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NREMT Paramedic Recertification: Steps, NCCP Hours & Fees

Last updated: · Last verified: · Changelog · Trust editorial

National Registry Paramedic (NRP) certification runs on a two-year cycle ending March 31. Recertification by continuing education uses the National Continued Competency Program (NCCP): 60 hours — 30 national / 15 local-state / 15 individual. The CE application window is October 1 through March 31 and is open now. Per nremt.org Paramedic Recertification (checked 2026-10-01), the recertification-by-CE fee is $37 for applications submitted October 1, 2026 or later ($32 applied through September 30, 2026). Recertification by cognitive exam remains $175 per attempt. NREMT registration is separate from your state paramedic license — renew both on their own clocks.

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Renewal checklist
Download the 2026 deadline calendar, fees, CE components, and the FAQ with NREMT citations — stamped with the same last-verified, published, and updated dates as this page.
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NREMT Paramedic Recertification: Steps, NCCP Hours & Fees
National Registry of EMTs · gettrustapp.com/renew/national/nremt-paramedic
National Registry Paramedic (NRP) certification runs on a two-year cycle ending March 31. Recertification by continuing education uses the National Continued Competency Program (NCCP): 60 hours — 30 national / 15 local-state / 15 individual. The CE application window is October 1 through March 31 and is open now. Per nremt.org Paramedic Recertification (checked 2026-10-01), the recertification-by-CE fee is $37 for applications submitted October 1, 2026 or later ($32 applied through September 30, 2026). Recertification by cognitive exam remains $175 per attempt. NREMT registration is separate from your state paramedic license — renew both on their own clocks.
At a glance
Cycle
2 years; expires March 31 (NREMT Important Dates)
CE hours
60 NCCP — 30 national / 15 local-state / 15 individual (NREMT Paramedic Recertification / NCCP)
Application window
October 1 through March 31 (CE path). Open now as of 2026-10-01.
Fee (recert by CE)
$37 for applications dated 2026-10-01 or later. Was $32 through 2026-09-30.
Fee (recert by exam)
$175 per attempt
Reinstatement (April)
$50 surcharge on top of the then-current recert fee; CE must be dated on or before March 31
Also required
Agency Training Officer / Medical Director verification if affiliated (Active). No separate BLS CPR card for Registry recert (NREMT Recertification Guide: NCCP Model does not require CPR/BLS). Employer or state may still require a card.
Alternative path
Recertification by cognitive exam instead of CE
2025 NCCP national domains (NRP)
Airway 6 · Cardiology 7 · Trauma 5 · Medical 8 · Operations 4 (= 30). At least 10% of national-component credits must be pediatric (2025 Standardized Course Guide / NCCP 2025 Model).
Course caps (examples)
ACLS up to 10; PALS up to 12; PHTLS / ITLS up to 16 (same guide)
Online CE
No distributive-education limit since 2022 (NREMT Paramedic Recertification)
Board
National Registry of EMTs
State license
Separate credential — do not conflate NREMT with state EMS renewal
Steps
  1. Log in to nremt.org
    Open the Paramedic recertification application. The CE application window opens October 1 for a March 31 expiration (NREMT Important Dates).
  2. Clean up agency affiliations
    Remove stale or former affiliations before you submit so verification does not route to someone who will not act (NREMT FAQ).
  3. Enter CE by component
    Log 30 national, 15 local/state, and 15 individual hours separately. CAPCE imports may auto-assign national-component credit first — review placement before submit. Each course counts once per cycle.
  4. Complete affiliation verification
    Affiliated clinicians: the Training Officer or Medical Director verifies. Unaffiliated clinicians: attest under the Inactive pathway and keep your own CE documentation for audit.
  5. Skip the CPR card upload for Registry
    NREMT does not require a separate BLS CPR card for NCCP recertification (Recertification Guide). Confirm any employer or state card requirement separately.
  6. Pay the fee and confirm the application shows submitted
    Recertification by CE is $37 for applications submitted October 1, 2026 or later ($32 through September 30, 2026). Recert by exam is $175. Payment may auto-submit; if the application does not submit (legal pathway uncleared, duplicate courses, future-dated entries), fix and hit Submit (NREMT FAQ). Confirm status reads submitted, not only paid.
  7. Watch for the expiration date to update
    Online applications process in roughly five business days (NREMT Recertification Methods). Recertification is complete when the expiration date on your certification record updates.
  8. Save the confirmation
    On approval, the new expiration is two years after the current one — renewing early does not shorten the cycle (NREMT Recertification Cycles). Add the new expiration to Trust so reminders move to the next cycle.
Add this credential to Trust
https://gettrustapp.com/add?v=1&type=paramedic&name=National+%28NREMT%29+PARAMEDIC+license&state=NA&board=National+Registry+of+EMTs&portal=https%3A%2F%2Fwww.nremt.org%2F&guide=https%3A%2F%2Fgettrustapp.com%2Frenew%2Fnational%2Fnremt-paramedic
Trust · Reviewed July 2026 · Verify current requirements at the board's official portal before renewing.
At a glance
Cycle
2 years; expires March 31 (NREMT Important Dates)
CE hours
60 NCCP — 30 national / 15 local-state / 15 individual (NREMT Paramedic Recertification / NCCP)
Application window
October 1 through March 31 (CE path). Open now as of 2026-10-01.
Fee (recert by CE)
$37 for applications dated 2026-10-01 or later. Was $32 through 2026-09-30.
Fee (recert by exam)
$175 per attempt
Reinstatement (April)
$50 surcharge on top of the then-current recert fee; CE must be dated on or before March 31
Also required
Agency Training Officer / Medical Director verification if affiliated (Active). No separate BLS CPR card for Registry recert (NREMT Recertification Guide: NCCP Model does not require CPR/BLS). Employer or state may still require a card.
Alternative path
Recertification by cognitive exam instead of CE
2025 NCCP national domains (NRP)
Airway 6 · Cardiology 7 · Trauma 5 · Medical 8 · Operations 4 (= 30). At least 10% of national-component credits must be pediatric (2025 Standardized Course Guide / NCCP 2025 Model).
Course caps (examples)
ACLS up to 10; PALS up to 12; PHTLS / ITLS up to 16 (same guide)
Online CE
No distributive-education limit since 2022 (NREMT Paramedic Recertification)
Board
National Registry of EMTs
State license
Separate credential — do not conflate NREMT with state EMS renewal

