EMS Recertification Requirements, Hours and CE Courses

Everything EMRs, EMTs, AEMTs, and paramedics need to renew a National Registry certification and a state license, plus CAPCE accredited continuing education you can finish online at your own pace.

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What EMS Recertification Means

EMS recertification is the process of renewing your credential before it expires. For most providers that means two separate things happening on two separate clocks:

National certification

Issued by the National Registry of EMTs. Renewed on a two year cycle using the National Continued Competency Program, known as the NCCP model.

State license or certification

Issued by your state EMS office. Each state sets its own hour totals, renewal window, and required topics. Some states accept the NCCP model outright, others do not.

Meeting one does not automatically meet the other. Check both before you start banking hours. Our state by state EMS recertification requirements pages break down what each state office expects.

NREMT Recertification Hours by Level

The NCCP model splits your continuing education into three components: a national component covering topics set by the National Registry, a local component set by your agency or medical director, and an individual component you choose based on your own practice.

NCCP continuing education hours by certification level. Confirm current totals with the National Registry before you plan your cycle.
LevelNationalLocalIndividualTotal
EMR84416
EMT20101040
AEMT2512.512.550
Paramedic30151560

If your agency does not assign local hours: the National Registry allows the local component to be completed through approved continuing education instead. Verify the current policy on the NREMT recertification page before you assume it applies to you.

When Your Certification Expires

National Registry certifications run on a two year cycle that ends March 31. The renewal window opens well before that date, and hours completed inside your current cycle are what count. Waiting until March is the single most common reason providers end up scrambling or lapsing.

State renewal dates are separate and often tied to your original license date rather than a shared calendar deadline. Pull both dates now and put them somewhere you will see them.

How to Recertify, Step by Step

  1. Confirm your expiration datesLog in to your National Registry account and your state EMS portal. Write down both dates.
  2. Pull the requirement list for bothNational hours follow the NCCP model. State hours follow your state office. Note any state specific mandatory topics such as pediatrics, airway, or jurisprudence.
  3. Confirm your provider is CAPCE accreditedHours from a provider that is not accredited may be rejected. CE Solutions is a CAPCE accredited provider.
  4. Complete your coursesWork through them online at your own pace. Certificates are issued as you finish, and your transcript stays in your account.
  5. Submit before the deadlineUpload or report your hours to the National Registry and your state, then keep your certificates for the audit window your state requires.

Recertify with CE Solutions

CAPCE accredited

Courses are accredited through CAPCE, so the hours are accepted by the National Registry and by state offices that recognize CAPCE credit.

Built for the NCCP model

Courses are mapped to NCCP components so you can see which requirement each one satisfies instead of guessing.

Fully online, self paced

Start on a shift, finish at home. Progress saves, and certificates are available the moment you complete a course.

Transcripts that stay put

Every certificate you earn stays in your account, so an audit years later is a login rather than a paperwork hunt.

Fire and EMS in one place

Providers carrying both credentials can cover EMS and fire continuing education from the same account.

Agency and department accounts

Training officers can enroll a crew, assign courses, and track completion across the department.

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Packages and Pricing

Pick the package that matches what you are renewing. Every package is valid for one recertification period and expires when you finish the included hours or after one year, whichever comes first.

National Registry (NREMT) packages

NREMT recertification packages. Prices current as of July 2026.
PackageLevelCoversPrice
40 Hour Recertification ProgramEMR, EMTNational, local or state, and individual components$219
60 Hour Recertification ProgramAEMT, ParamedicNational, local or state, and individual components$319
NCCP Core, up to 20 hoursEMR, EMTNational component only. Includes 8 EMR and 20 EMT hours$169
NCCP Core, up to 30 hoursAEMT, ParamedicNational component only. Includes 25 AEMT and 30 Paramedic hours$259
24 Hour Remedial ProgramEMR, EMTRequired after a third unsuccessful NREMT exam attempt$219

Core only or full package? Choose a Core package if your agency or medical director already covers your local and individual hours. Choose a full 40 or 60 hour program if you need every component in one place.

State recertification packages

State recertification packages. Prices current as of July 2026.
PackageLevelCoversPrice
Full Fire and EMS, AdvancedAEMT, EMT-I, ParamedicUp to 160 EMS CEUs and 36 Fire CEUs$179
Full Fire and EMS, BasicECA, EMR, EMTUp to 100 EMS CEUs and 36 Fire CEUs$159
24 Hour EMS PackageAll EMS levelsUp to 24 EMS CEUs$109

Fire only packages and specialty courses are listed on the full pricing page. Training officers renewing a crew should look at department rates.

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EMS Recertification Questions

How many CE hours do I need to recertify?

Under the National Registry's NCCP model the totals are 16 hours for EMR, 40 for EMT, 50 for AEMT, and 60 for paramedic, split across national, local, and individual components. Your state may require a different total, so check both.

Can I complete all of my recertification hours online?

Distributive, meaning online, continuing education is accepted for National Registry recertification when it comes from an accredited provider. Some states cap how much of their requirement can be completed online, and skills verification is handled separately. Check your state office before planning an all online cycle.

What happens if my certification expires?

Once a National Registry certification lapses you cannot simply add hours and renew. Depending on how long it has been expired, the path back may involve a reentry process or retesting. Contact the National Registry directly to find out which applies to your situation, and contact your state office separately about your license.

Does CAPCE accreditation matter?

Yes. The National Registry accepts continuing education from CAPCE accredited providers, and many state offices do as well. Hours from an unaccredited source may not be counted, which is a difficult problem to discover during an audit. CE Solutions is a CAPCE accredited provider.

Do national and state requirements count as the same hours?

Often the same course satisfies both, but not always. States that require specific topics or a specific number of hours in a subject may not be fully covered by an NCCP aligned plan. Build to whichever requirement is stricter.

How long does recertification take?

That depends on your level and how much time you can give it. An EMT needing 40 hours who does two hours a week finishes comfortably inside a cycle. Courses are self paced, so most providers spread them out rather than block them together.

What does it cost?

National Registry packages run $169 to $319 depending on your level and whether you need the NCCP core only or every component. State recertification packages start at $109. Full details are in the pricing tables above and on the pricing page.

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Start recertifying Find your state requirements

Last reviewed: July 2026. Requirements change. Always confirm current rules with the National Registry of EMTs and your state EMS office.