Today, the RPCNA has congregations in twenty-eight U.S. states and three Canadian provinces throughout North America, as well as maintaining close relations with "sister churches" of Reformed Presbyterians in South Sudan, Ireland, Scotland, and Australia.
There is also a mission presbytery in Kobe, Japan, as well as an associated mission congregation in Larnaca, Cyprus.

The RPCNA is composed of the following presbyteries:
Alleghenies: including congregations in Maryland, northeastern Ohio, western and central Pennsylvania, and Virginia.

Atlantic: including congregations in Massachusetts, New Jersey, southeastern New York, eastern Pennsylvania, and Rhode Island
Great Lakes-Gulf: including congregations in Alabama, Florida, Georgia, Illinois, Indiana, Michigan, North Carolina, western Ohio, and South Carolina.

Midwest: including congregations in Colorado, Iowa, Kansas, Missouri, Oklahoma, Texas, and Wyoming.

Pacific Coast: including congregations in Alberta, Arizona, British Columbia, California, Nevada, and Washington
St. Lawrence: including congregations in upstate New York, Ontario, and Quebec.

Japan: including congregations in Kobe
Today, the RPCNA has congregations in twenty-eight U.S. states and three Canadian provinces throughout North America, as well as maintaining close relations with "sister churches" of Reformed Presbyterians in South Sudan, Ireland, Scotland, and Australia. There is also a mission presbytery in Kobe, Japan, as well as an associated mission congregation in Larnaca, Cyprus.
The RPCNA is composed of the following presbyteries:
Alleghenies: including congregations in Maryland, northeastern Ohio, western and central Pennsylvania, and Virginia.
Atlantic: including congregations in Massachusetts, New Jersey, southeastern New York, eastern Pennsylvania, and Rhode Island
Great Lakes-Gulf: including congregations in Alabama, Florida, Georgia, Illinois, Indiana, Michigan, North Carolina, western Ohio, and South Carolina.
Midwest: including congregations in Colorado, Iowa, Kansas, Missouri, Oklahoma, Texas, and Wyoming.
Pacific Coast: including congregations in Alberta, Arizona, British Columbia, California, Nevada, and Washington
St. Lawrence: including congregations in upstate New York, Ontario, and Quebec.
Japan: including congregations in Kobe
Reformed Presbyterian Church of North America