It has 33 parishes in 11 American states, which are Connecticut, Maine, Maryland, Massachusetts, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Virginia, and West Virginia, and in Washington, D.C.

PEARUSA was divided in three regional networks, Mid-Atlantic and Northeast, Southwest and West.

The Synod of the Province of the Anglican Church of Rwanda decided to fully transfer the jurisdiction of PEARUSA to the ACNA on 23 September 2015.

[2] The diocese is dispersed across a large part of the Mid-Atlantic and Northeast regions of the United States, and one of its main purposes is church planting.

With this move, Christ Church, the provincial pro-cathedral in Plano, Texas, joined the diocese.