If you have a lapsed National Registry AEMT certification, lapsed state AEMT license including a lapsed equivalent AEMT certification, or recognized higher level of EMS certification and want to gain National Registry AEMT certification, you must meet the following requirements.

Requirements for Certification

• 50 credits of continuing education that meets all requirements of the current National Component of the National Continued Competency Program within the past two years.
• The National Registry accepts State EMS Office approved and CAPCE accredited education, education from EMS education programs, and U.S. accredited academic credit or college course. All education must be directly related to EMS patient care. 
• Successful completion of the National Registry AEMT Certification Examination.
• Copy of a lapsed state AEMT license/certification if never nationally certified as an AEMT.
• Verification of skills competency prior to the first expiration date.
  1. Skills verification must be completed by one of the following mechanisms between the date of issuance of national EMS certification and the first expiration date.
  2. If the candidate does not successfully demonstrate skills verification within the allocated timeframe, the candidate will not be allowed to recertify, and the certification will lapse.
  3. Approved skills competency verification must be completed by one of the following methods:
     1. If the candidate affiliates with a National Registry Agency and has their skills competency verified (third-party) by their Agency’s medical director or training officer, this satisfies the requirement for re-entry. 
     2. A State EMS Office or State-Approved or CAAHEP Accredited Education Program.
     3. Provide verification of their current, full, and unrestricted state license.
        • With a current, full, and unrestricted state license to provide care, the candidate demonstrates minimum skills competency, as required by a state licensing body.

National Component - 25 Credits

The National Component requires Advanced-EMTs to complete 25 credits of approved continuing education. 

Local or State Component - 12.5 Credits

If specific local and/or state are not specified, these required credits are considered flexible content. You may use any state or Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) approved EMS–related education to fulfill these requirements. 

Individual Component - 12.5 Credits

The individual hours are considered flexible content. You may use any state or Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) approved EMS–related education to fulfill these requirements.

Application Process

Follow these easy steps to apply for a National Registry examination:

1. Create your account/log in to your profile.
2. Create an application - Select the AEMT level. Verify your personal information and make any necessary changes. Then, follow the prompts through the application process.
3. Pay the application fee. The application fee is non-transferable and non-refundable. This fee is charged for each attempt of the cognitive examination.
4. Email your lapsed AEMT license/certification (if applicable) and proof of education to support@nremt.org. Please include your application confirmation ID number.
5. Monitor the progress of your application from your “Certification Application Status” in case additional actions are needed. Once the National Registry approves your application and your status is “Ready to Test,” you can view your ATT letter and contact Pearson Vue to schedule your exam.

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