If you have a change to current state Paramedic license/certification or an equivalent state-recognized Paramedic level, and you are applying for National Registry Paramedic certification, you must meet the following requirements: 

Requirements for Certification

  • Proof of education requirements. The following methods are acceptable:
    • Successful completion of a state‐approved Paramedic refresher course or  
    • 30 hours of continuing education that meets all requirements of the current National Component of the 2016 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 Paramedic cognitive (knowledge) examination and psychomotor (skills) examination. 
    • Passed portions of the cognitive and psychomotor exam remain valid for 24 months provided all other eligibility requirements are met.
  • Copy of a current state Paramedic license/certification
  • Have a current CPR-BLS for "Healthcare Provider" or equivalent credential. 

National Component - 30 Hours

The National Component requires Paramedics to complete 30 hours of approved continuing education. A maximum of 10 hours of distributive education (Distributive Education (DE) is a method of delivering EMS education where the educator and student are not able to interact in real time. Examples include online courses, journal article reviews, and videos) may be used to meet the 30 hour requirement.


Airway/Respiration/Ventilation - 3.5 hrs

  • Ventilation
  • Capnography
  • Oxygenation


Trauma - 3 hrs

  • Trauma Triage
  • Central Nervous System (CNS) Injury
  • Hemorrhage Control
  • Fluid Resuscitation


Medical - 8.5 hrs

  • Special Healthcare Needs
  • OB Emergencies
  • Infectious Diseases
  • Medication Delivery
  • Pain Management
  • Psychiatric and Behavioral Emergencies
  • Toxicological Emergencies - Opioids
  • Neurological Emergencies - Seizures
  • Endocrine Emergencies - Diabetes
  • Immunological Emergencies


Operations - 6.5 hrs

  • At-Risk Populations
  • Ambulance Safety
  • Field Triage—Disasters/MCIs
  • EMS Provider Hygiene, Safety, and Vaccine
  • EMS Culture of Safety
  • Pediatric Transport
  • Crew Resource Management
  • EMS Research
  • Evidence Based Guidelines


Cardiovascular - 8.5 hrs

  • Post-Resuscitation Care
  • Ventricular Assist Devices
  • Stroke
  • Cardiac Arrest
  • Pediatric Cardiac Arrest
  • Congestive Heart Failure
  • Acute Coronary Syndrome

 

All candidates for National Registry’s National EMS Certification at the Paramedic level whose Paramedic program began on or after January 1, 2013 must have successfully completed Paramedic education from an accredited program sponsored by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or one who held a valid Letter of Review (LOR) issued by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).

Application Process

Follow these easy steps to apply for a National Registry exam:
  1. Create your account/log in to your profile.
  2. Create an application - Select the Paramedic level. Verify your personal information and make any necessary changes. Then, follow the prompts through the application process.
  3. Pay the application fee of $152.00 (US funds). The application fee is non-transferable and non-refundable. This fee is charged for each attempt of the cognitive examination.
  4. Email your current state Paramedic license/certification 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.

Related Policies

Expiration Dates
Initial expiration dates are determined by the date the candidate successfully completes the entire national certification process (cognitive and psychomotor exams). Paramedic candidates completing the national certification process between the January 1 and June 30 will receive an expiration date of March 31 two years in the future. Individuals successfully completing the national certification process between July 1 and December 31 will receive an expiration date of March 31 three years in the future.


Initial Certification

If you successfully complete the national certification process between:

January 1 - June 30
July 1- December 31


Initial Cycle

Your initial certification date will be
March 31:

2 years in the future
3 years in the future