Credential type: certification examination · verified on the issuer's site September 19, 2026 issuer page
Exam Domains
1 Airway, Respiration, and Ventilation11%
2 Cardiology and Resuscitation13%
3 Trauma9%
4 Medical/Obstetrics/Gynecology27%
5 EMS Operations8%
Exam Details
Question TypesMultiple Choice
FormatAdaptive/CAT (EMT and Paramedic); Linear (AEMT and EMR)
Online ProctoringNot available
ID RequirementsGovernment-issued photo ID required. Name on ID must match registration exactly.
RenewalRequired -- All NREMT certifications are valid for 2 years. Renewal requires 24 hours of continuing education (CE) or completion of a refresher course. CE must be submitted through the NREMT online portal. Paramedics must include specific topic hours as defined by NREMT requirements.
Retake Policy15-day waiting period between failed attempts. Maximum 6 lifetime attempts per certification level. After 6 failed attempts, candidates must complete an additional refresher course before being eligible to retest. Each retake requires a new registration fee.