Every EMS credential. One wallet.

The National Continued Competency Program (NCCP) governs how NREMT-certified providers stay current. At the paramedic level, recertification by continuing education requires 60 hours split across a 30-hour national component (fixed domains NREMT defines itself — airway, cardiovascular, trauma, medical, and EMS operations, with a pediatric-content minimum), a 15-hour local/state component (topics your state EMS office or agency medical director sets), and a 15-hour individual component (any state-accepted or CAPCE-accredited education of your choice). EMT-level recertification follows the same three-component structure at a lower total. Duty hours, preceptor hours, and instructor hours never count toward any component.

The cycle itself runs two years and ends on a fixed date — March 31 for the current NREMT paramedic cycle — regardless of when in the cycle you finish your hours. Recertifying early costs nothing: the new expiration is always two years out from your current one, so there's no advantage to waiting until the CE application window opens in October. The disadvantage to waiting shows up on the other side, in the reinstatement and lapse consequences that follow a missed deadline. The full sequence — application windows, the reinstatement surcharge, and the exam-only recovery paths — is laid out in the NREMT paramedic recertification guide. For cross-border work, the EMS Compact and state-by-state privilege rules are collected separately.

State EMS licensure sits on top of this national layer and does not automatically move with it. Most states use NREMT certification as a route to state licensure rather than a replacement for it, and the two run on separate clocks with separate renewal rules — recertifying nationally does nothing for a state license nearing its own expiration, and a state renewal does nothing for the national certification underneath it. A provider working across state lines is managing at minimum two deadlines that rarely land on the same date, plus whatever reciprocity paperwork a receiving state requires. This is the two-calendar problem NREMT's own recertification handbook doesn't solve for you — it states plainly that the individual is solely responsible for tracking their own certification.

Beyond NREMT and the state license, most EMS providers carry a working set of skills and operator cards on their own independent cycles: BLS, ACLS, and PALS for hospital-adjacent or ALS-scope providers, PHTLS or ITLS for trauma-focused agencies, and NRP where neonatal transport applies. Add a driver credential — often a specific emergency-vehicle operator endorsement rather than a standard license — and the immunization records agencies require for hospital privileges or infection control compliance, and a working paramedic can be tracking six or more expiration dates against five or six different issuers, none of which share a renewal window or a reminder system with each other.

Trust holds all of it as one wallet: NREMT certification, state license, skills cards, driver credential, and immunization records, each stored on your device rather than a shared server. Because Trust knows the shape of each credential's cycle, it computes a reminder date for each one individually — 90, 60, 30, and 7 days out — instead of treating every credential as if it renews the same way. Take the NREMT recertification quiz to check what you actually know about the current NCCP rules, or see every renewal guide Trust maintains for EMS and nursing credentials.