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. Note: We encourage you to reference the specific license renewal requirements for every state which you are licensed to practice.
The EMT National Continued Competency Program (NCCP) requires a total of 40 hours 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 providers must complete education from the list of approved United States education sources.
Education can be gathered through Distributive Education (online) or in-person courses. As of 2022, there are no limits on how much Distributive Education (DE) 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.
National Component: 20 Hours
The National Component requires EMTs to complete 20 hours of approved continuing education.
Airway/Respiration/Ventilation - 1.5 Hours
Trauma - 1.5 Hours
- Trauma Triage
- Central Nervous System (CNS) Injury
- Hemorrhage Control
Medical - 6 Hours
- Special Healthcare Needs
- OB Emergencies
- Infectious Diseases
- Pain Management
- Psychiatric and Behavioral Emergencies
- Toxicological Emergencies – Opioids
- Neurological Emergencies – Seizures
- Endocrine Emergencies – Diabetes
- Immunological Emergencies
Operations - 5 Hours
- At-Risk Populations
- Ambulance Safety
- Field Triage—Disasters/MCIs
- EMS Provider Hygiene, Safety, and Vaccinations
- EMS Culture of Safety
- Pediatric Transport
- Crew Resource Management
- EMS Research
- Evidence Based Guidelines
Cardiovascular - 6 Hours
- Post-Resuscitation Care
- Ventricular Assist Devices
- Cardiac Arrest
- Pediatric Cardiac Arrest
National Component Requirements
Local or State Component: 10 HoursIf the agency and/or state EMS office requires specific education, that education may be entered into this section. If specific education is not specified, these required 10 hours are considered flexible but must be directly related to EMS patient care.
Individual Component: 10 HoursThe 10 hours required for the individual component are flexible but must be directly related to EMS patient care.
- Login to your National Registry account. Complete a Recertification By Exam application and pay the exam fee.
- After 24-48 hours, login to your National Registry account and print your Authorization to Test (ATT) letter. Follow the directions in the letter to schedule your exam.
- You may make one attempt to take and pass the exam between April 1 (one year prior to your current expiration date) and March 31 (your expiration date). A cognitive competency by exam form will become available through your National Registry account upon successful completion of the exam.
- Return your completed cognitive competency by exam form by March 31 with signatures and supporting documentation. All other recertification requirements (including criminal conviction statement, verification of skills, etc.) must still be met and verified.
Active or Inactive Status
When renewing National Registry certification, EMTs have the option of declaring their status as either "Active" or "In Active". Active status means the EMT is 'actively' working and providing patient care. To renew with an 'active status', EMTs are required to be affiliated with an EMS Agency or Service.
An inactive status is designated for Nationally Certified EMS Professionals who are currently not providing patient care at their certification level. For example, inactive status may be helpful for EMS professionals who:
Are not actively engaged in an EMS service or healthcare/patient care activity
Are not actively treating patients at their certification level but are involved as educators, administrators or regulators;
Are unable to actively provide patient care for any variety of reasons - such as, moving, illness, pursuit of education, family responsibilities, etc.
Registrants who wish to declare inactive status must continue to meet the National Registry continuing education recertification requirements in subsequent cycles.
Inactive status is not for those unable to obtain and meet the educational requirements or those who have had limitations or revocation of a health care license.
Registrants who request inactive status at the EMT level do not need to obtain verification of skills from their Training Officer/Supervisor. These registrants must complete all refresher, continuing education and CPR requirements. These registrants are eligible to recertify by examination if they so choose. CPR certification remains a requirement even for those who pass the examination and request Inactive Status.
Returning to Active Status
Nationally Certified EMTs may request a return to active status at any time once they gain active affiliation with an EMS service. A request to return to active status must be accompanied by a completed Inactive to Active Registration form which may be downloaded here.
Why Was I Audited?
Lapsed EMT Certification
Responsibilities of Nationally Registered EMS Personnel
- change in mailing address (the best way to update a mailing address is by editing the user profile page)
- any criminal conviction.
- disciplinary action taken by any state has resulted in suspension, revocation, or expiration of state registration/licensure; termination of right to practice; voluntary surrender of state registration/licensure while under investigation.
The National Registry considers the individual to be solely responsible for their certification.