Registered Nurse (Medical Practice) (ANZSCO 254421)
On the Medium and Long-term Strategic Skills List and Core Skills Occupation List
From the official Home Affairs skilled occupation lists, as at 2026-08-12. Lists change at each government update — always confirm on the official page before acting.
Which lists is Registered Nurse (Medical Practice) on?
MLTSSL — Medium and Long-term Strategic Skills List. The widest list — occupations on the MLTSSL can access the points-tested permanent skilled visas including the Skilled Independent visa (subclass 189), which needs no state nomination or employer.
CSOL — Core Skills Occupation List. The employer-sponsorship list — occupations on the CSOL can be nominated for the Skills in Demand visa (subclass 482) and the Employer Nomination Scheme 186.
Visas this occupation can access
Being on a list makes the occupation nominatable for these visas — each visa still has its own requirements (points, age, English, a positive skills assessment, and for sponsored visas a willing employer or state).
- Skilled Independent visa (subclass 189) — Permanent, points-tested, no sponsor needed · all occupations for the 189
- Skilled Nominated visa (subclass 190) — Permanent, state or territory nominated · all occupations for the 190
- Skilled Work Regional visa (subclass 491) — Provisional, regional, points-tested · all occupations for the 491
- Skills in Demand visa (subclass 482) — Temporary, employer sponsored · all occupations for the 482
- Employer Nomination Scheme visa (subclass 186) — Permanent, employer sponsored · all occupations for the 186
- Skilled Employer Sponsored Regional visa (subclass 494) — Provisional, regional employer sponsored · all occupations for the 494
- Temporary Graduate visa (subclass 485) — Temporary, recent Australian graduates · all occupations for the 485
- Training visa (subclass 407) — Temporary, workplace training · all occupations for the 407
Skills assessment
A positive skills assessment for Registered Nurse (Medical Practice) comes from:
- Australian Nursing & Midwifery Accreditation Council Limited (ANMAC) (official site) · our guide to the ANMAC process
What the assessment actually involves
ANMAC's qualification, English and Full/Modified pathway assessment is unchanged across every RN specialisation. Medical Practice requires a professional reference a recent, documented period of paid work as a practice nurse in a general practice or primary care clinic within ANMAC's recency window (confirm the current period with ANMAC) — a distinct setting from hospital ward nursing.
Where these applications come unstuck
Many health systems overseas do not have a formal "practice nurse" role sitting inside a GP clinic the way Australia does, so applicants from those systems can struggle to produce a reference that maps cleanly onto this code even where the underlying primary-care work is genuine. Hospital outpatient-clinic experience is not automatically the same thing to an assessor.
An honest read on this pathway
A real but comparatively narrow pathway — worth confirming your home country's primary care system actually has an equivalent role before assuming your experience will translate to this specific code rather than a general nursing one.
Registration and assessment both need paperwork. Nursing and health applications run two document trails at once — the skills assessment and professional registration. The Document Vault keeps one register of what you hold, what each body has asked for, and what is still outstanding.
Talk it through with a registered agent
Whether nominating Registered Nurse (Medical Practice) is your best route depends on your points, experience evidence and timing — exactly what a MARA-registered agent works through in an initial consultation. Describe your situation once through Migratio and compare real consultation quotes from registered agents, free.
Compare registered agents — free
Related occupations
- Nurse Practitioner (254411)
- Registered Nurse (Aged Care) (254412)
- Registered Nurse (Child and Family Health) (254413)
- Registered Nurse (Community Health) (254414)
- Registered Nurse (Critical Care and Emergency) (254415)
- Registered Nurse (Developmental Disability) (254416)
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