The  cost to attend National Midwifery Institute’s Certificate Program is published in the NMI Handbook, along with our payment, refund, and other financial policies.

Tuition and Fees 

Tuition for our midwifery certificate total $17,000.  Students enrolling with a payment plan must make monthly payments and may make payments ahead, or pay their balance at any time. NMI does not charge interest for the payment plan, but late payment penalties, a reinstatement fee and processing fees are specified. 

The following payment plan is available: 

  • Minimum down payment upon enrollment - $5000
  • Monthly payments during months 1-12 of enrollment - $500
  • Payments during months 13-24 of enrollment - $250
  • Payments during months 25-36 of enrollment - $250

Additional Fees:

  • Application fee - $30
  • Monthly administrative fee - $25/month for duration of enrollment

Payment of all program tuition and fees must be completed prior to graduation from the program. During a payment plan, tuition may be paid ahead or in full at any time. 

Additional Expenses 

In addition to program fees, students should expect to incur related expenses. 

  • All students should expect to have phone, IT, internet, photocopying and mailing expenses associated with course work completion and program participation. Pager and/or cell phone will probably be required during apprenticeship.
  • Textbook costs (approximately $500 to $1000, or more if a student is building a library for future client use) are not included in course work fees. 
  • Training in adult CPR (required) costs between $50 and $100; Neonatal Resuscitation training (required) can be as much as $200. 
  • Students applying to take the NARM exam will need a NARM certification application, which can be purchased in hard copy from the NARM website ($50, as of January 2016) or downloaded for free. More information can be found in the NARM certification application and NARM Candidate Information Booklet (CIB)
  • Students applying to take the NARM exam are required to pay a NARM certification application fee ($1000, as of January 2016—contact NARM for current cost). In addition, the computer testing site requires a fee ($120 as of January 2016).
  • Some states require apprentices or midwives in training to register with a licensing agency. Fees for this vary.
  • During apprenticeship, students must also expect to build their durable equipment supply for future midwifery practice. Stethoscope, blood pressure cuff, fetoscope and basic delivery and suturing instruments cost approximately $350. A doppler fetoscope costs $700 or more. An oxygen tank and regulator valve may cost $300 or more. Herbal and homeopathic remedies, if desired, usually cost between $7 and $15 each.
  • During apprenticeship, students will need 24/7 access to reliable transportation. Most students should expect to have their own car. 
  • Professional periodicals cost between $35 and $100 annually.
  • Memberships in the Midwives’ Alliance of North America (MANA) and to state and professional midwifery organizations cost between $35 and $100 each. Student rates may be available.
  • Upon completion of the program, application fees for state licensure, certification or registration vary but start at $250. Renewal of these credentials is due every two or three years, with continuing education requirements specific to each state.

Additional Costs for Preceptorship 

An approved NMI preceptor may invoice the program for a total honorarium of $3400 per student (limited to the minimum requirements for each experience category). NMI holds this amount in reserve from the student’s tuition.

Most preceptors realize adequate exchange with an apprentice via assistance with the practice and payments from NMI. However, it is possible that a preceptor will charge a student additional fees. Students are responsible for this as a separate agreement; NMI limits payment to preceptors as described above. If a preceptor requires additional fees, that independent agreement with the student disqualifies the preceptor from also invoicing NMI for the preceptor honorarium amounts.

Students of Color - Personalized Payment Plan

Photo credit: Roz KumARI - - @kumarivisionz

Photo credit: Roz KumARI - - @kumarivisionz

Profound racial disparities in maternal and infant health outcomes exist in the United States today. When compared to white maternal and infant health outcomes, non-white families experience increased rates of harm (morbidity and mortality). African Americans are most severely affected: The fetal death rate for African Americans is more than twice that of non-Hispanic whites, while the maternal mortality rate for African Americans is more than three times that of non-Hispanic whites. We believe that midwifery care can help improve these outcomes and reduce racial disparities. Additionally, there is a need for more midwives of color so that every client has access to a midwife from the client's own culture. While NMI is not able to participate in the Grand Challenge by offering scholarships for students of color, aspiring midwives of color have the option to work with NMI staff to design a more flexible and personalized payment plan than our standard payment plan. Applicants may contact the NMI office and self-identify as students of color to begin the process. We look forward to working with you to create a personalized payment plan. 


“I have tuned in to and learned to trust my intuition as an underpinning (not just a tool) of midwifery care.”

~ an NMI Student

To learn more, view the NMI Handbook.