Midwest

Missouri

State EMS office Missouri Department of Health and Senior Services, Bureau of Emergency Medical Services

Licensure levels recognized To be filled from the state EMS office

NREMT required for initial licensure Yes. Every level provides proof of current National Registry certification to obtain an initial Missouri license.

Reciprocity / legal recognition An EMS license from another state cannot be transferred to Missouri. The state accepts current National Registry certification at the level sought as the route to initial licensure.

Renewal cycle Five years.

Continuing education model 144 hours of continuing education across the five-year cycle, or current National Registry certification at the level being renewed. A paramedic also shows current ACLS certification; an AEMT shows current CPR.

Visit state EMS office

Always confirm requirements with the state office directly.

Preparing for the exam

Our NREMT courses cover each certification level, and FP-C and CCT preparation covers critical care transport.

EMT

AEMT

Paramedic

See all states in the EMS licensing directory →

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Certification and licensure are not the same thing

National Registry certification

Passing the NREMT cognitive and psychomotor exams earns you national certification. It is what most states use as the entry standard, but it is not a license to practice on its own.

State license

Your state EMS office issues the credential that actually lets you work. Each state sets its own application process, background requirements, fees, and scope of practice.

Reciprocity

Moving states usually means applying for legal recognition of your existing certification rather than starting over. What transfers automatically varies, and this is where candidates most often get stuck.

This directory is provided for reference only. State requirements change, and the state EMS office is always the authoritative source. Prehospital Prep is not affiliated with, endorsed, or sponsored by the NREMT, the IBSC, or any state licensing agency.

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