Certifications › EMS registry and entry credentials
National registry · National Registry of Emergency Medical Technicians
NREMT EMR — National Registry Emergency Medical Responder (NREMR)
National Registry EMR certification takes a state-approved EMR course (or, if you already hold a state EMR license, a refresher or continuing education), the NREMT EMR exam and a state-approved BLS skills check. It renews every two years with continuing education or by exam.
The facts, from the issuer
- Eligibility
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If you have just finished your education program: a state-approved EMR course that meets the National EMS Education Standards.
NREMT — EMR Candidate Handbook Part 2: Candidate Responsibilities · checked ·
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“Successful completion of a state-approved EMR course that meets or exceeds the National Emergency Medical Services Education Standards for the EMR.”
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Already hold a current state EMR license? Use the State Licensed pathway: a state-approved EMR refresher or 8 NCCP continuing-education credits from the past two years, the NREMT exam and a state-approved skills check, plus a copy of your license.
NREMT — EMR State Licensed Pathway · checked ·
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“Successful completion of a state-approved EMR refresher course or Eight (8) credits of continuing education”
- Format
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Certification takes a pass on the NREMT EMR exam plus a State EMS Office-approved BLS skills competency check.
NREMT — EMR Candidate Handbook Part 2: Candidate Responsibilities · checked ·
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“Successful completion of the National Registry EMR examination and a State EMS Office approved BLS skills competency requirement remain valid for 24 months”
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You schedule from your candidate dashboard and take the EMR exam at a Pearson testing center or from home or office through Pearson’s online proctoring (OnVUE).
NREMT — EMR Candidate Handbook: Cognitive Exam · checked ·
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“From your home or office using Pearson's online proctoring platform, OnVUE”
- How long it lasts
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NREMR certification lasts two years; you renew with continuing education or a recertification exam.
NREMT — EMR Candidate Handbook Part 3: Certification Process · checked ·
Quote
“You need to recertify every two years. To recertify, you can submit continuing education credits or take a recertification examination.”
- Renewal
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Renewal by continuing education under the NCCP model takes 16 credits.
NREMT — EMR Recertification · checked ·
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“requires a total of sixteen (16) credits of continuing education to recertify.”
- Cost
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The EMR application fee is $88, charged for each exam attempt.
NREMT — EMR Candidate Handbook Part 3: Certification Process · checked ·
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“The EMR application fee is $88. The fee is charged for each examination attempt”
Where to take it
Start with the issuer’s own test-site search:
- Book the exam at a test site: Pearson VUE — National Registry testing (pearsonvue.com)
State-approved EMR courses (the course you finish before the National Registry EMR exam): 322 listed in 10 states. Pick a state, enter a ZIP, or use your location. Your ZIP and location are not sent anywhere: the page downloads, from this site, the ZIP-area file for the first two digits of your ZIP and the class lists for nearby states, and works out distances in your browser.
Distances are straight-line from the ZIP or city centre (U.S. Census 2024 gazetteer), not drive times. Listings come from state approved-program lists, issuer directories and providers' own pages. A listing is not a partnership; confirm dates, price and seats with the provider.
Related
- Career pathway: EMT to paramedic
- Career pathway: US offshore medic (Gulf of Mexico)
- NREMT EMT — National Registry Emergency Medical Technician (NREMT)
- NREMT AEMT — National Registry Advanced EMT (NRAEMT)
- NREMT Paramedic — National Registry Paramedic (NRP)
- CP-C — Certified Community Paramedic (CP-C)
- CNA — Certified Nursing Assistant (CNA)
Every fact above was read on the issuer’s own page on the date shown, with the exact words quoted. Anything the issuer does not publish is left out, so a missing fee means the issuer leaves pricing to the class provider or did not publish one. Employers decide which cards they accept; check the posting.