How does NREMT recertification work under the 2025 NCCP model?

Every National Registry level recertifies on a two-year cycle. Under the 2025 NCCP model, in effect since April 1, 2025 for EMT, AEMT and Paramedic and October 1, 2025 for EMR, the hours are 16 for EMR, 40 for EMT, 50 for AEMT and 60 for Paramedic, each split 50% National, 25% Local or State and 25% Individual. You can also recertify by passing the cognitive exam once during the window.

Level	Total	National	Local/State	Individual	Recert fee	Deadline
EMR	16	8	4	4	$18 through March 31, 2027, then $21	September 30 of the expiration year
EMT	40	20	10	10	$25	March 31
AEMT	50	25	12.5	12.5	$26 through September 30, 2026, then $30	March 31
Paramedic	60	30	15	15	$32 through September 30, 2026, then $37	March 31

Rules that apply at every level

Online (distributive) education has had no cap at any level since 2022.
Recertify by exam: one attempt at the cognitive exam during the window. Passing recertifies you in Inactive status; AEMTs and Paramedics then need medical-director sign-off to return to Active. Failing the exam does not stop you recertifying by continuing education.
Active status for Paramedic and AEMT requires EMS-agency affiliation plus skills verification by a training officer and a licensed physician medical director every cycle. EMR and EMT Active status requires training-officer skills verification only.
Education that does not count: duplicate courses, clinical rotations, instructor courses, management or leadership courses, performance of duty, preceptor hours, serving as a skills examiner, and volunteer time with agencies.
Accepted education: State-EMS-Office-approved and CAPCE-accredited courses, EMS education program credit, and U.S. accredited academic credit. All of it must relate directly to EMS patient care.
Reinstatement: if all education was finished by the deadline but the application was not submitted, you can reinstate until April 30 (EMT, AEMT, Paramedic) or October 31 (EMR) for a $50 fee plus the recertification fee. Keep CE documentation for 36 months; audits are random.
Your new expiration date is two years after the current one once the application is processed and approved.

How your state relates to NREMT

States fall into three groups: those that require current NREMT to renew, those where NREMT is one optional pathway beside a state CE route, and those with an independent state pathway where NREMT is not needed. See every state.

Sources

Compiled from these sources, retrieved September 2026. Renewal rules change; confirm with the issuing agency before you rely on any figure here.