Fulfill your Paramedic, AEMT, EMT, or EMR requirements in one place.

Distance CME, powered by Relias, offers continuing education  for NREMT Paramedics, AEMTs, EMTs and EMRs. Our courses are accepted by the National Registry as a LIVE Class, accepted hour for hour. Take any of our LIVE courses 100% online and all of your hours count just like they would if you were sitting in a classroom in front of an instructor. Eliminate time traveling to classes and being away from work.

Plus, Distance CME now accepts payments by PayPal Credit. Get approved today and pay for courses over time, interest free for the first 6 months.

Although we strive to keep everything updated Please check with the NREMT for the most current re-certification information.

The National Registry of Emergency Medical Technicians 

NREMT licensees must renew every 2 years on March 31st.  Renewal applications received after March 31 will not guarantee the applicant’s license will be processed in time to avoid expiring.  All licenses expire at midnight on March 31 in the stated year of their expiration. Each Level of provider has limits to the amount of recorded or “distributive” education you can have in each of the Three Categories, NCCR, LCCR, ICCR. Our LIVE classes are not recorded and count 100% for all education required by the NREMT.

Covid – 19 Updates

As you know, in this unpreceded time, states and the NREMT are trying to update laws and policies to keep us safe while retaining the level of education and certification.
Since we are changing almost every day, please check with your state for the most updated policy changes. Be Safe!

Requirements for Paramedics:

60 hours every two years. Enroll in our ALS NCCP + Anytime refresher course to fulfill these requirements.


Requirements for Advanced EMT (AEMT):

50 hours every two years. Enroll in our ALS NCCP + Anytime refresher course to fulfill these requirements.


Requirements for EMT:

40 hours every two years. Enroll in our BLS NCCP + Anytime refresher course to fulfill these requirements.


Requirements for EMR:

16 hours every two years. Enroll in our 18 Hour NREMR Refresher refresher course to fulfill these requirements.


Requirements for Re-Entry:

EMR: Lapsed certification 0-24 months

Enroll in our 18 Hour NREMR Refresher refresher course to fulfill these requirements.

  • 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

EMR: Lapsed certification 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.

EMT: Lapsed certification 0-24 months

Enroll in our BLS NCCP + Anytime refresher course to fulfill these requirements. *This bundle does not include a CPR Certification

  • 40 hours of continuing education that meets all requirements of the 2016 National Continued Competency Program within the past two years
  • A state administered practical examination
  • The National Registry Emergency Medical Technician (EMT) Computer-Based (Cognitive) Examination
  • And holds current CPR-BLS for “Healthcare Provider” or equivalent credential
EMT: Lapsed certification more than 2 years
Enroll in our BLS NCCP + Anytime refresher course to fulfill these requirements. *This bundle does not include a CPR Certification
  • 40 hours of continuing education that meets all requirements of the 2016 National Continued Competency Program within the past two years
  • A state administered practical examination
  • The National Registry Emergency Medical Technician (EMT) Computer-Based (Cognitive) Examination
  • And holds current CPR-BLS for “Healthcare Provider” or equivalent credential

AEMT: Lapsed certification 0-24 months

Enroll in our ALS NCCP + Anytime refresher course to fulfill these requirements. *This bundle does not include a CPR Certification

  • 50 hours of continuing education that meets all requirements of the 2016 National Continued Competency Program within the past two years
  • The National Registry Advanced Emergency Medical Technician (AEMT) Computer-Based (Cognitive) and Skills-Based (Psychomotor) Examinations
  • And holds current CPR-BLS for “Healthcare Provider” or equivalent credential
AEMT: Lapsed certification more than 2 years

Enroll in our ALS NCCP + Anytime refresher course to fulfill these requirements. *This bundle does not include a CPR Certification

  • 50 hours of continuing education that meets all requirements of the 2016 National Continued Competency Program within the past two years
  • The National Registry Advanced Emergency Medical Technician (AEMT) Computer-Based (Cognitive) and Skills-Based (Psychomotor) Examinations
  • And holds current CPR-BLS for “Healthcare Provider” or equivalent credential

Paramedic: Lapsed certification 0-24 monthsEnroll in our ALS NCCP + Anytime refresher course to fulfill these requirements. *This bundle does not include a CPR Certification

  • 60 hours of continuing education that meets all requirements of the 2016 National Continued Competency Program within the past two years
  • Completion of a DOT Paramedic (NRP) Training Program must be completed after January 1, 1977.
  • All candidates for National Registry’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).
  • The National Registry National Registry Paramedic (NRP) Computer-Based (Cognitive) and Skills-Based (Psychomotor) Examinations
  • And holds current CPR-BLS for “Healthcare Provider” or equivalent credential
Paramedic: Lapsed certification more than 2 years
Enroll in our ALS NCCP + Anytime refresher course to fulfill these requirements. *This bundle does not include a CPR Certification
  • 60 hours of continuing education that meets all requirements of the 2016 National Continued Competency Program within the past two years
  • Completion of a DOT Paramedic (NRP) Training Program must be completed after January 1, 1977.
  • All candidates for National Registry’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).
  • The National Registry National Registry Paramedic (NRP) Computer-Based (Cognitive) and Skills-Based (Psychomotor) Examinations
  • And holds current CPR-BLS for “Healthcare Provider” or equivalent credential

For more information visit: The National Registry of Emergency Medical Technicians

Ready to start learning?

Corporate Education Solutions

Save time and money for your organization with a corporate education solution from Distance CME.