Requirements

Paramedic recertification by continuing education requires 60 NCCP hours in three components (NREMT):

  • National component — 30 hours. Under the 2025 model (effective April 1, 2025 for Paramedic): five domains — Airway 6, Cardiology 7, Trauma 5, Medical 8, Operations 4 — with at least 10% pediatric content across the national component. Academic courses are not accepted in the national component (NREMT Recertification Methods).
  • Local/state component — 15 hours. Topics set by your state EMS office or agency medical director; if none are specified, content is flexible but must be EMS patient-care related.
  • Individual component — 15 hours. Any state-accepted or CAPCE-accredited EMS education of your choice.

Course caps (standardized courses). Per the 2025 Standardized Course Guide / NCCP 2025 Model linked from nremt.org: ACLS up to 10 hours, PALS up to 12, PHTLS or ITLS up to 16 — claimable even when the course you attended ran shorter. A given course counts once per cycle.

Does not count. Duty or volunteer hours, clinical rotations outside an EMS education program, instructor-methodology courses, management or leadership courses, preceptor hours, serving as a skills examiner, and duplicate courses (NREMT Paramedic Recertification / Recertification Methods).

No online-education limit. As of 2022 there is no distributive-education cap (NREMT Paramedic Recertification). Legacy my.nremt.org UI may still show an old 10-hour limit — it no longer applies.

Accepted sources. State EMS Office–accepted education and CAPCE-accredited education aligned to paramedic scope (NREMT).

CPR / BLS card. The NCCP Model does not require a separate CPR (BLS) card for National Registry recertification (NREMT Recertification Guide). Your employer or state office may still require a current card for practice.

Alternative pathway — recert by exam. Pass the cognitive exam ($175, one attempt in-window). The window opens April 1 of the year before expiration; the last day to apply for recert-by-exam is March 25 (NREMT Important Dates). If you fail recert-by-exam, you may still recertify by CE if all CE is completed by expiration (NREMT FAQ) — except when recert-by-exam is used to satisfy an audit or investigation.

