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National Registry of Emergency Medical Technicians (NREMT)

The National Registry of Emergency Medical Technicians, established in 1970 as a non-profit organization, serves as the nation's Emergency Medical Services (EMS) certification organization. NREMT maintains accreditation form the National Commission for Certifying Agencies (NCCA), the credentialing body of the Institute for Credentialing Excellence, for all four certifications programs:

  • Emergency Medical Responder (NREMR)

  • Emergency Medical Technician (NREMT)

  • Advance Emergency Medical Technician (NRAEMT)

  • Paramedic (NRP)

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Nationally Registered EMRs (NREMR) are required to renew their certification every two years. NREMRs can recertify by either taking the cognitive examination or by completing continuing education.

The EMR National Continued Competency Program (NCCP) requires a total of 16 credits of continuing education to recertify. The model requires continuing education in three components: (1) a national component, (2) a local/state component, and (3) an individual component.

The National Registry accepts State EMS Office accepted and 
CAPCE accredited education, education from EMS education programs, and U.S. accredited academic credit, college course, or credit provided by the National Registry Alternative Recertification Credits Policy. All education must be directly related to EMS patient care. International clinicians must complete education from the list of approved United States education sources.

Education can be gathered through online or in-person courses. As of 2022, there are no limits on how much online education you can use on your application.

Courses that cannot be applied towards recertification requirements include duplicate courses, clinical rotations, instructor courses, management/leadership courses, performance of duty, preceptor hours, serving as a skill examiner, and volunteer time with agencies. If you have questions on accepted education, please review the Recertification Guide.

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Nationally Registered EMTs (NREMT) are required to renew their certification every two years. NREMTs can recertify by either taking the cognitive examination or by completing continuing education.

The EMT National Continued Competency Program (NCCP) requires a total of 40 credits of continuing education to recertify. The model requires continuing education in three components: (1) a national component, (2) a local/state component, and (3) an individual component.

The National Registry accepts State EMS Office accepted and 
CAPCE accredited education, education from EMS education programs, and U.S. accredited academic credit, college course or credit provided by the National Registry Alternative Recertification Credits Policy. All education must be directly related to EMS patient care. International clinicians must complete education from the list of approved United States education sources.

Education can be gathered through online or in-person courses. As of 2022, there are no limits on how much online education you can use on your application.

Courses that cannot be applied towards recertification requirements include duplicate courses, clinical rotations, instructor courses, management/leadership courses, performance of duty, preceptor hours, serving as a skill examiner, and volunteer time with agencies. If you have questions on accepted education, please review the Recertification Guide.

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Nationally Registered Advanced-EMTs (NRAEMT) are required to renew their certification every two years. NRAEMTs can recertify by either taking the AEMT Certification Examination or by completing continuing education.

The Advanced-EMT National Continued Competency Program (NCCP) requires a total of 50 credits of continuing education to recertify. The model requires continuing education in three components: (1) a national component, (2) a local/state component, and (3) an individual component.

The National Registry accepts State EMS Office accepted and 
CAPCE accredited education, education from EMS education programs, and U.S. accredited academic credit, college course or credit provided by the National Registry Alternative Recertification Credits Policy. All education must be directly related to EMS patient care. International clinicians must complete education from the list of approved United States education sources.

Education can be gathered through online or in-person courses. As of 2022, there are no limits on how much online education you can use on your application.

Courses that cannot be applied towards recertification requirements include duplicate courses, clinical rotations, instructor courses, management/leadership courses, performance of duty, preceptor hours, serving as a skill examiner, and volunteer time with agencies. If you have questions on accepted education, please review the Recertification Guide.

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Nationally Registered Paramedics (NRP) are required to renew their certification every two years. NRPs can recertify by either taking the Paramedic Certification Examination or by completing continuing education. 

The Paramedic National Continued Competency Program (NCCP) requires a total of 60 credits of continuing education to recertify. The model requires continuing education in three components: (1) a national component, (2) a local/state component, and (3) an individual component.

The National Registry accepts State EMS Office accepted and CAPCE accredited education, education from EMS education programs, and U.S. accredited academic credit, college course, college course or credit provided by the National Registry Alternative Recertification Credits Policy. All education must be directly related to EMS patient care. International clinicians must complete education from the list of approved United States education sources.

Education can be gathered through online or in-person courses. As of 2022, there are no limits on how much online education you can use on your application.

Courses that cannot be applied towards recertification requirements include duplicate courses, clinical rotations, instructor courses, management/leadership courses, performance of duty, preceptor hours, serving as a skill examiner, and volunteer time with agencies. If you have questions on accepted education, please review the Recertification Guide.

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