Help center/Compliance
Enrolling nurses with Nursys e-Notify
Let the state boards tell you when a license lapses.
For owners, admins and schedulers
Read the transcript
Nursys e-Notify is a free service from the National Council of State Boards of Nursing. Enrol a nurse once, and the boards tell you when her license lapses, renews, or picks up a disciplinary action. In this video you'll collect the details e-Notify needs, download the enrolment file, and learn what to do when a nurse leaves. Open Credentials, then Team credentials, and follow Enrol your nurses with Nursys. Only an owner or an admin can open it. Participating boards of nursing push license status and public discipline to e-Notify as they enter it. You need your own free e-Notify institution account. MedAligna produces the enrolment file in the exact format e-Notify reads, you upload it there, and the notices arrive in your institution's inbox. We never hold your Nursys login, and we never send anything to NCSBN for you. The file is the whole integration. e-Notify asks for the last four digits of a social security number, so that's all we store. There's nowhere to type a whole one, or a full date of birth, and the database refuses anything but exactly four digits. Every active person is listed. Each says either Ready to enrol, or Still needs, and then exactly what's missing. Maya has an RN license in her wallet, so her license number and state are already here. She still needs her last four, birth year and home address. Luis has no nursing license on file yet: e-Notify only enrols RN, PN and advanced practice licenses, so he needs one in his wallet first. Open Maya's row with Add details. Type the last four digits of her social security number, her birth year, and her home address. The rest is optional. An NCSBN ID matters for a nurse licensed in several states, because with it Nursys watches every license she holds. Tick the practice settings she works in, here medical surgical and geriatrics, and choose whether e-Notify sends license change notifications and expiry reminders to her. Then press Save. Saved. Once the four digits are stored, they're never sent back to a browser: the form only says they're stored. The activity log records that somebody's details were set and by whom, but never the values themselves. A scheduler can't see any of this page. As soon as one nurse is ready, the count goes up and the download appears. Press Download the enrolment file. Only complete rows go in, because e-Notify would reject a partial row with an error about a column position, which tells you nothing about which nurse. Then sign in to your own e-Notify institution account and upload that file. Inside it are exactly the twenty-four fields NCSBN's specification asks for, in a fixed order, with no header row. One of them is a record ID, which is our staff ID, so every notice that comes back can be matched to the right nurse without guessing from a name. Preview it in Excel gives you the same rows with column headings on top, so you can check them. Don't upload the preview: e-Notify reads by position, and it would take the headings for a nurse. When a notice arrives, nothing in MedAligna changes automatically. What decides whether a nurse can be scheduled is the license in her own wallet. When e-Notify tells you a license lapsed or renewed, the expiry is updated there, your copy follows automatically, and a license that ends before a shift does blocks that booking. When a nurse leaves, open her row and press Delete these details. That removes our copy of her address and the four digits. It doesn't unenrol her at Nursys, which is a separate step: download a removal file from the link above, and upload that to e-Notify. That's Nursys e-Notify. It's free, and the file is the whole integration. Each nurse needs a nursing license in her wallet, a home address, a birth year and the last four of her social security number, and only complete rows go in the file. When someone leaves, delete our copy, and upload a removal file to e-Notify.
Filmed in the product on October 24, 2026. All video tutorials
What it is
Nursys e-Notify is NCSBN's free service. Enrol a nurse once and participating boards of nursing push license status and public discipline data as they enter it, so you hear about a lapse, a renewal or a disciplinary action from the board, not from a surveyor.
You need your own free e-Notify institution account. We produce the enrolment file in the format e-Notify reads; you upload it there, and the notifications arrive in your institution's inbox. MedAligna never holds your Nursys login and never sends anything to NCSBN on your behalf. The file is the whole integration.
What we need from each nurse
Their license number and issuing state, which come from the nursing license in their credential wallet. e-Notify enrols six license types (RN, PN, CNM, CRNA, CNS, CNP), so a BLS card or a TB test is never a candidate. Plus a home address, birth year, and the last four digits of their social security number. Optionally: the practice settings they work in, an NCSBN ID for a nurse licensed in several states, and whether e-Notify should send them expiry reminders.
Four digits and a year is all e-Notify asks for, so it is all we store. There is nowhere in this product to put a whole social security number or a full date of birth, and the database refuses anything other than exactly four digits. Only an owner or an admin can see or enter any of it; a scheduler is told so in words. Once the four digits are saved they are never sent back to a browser; the form only says 'stored'. The activity log records that somebody's details were set and by whom, never the values.
Enrolling: the steps
The Nursys enrolment screen lists every active nurse who holds a license, each marked 'Ready to enrol' or 'Still needs …' in plain words: 'birth year', 'home address', 'last four of SSN', or 'a nursing licence in their wallet'. Only complete rows go into the file; a partial row would be rejected by e-Notify with an error naming a column position, which tells you nothing about which nurse.
- Open Credentials → Team credentials → 'Enrol your nurses with Nursys' (owner or admin).
- For each nurse marked 'Still needs', open the row, fill in what is missing and save.
- When at least one nurse is ready, tap 'Download the enrolment file'.
- Sign in to your e-Notify institution account and upload that file.
- Use 'Preview it in Excel' only to check the rows. Do not upload the preview: e-Notify reads by position and would take the column headings for a nurse.
What is in the file
Exactly what NCSBN's file specification (v3.1.5) asks for: 24 fields in a fixed order, no header row, every value quoted. Per nurse: the jurisdiction code (which is not simply the state: California, Louisiana and West Virginia run separate RN and practical-nurse boards, so a California RN is CARN and an LVN is CAVN), license number and type, email, address, the four digits, the birth year, practice settings, the notification and reminder flags, and a record ID. The phone-number field is sent blank, because the current specification discards it.
The record ID is our own staff ID, which e-Notify echoes back in every reply, so a notification about a nurse can be matched to her roster entry without a name lookup.
What comes back, and what changes on the schedule
Nothing changes automatically. e-Notify emails your institution account; MedAligna does not receive those messages and does not alter anybody's credentials or eligibility on its own.
What decides whether a nurse can be scheduled is the license in her credential wallet, which she keeps and you can see under Team credentials. When e-Notify tells you a license has lapsed or been renewed, update the expiry there; the employer's copy follows the wallet automatically, and a license that expires before a shift ends blocks that assignment, for the scheduler in the browser and again in the database when the assignment is written. Federal exclusion screening is a separate check, covered in its own article.
When somebody leaves
Clear their details on the same screen. Clearing removes our copy of the address and the four digits; it does not unenrol them at Nursys, which is a separate act. Download a removal file from the link on the same screen and upload that to e-Notify.
In the app this lives at /app/credentials/nursys.
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