National Registry of EMTs

Lapsed Certification Policy


Lapsed EMR Certification

Lapsed 0-24 Months

If the EMR did not meet all recertification requirements by the expiration date, the National EMS certification is considered to be lapsed. If the certification lapsed less than two years, or you are currently state licensed as an Emergency Medical Responder (EMR), you can regain National EMS Certification by completing the cognitive and psychomotor examinations.

To obtain authorization to test, lapsed EMRs must demonstrate proof of education requirements. The following methods are acceptable:

  • Complete a Traditional State Approved EMR Refresher
  • State approved continuing education equal to the EMR Refresher
  • If the EMR was licensed in a NCCP state, completion of the National Component meets the requirement

Lapsed More Than 2 Years

If your EMS certification expired more than two years ago, you must complete an entire state-approved Emergency Medical Responder (EMR) course, and complete the cognitive and psychomotor examinations.

Lapsed EMT Certification

Lapsed 0-24 Months

If the EMT did not meet all recertification requirements by the expiration date, the National EMS certification is considered to be lapsed. If the certification lapsed less than two years, or you are currently state licensed as an Emergency Medical Technician (EMT), you can regain National EMS Certification by completing the cognitive and psychomotor examinations.

To obtain authorization to test, lapsed EMTs must demonstrate proof of education requirements. The following methods are acceptable:

  • Complete a Traditional State Approved EMT Refresher
  • State approved continuing education equal to the EMT Refresher
  • If the EMT was licensed in a NCCP state, completion of the National Component meets the requirement

Lapsed More Than 2 Years

If you have previously held National Certification or have a current State License you may regain your National Registry by completing the following:

  • A state approved refresher course, or the national component of the NCCP program
  • A state administered practical examination
  • The Cognitive Examination
  • Hold current BLS CPR certification
Lapsed AEMT Certification

Lapsed 0-24 Months

If the AEMT did not meet all recertification requirements by the expiration date, the National EMS certification is considered to be lapsed. If the certification lapsed less than two years, or you are currently state licensed as an Advanced Emergency Medical Technician (AEMT), you can regain National EMS Certification by completing the cognitive and psychomotor examinations.

To obtain authorization to test, lapsed AEMTs must demonstrate proof of education requirements. The following methods are acceptable:

  • Complete a Traditional State Approved AEMT Refresher
  • State approved continuing education equal to the AEMT Refresher
  • If the AEMT was licensed in a NCCP state, completion of the National Component meets the requirement

Lapsed More Than 2 Years

If your EMS certification expired more than two years ago, you must complete an entire state-approved Advanced Emergency Medical Technician (AEMT) course, and complete the cognitive and psychomotor examinations.

Lapsed Paramedic Certification

Lapsed 0-24 Months

If the Paramedic did not meet all recertification requirements by the expiration date, the National EMS certification is considered to be lapsed. If the certification lapsed less than two years, or you are currently state licensed as a Paramedic, you can regain National EMS Certification by completing the cognitive and psychomotor examinations.

To obtain an authorization to test, lapsed Paramedics must demonstrate proof of education requirements. The following methods are acceptable:

  • Complete a Traditional State Approved Paramedic Refresher
  • State approved continuing education equal to the Paramedic Refresher
  • If the Paramedic was licensed in a NCCP state, completion of the National Component meets the requirement

Lapsed More Than 2 Years

Entry and/or re-entry into the National Registry may be granted to a previously state licensed or Nationally Certified Paramedic (NRP) provided you:

  1. Officially document completion of a DOT Paramedic (NRP) Training Program after January 1, 1977. *
  2. Show satisfactory evidence to the NREMT of prior state licensure at the Paramedic (NRP) level.
  3. Have current ACLS provider or instructor credential.
  4. Completed either PHTLS or ITLS as a provider or instructor within the past two (2) years.
  5. Have completed a state-approved Paramedic (NRP) refresher; or 48 hours of equivalent continuing education covering the mandatory and flexible core content topics specified; or the NCCP National Component module, within the past two years.
  6. Have a letter of approval from the state EMS office in the state where you work or are to work. The letter should show the state's support for you to obtain state licensure through this process.
  7. Successfully complete the NREMT Paramedic (NRP) cognitive and psychomotor examinations.

* All candidates for NREMT’s National EMS Certification at the Paramedic level whose Paramedic program began on or after January 1, 2013 must have successfully completed Paramedic education from an accredited program sponsored by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or one who held a valid Letter of Review (LOR) issued by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).