You’ve invested time, energy, and commitment to become a certified EMS professional, but when it’s time to recertify, you realize that not all your continuing education hours count. That’s a frustrating situation no one wants to face. At How To NREMT, we want to help you avoid that stress by making it clear what’s accepted, and what isn’t, for NREMT recertification.
Understanding the rules around accepted continuing education providers, course types, and rejected credits can save you from delays, wasted effort, and having to repeat work.
Let’s break it down so your NREMT recertification process goes smoothly.
What Is Continuing Education in the Context of NREMT?
Continuing education (CE) is mandatory for maintaining your NREMT certification. It’s not just about logging hours, it’s about gaining relevant, up-to-date knowledge that ensures you're ready to provide high-quality patient care.
The National Registry of Emergency Medical Technicians (NREMT) requires CE as part of the recertification process for EMRs, EMTs, AEMTs, and paramedics.
To recertify, you must meet specific hour requirements and make sure those hours come from approved sources.
How Many Hours of CE Are Required?
CE hours depend on your certification level:
·EMR: 16 hours
·EMT: 40 hours
·AEMT: 50 hours
·Paramedic: 60 hours
These hours are based on the National Continued Competency Program (NCCP) model and are divided into three categories:
1. National Component (50% of total hours)
2. Local or State Component
3. Individual Component (chosen based on personal knowledge gaps or interests)
Quick Tip: You can find your level-specific NCCP hour breakdown on the NREMT official site or through your agency's training coordinator.

Accepted Continuing Education Providers
NREMT only accepts CE hours from accredited and recognized providers. That means:
·CAPCE-accredited organizations (Commission on Accreditation for Pre-Hospital Continuing Education)
·State EMS offices
·Academic institutions
·Hospitals and healthcare systems
·EMS agencies and fire departments
·National organizations such as AHA, NAEMT, or the Red Cross
·Military training (if properly documented)
CAPCE accreditation is often the gold standard. If a course has this seal, it’s a reliable indicator that it’ll be accepted.
Quick Tip: Always check for CAPCE approval or NREMT recognition before enrolling. Keep certificates for every CE activity, especially if self-reporting.
Accepted Course Formats
Not all learning environments are created equal, but NREMT does provide flexibility with limits. Here’s what counts:
·In-person CE courses (lectures, seminars, workshops)
·Virtual live instructor-led training (webinars, remote classroom with real-time interaction)
·Online modules (limited to distributive education requirements)
·Clinical experience (hospital-based training)
·Skills labs and simulations (must be evaluated and documented)
Distributive Education is online training completed independently, such as recorded lectures or quizzes, without live interaction. NREMT allows some distributive hours but caps their use:
·EMT: Max 10 hours
·AEMT: Max 15 hours
·Paramedic: Max 18 hours
The National Component must not be completed entirely through distributive education.
What Doesn’t Count Toward Recertification?
This is where many EMS professionals slip up. Here are examples of CE that won’t meet the NREMT standard:
o Instructor-led courses without documentation (if no certificate, it doesn’t count)
o CPR/BLS courses used for entry-level certification (unless specifically updated or advanced)
o Courses from unaccredited or non-approved organizations
o Duplicate courses within the same cycle
o Workplace training that isn’t EMS-specific or lacks evaluation
o Podcasts, YouTube videos, or informal study groups
Quick Tip: If the course doesn’t provide a certificate or CAPCE code, contact the provider before assuming it will be accepted.

Why Accepted CE Matters for NREMT Exam Preparation
While CE is mostly about maintaining certification, it also plays a big part in ongoing NREMT exam prep. If you're planning to recertify by exam or if you’re transitioning from inactive to active status, approved CE can support your readiness.
The best NREMT prep isn’t just about question banks, it’s about consistent, relevant education throughout your practice. Taking courses in trauma, airway management, pharmacology, and other real-world topics helps you stay exam-ready and field-ready at the same time.
We always recommend pairing CE with structured NREMT exam preparation resources, especially if you’re preparing for a retest.
How to Track Your Continuing Education
You can log CE hours using the National Registry’s Recert2.0 system, which allows uploads, hour tracking, and status monitoring. Some platforms, like CAPCE-accredited ones, even auto-report hours for you.
Make sure you:
Keep a personal log
Save all CE certificates in PDF format
Double-check each entry before submission
Quick Tip: Don’t wait until the final month of your recert cycle to gather your CE credits. Space it out across the year so you don’t scramble.
Final Checklist Before Submitting CE
Hours meet the required number
Courses were taken from accepted continuing education providers
Formats include acceptable ratios of live vs. distributive education
All CE documentation is uploaded or ready for audit
Courses are relevant to EMS and current in content
Your Recert Success Starts with the Right CE
Failing to meet CE requirements can lead to delayed certification or needing to take the cognitive exam again. It’s not worth the risk. The good news is that with a clear understanding of accepted continuing education providers and course types, you're already halfway there.

Ready to Stay Certified and Confident? Don’t Let Invalid CE Set You Back
At How To NREMT, we guide you through more than just NREMT exam prep. We help you find the best NREMT prep materials and CE providers that keep your hours compliant and your skills sharp.
We’ve already done the research. Let us help you stay on track and focused on what really matters: delivering excellent patient care with the confidence of a certified EMS professional.
Need help selecting accepted CE options or prepping for recert by exam? Start here — where certification stays simple, and your next renewal is worry-free.