Active vs Inactive. Active requires agency affiliation and skills verification by a Training Officer and Medical Director. Unaffiliated clinicians renew Inactive and attest CE; keep documentation for audit (retain verification of attendance at least 36 months per NREMT Paramedic Recertification).

NREMT vs state license. National Registry certification and your state paramedic license are separate. Renewing one does nothing for the other. Use the state guides linked below; do not merge the calendars.

How to renew, step by step

  1. 01
    Log in to nremt.org
    Open the Paramedic recertification application. The CE application window opens October 1 for a March 31 expiration (NREMT Important Dates).
  2. 02
    Clean up agency affiliations
    Remove stale or former affiliations before you submit so verification does not route to someone who will not act (NREMT FAQ).
  3. 03
    Enter CE by component
    Log 30 national, 15 local/state, and 15 individual hours separately. CAPCE imports may auto-assign national-component credit first — review placement before submit. Each course counts once per cycle.
  4. 04
    Complete affiliation verification
    Affiliated clinicians: the Training Officer or Medical Director verifies. Unaffiliated clinicians: attest under the Inactive pathway and keep your own CE documentation for audit.
  5. 05
    Skip the CPR card upload for Registry
    NREMT does not require a separate BLS CPR card for NCCP recertification (Recertification Guide). Confirm any employer or state card requirement separately.
  6. 06
    Pay the fee and confirm the application shows submitted
    Recertification by CE is $37 for applications submitted October 1, 2026 or later ($32 through September 30, 2026). Recert by exam is $175. Payment may auto-submit; if the application does not submit (legal pathway uncleared, duplicate courses, future-dated entries), fix and hit Submit (NREMT FAQ). Confirm status reads submitted, not only paid.
  7. 07
    Watch for the expiration date to update
    Online applications process in roughly five business days (NREMT Recertification Methods). Recertification is complete when the expiration date on your certification record updates.
  8. 08
    Save the confirmation
    On approval, the new expiration is two years after the current one — renewing early does not shorten the cycle (NREMT Recertification Cycles). Add the new expiration to Trust so reminders move to the next cycle.

If you're late

Per NREMT Important Dates & Time Periods and Paramedic Recertification:

What happens if NREMT paramedic recertification is late
DateWhat happens
March 31Final day to submit CE recertification without the reinstatement fee. All CE must be completed by this date.
April 1–30Reinstatement: pay $50 on top of the then-current recert fee. CE dated during the reinstatement period is not accepted.
April 5Applications still pending Training Officer / Medical Director verification for Active status are auto-converted to Inactive and forwarded for review (does not include recert-by-exam). Inactive may not satisfy a state license that requires Active National Registry.
May 1Certification lapses. No CE-only path back.

After May 1 — regain paths (both require the certification exam).

  • State Licensed Pathway (current unrestricted state paramedic license): CAAHEP-accredited (or CoAEMSP Letter of Review) program proof; state-approved refresher or 30 national-component NCCP credits within the past two years; pass the National Registry Paramedic certification examination (Paramedic State Licensed Pathway).
  • Re-entry Pathway (lapsed National Registry and/or lapsed state license): 60 NCCP credits within the past two years; pass the certification examination; skills verification before first expiration as described on the pathway page (Paramedic Re-entry Pathway).

Extensions. Narrow. Qualifying events include overseas military deployment and an incapacitating medical event covering at least two-thirds of the cycle. Request before March 31 via support@nremt.org with supporting documentation (NREMT Important Dates).

Your state paramedic license is a separate cliff. Trust tracks NREMT and state credentials independently.

The deadline calendar

NREMT paramedic recertification deadline calendar
DateWhat happens
April 1 (year before expiration)Recert-by-exam window opens — one attempt allowed through March 31 of the expiration year
October 1Recert-by-CE application window opens
March 25Last day to apply for recert-by-exam
March 31Certification expires; CE application must be in; all CE completed
April 1–30Reinstatement: $50 plus the recert fee; only CE dated on or before March 31 counts
April 5Pending Active verifications auto-converted to Inactive
May 1Lapse — regain via State Licensed or Re-entry pathway plus the exam

Renewing early costs nothing toward cycle length. The new expiration is always two years after the current one (NREMT).

