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Mr. Mark E. King (1953-2006) was the State EMS Director for West Virginia, a former NREMT board member, and an EMS provider for over 25 years. He envisioned a national EMS system in which states require EMS providers to maintain their National EMS Certification. Mr. King saw National EMS Certification as a means of moving the EMS profession forward while promoting National EMS Standards. It is in recognition of his vision and contributions to the EMS Community that this initiative is named in his honor.

The National Registry of Emergency Medical Technicians’ Board of Directors, in keeping with their mission to support National EMS Certification, established the Mark King Reinstatement Initiative (MKI) to provide an opportunity for EMRs, EMTs, AEMTs, and Paramedics who were previously Nationally Certified but let their NREMT credential expire, to regain their National EMS Certification without testing.

This Initiative focuses on three goals:

  • To support the EMS Education Agenda For The Future: A Systems Approach
  • To promote a national EMS standard through National EMS Certification
  • To assist State EMS Offices with re-licensure processes.
Mark King


MKI allows former Nationally Certified EMS Providers to regain their National EMS Certification without testing. To be eligible for participation in the Mark King Initiative, the following requirements must be met:

  • This is a state initiative: the state must formally request participation in the Initiative (participation can be certification level specific i.e. EMT, Paramedic)
  • The state must have like or similar re-licensure/recertification requirements (reviewed by State EMS official and NREMT staff)
  • The state must have current rules, regulations or statutes to require continual National EMS Certification as a part of the continued licensure process
  • EMS providers enrolling must hold a current and continuous State license to practice as an EMS provider with no restrictions
  • EMS providers enrolling will be certified at the provider level at which they were last Nationally Certified.


For those states wishing to participate in MKI the following process will be implemented:

  • State discusses the Initiative with NREMT staff and key stakeholders
  • Formal written request from State to NREMT Board of Directors requesting participation (including confirmation that candidates’ education and skills meet current National EMS Scope Of Practice Model)
  • Approval of participation by the NREMT Board of Directors, upon recommendation of the Continued Competency Committee
  • State to provide data file with EMS provider information to NREMT
  • NREMT staff will assist State EMS Office with outreach regarding the Initiative to licensed EMS providers
  • Enrollment period is defined by the State EMS Office and the NREMT
  • Candidates apply for the Initiative via the NREMT website; pay the current recertification fee: EMR $15.00, EMT/AEMT $20.00, Paramedic $25.00; NREMT issues appropriate National EMS Certification; EMS provider maintains National EMS Certification according to State EMS licensure rules, regulations or statutes.

Before a Training Officer can request the Training Officer role, they must have a NREMT account. If you already have a NREMT account, do not create a new account. See the section below "Add the Training Officer Role to my NREMT Account" for detailed instructions.

Follow the steps below to create a NREMT account:

  • From the homepage select Create An Account
  • Choose a username and password (both are case sensitive)
  • Enter your LEGAL name. (If you need to change your name in the future, you will be required to provide legal evidence of a name change.)
  • Enter YOUR email address, YOUR phone number, and YOUR address.
The NREMT provides verified State EMS Officials and Regulators access to restricted resources, tools, and data feeds. To request access to these resources, the State EMS Director must contact the NREMT.
If you are currently certified as a National EMS Provider, follow the process below to add the State EMS Office user role to your account :

Step 1

Login to your NREMT User Account.

Step 2

Click on your profile badge icon on the homepage.

Select Badge

Step 3

Click on "Add A User Role"

add a user role

Step 4

Select the State EMS Official role. (Note: For security purposes to add the State EMS Official role to your user account you must have a pin-code issued by the NREMT.)

Governmental Authorized Agency – Agencies who have employees who in the course of normal job activities may be required to provide emergency medical care and the agency functions in a multi-state environment, or on non-federal land. These providers do not generally transport patients as part of their primary care. Their system of care does not fit within the usual models of state EMS licensure.

The Governmental Agency must show valid documentation of the following to the Standards and Examination Committee of the Board of Directors in order to be considered for this designation:

State Director Equivalent – Assigned agent, responsible for overall system.

State Training Coordinator/Credentialing Equivalent Agent – responsible for approval of education programs, has oversight and experience in approving education programs to validate they meet or exceed national EMS education standards. Any paramedic education program authorized by the State Director Equivalent and be accredited by CAAHEP. Validates recertification education for certified providers, approves the system of agents that sign recertification applications.

State EMS Medical Director Equivalent – Has medical oversight, assures providers are educated to the minimal competency levels of care outlined in the National EMS Scope of Practice Model, oversees medical quality assurance and reports disciplinary actions taken against providers to the certification agency.

Disciplinary Policy – has a method in which incompetent acts or criminal convictions that result in removal of the ability to practice are reported to the certification agency.

Patient Safety Program – Utilizes patient care reports to document care.

All requests for recognition as Authorizing Agency will be provided to currently known State EMS Licensing Agencies prior to NREMT recognition.