
Puerto Rico - ![]() |
Indiana - ![]() |
Rhode Island - ![]() |
Iowa - ![]() |
South Carolina - ![]() |
Kansas - ![]() |
South Dakota - ![]() |
Kentucky - ![]() |
Tennessee - ![]() |
Louisiana - ![]() |
Texas - ![]() |
Maine - ![]() |
Utah - ![]() |
Maryland - ![]() |
Vermont - ![]() |
Massachusetts - ![]() |
Virginia - ![]() |
Michigan - ![]() |
Washington - ![]() |
Minnesota - ![]() |
West Virginia - ![]() |
Mississippi - ![]() |
Wisconsin - ![]() |
Missouri - ![]() |
Wyoming - ![]() |
= The FMCSA has not received verification from your state licensing board that the DOT exam is within the scope of practice for your profession. You may proceed with registration, but the FMCSA must receive verification from your state licensing board before certifying you. We recommend that you delay your certification test until the state licensing board has confirmed that the DOT exam is within your scope of practice.
To verify this information, please visit the DOT NRCME registration page.
If you have any questions or need further information on this process, please contact the FMCSA Help Desk at fmctechsup@dot.gov (recommended) or call (617) 494-3003.