Frequently asked questions

Does NREMT send renewal reminders?
It sends email reminders and Dashboard Message Center notices, but publishes no fixed cadence — there is no promised 90- or 60-day notice. The National Registry considers the individual solely responsible for their certification (NREMT Paramedic Recertification / FAQ). Near March 31, response times increase significantly (NREMT FAQ).
When can I submit my recertification application?
CE applications run October 1 through March 31. Recert-by-exam opens April 1 of the year before expiration; apply by March 25 (NREMT Important Dates). The window is open as of 2026-10-01.
Did the National Registry raise the paramedic recert fee?
Yes. Per nremt.org Paramedic Recertification (checked 2026-10-01): $32 through September 30, 2026; $37 for applications dated October 1, 2026 or later. EMT fees moved the same day from $25 to $29 — a separate credential. See /renew/national/nremt-emt and /news/nremt-recert-fees-october-1-2026.
What happens if I miss March 31?
April 1–30 reinstatement: $50 plus the then-current recert fee; CE must pre-date April 1. April 5 may force pending Active applications to Inactive. May 1: lapse; recovery requires the certification exam via the State Licensed or Re-entry pathway.
Do I lose time by renewing early?
No. The new expiration is always two years after the current one (NREMT Recertification Cycles).
What changed in the 2025 NCCP model?
Effective April 1, 2025 for Paramedic. National component domains for NRP: Airway 6, Cardiology 7, Trauma 5, Medical 8, Operations 4, with at least 10% pediatric of national-component credits. Academic courses are excluded from the national component. Course caps: ACLS 10, PALS 12, PHTLS/ITLS 16 (2025 Standardized Course Guide linked from nremt.org as National 2025 NCCP Model).
Is there still a limit on online education?
No. The distributive-education limit was removed in 2022 (NREMT Paramedic Recertification).
Do my state EMS CE hours count for NREMT?
Often yes — hours accepted by your state EMS office or delivered by a CAPCE-accredited provider generally count, but NCCP component rules control where they land. Duty, preceptor, and instructor-methodology hours never count.
What if I'm not affiliated with an EMS agency?
Renew Inactive: attest instead of Training Officer verification, keep CE documentation, and stay subject to audit. If you are affiliated, a stale verifier is a common failure mode — follow up before March.
Is NREMT the same as my state paramedic license?
No. NREMT is national certification. State licensure or authorization to practice is separate and often has a different expiration. See /renew/california/paramedic-license, /renew/texas/paramedic-license, /renew/florida/paramedic-license, and /renew/georgia/paramedic-license for state clocks.
Does Trust track NCCP hours by component?
Yes. Trust sorts logged hours by national, local/state, and individual against your NREMT cycle, and tracks your state paramedic license as a separate credential.
How to recert NRP?
Complete 60 NCCP hours (or pass recert-by-exam), submit in the open window on nremt.org, pay the current fee, finish affiliation verification if Active, and confirm the expiration date updates.

Changelog

Every revision to this guide, newest first. Last updated .

  1. SEO pattern clone and board re-verify. Title, H1, and meta aligned to NREMT Paramedic Recertification. Window callout: open now. Fee source of record: applications from 2026-10-01 use $37 (reconfirmed on nremt.org; was $32 through 2026-09-30). Re-verified 60 NCCP hours, 2025 domain hours, course caps, the late calendar, State Licensed and Re-entry pathways, and the CPR non-requirement in the Recertification Guide. Above-fold wallet strip. State vs NREMT called out in the intro and FAQ.
  2. Added the NREMT-published Oct 1, 2026 fee change: paramedic recert $32 to $37. Corrected the rules away from the EMT $25 figure. Sources: nremt.org Paramedic Recertification.
  3. Prior draft: 60 NCCP hours, October 1–March 31 window, $32 recert-by-CE fee, and the lapse calendar.

Trust tracks this renewal for you.

Trust sorts your CE by NCCP component, tracks your NREMT deadline and your state paramedic license side by side, and reminds you 90, 60, 30, and 7 days before either one lapses.

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