It has 42 congregations in the American states of Illinois, Indiana, Kentucky, Michigan, New York, Ohio, Pennsylvania and West Virginia.
In December 2007, Roger Ames, the rector of St. Luke's Anglican Church in Akron, Ohio, received his ordination and consecration as suffragan bishop of CANA.
The churches, now in number of 13 congregations, become the Anglican District of the Great Lakes of the CANA, in August 2008, with Roger Ames as their first bishop.
The extraordinary Synod, held on 3 October 2015, nominated three candidates to the election of the new bishop of the Anglican Diocese of the Great Lakes.
The College of the Bishops of the ACNA, reunited in Vero Beach, Florida, on 6 January 2016, elected Ronald Jackson, who was consecrated at St. Bernard Catholic Church in Akron, Ohio, on 28 April 2016.