StateLicensed

Emergency Medical Technician (EMT) License Requirements in Nevada

Verified · July 2026
Training hours
—
Upfront cost
$149
Exam
NREMT EMT Cognitive and Psychomotor Examinations
Renewal cycle
Every 2 years
Issuing board
Nevada Division of Public and Behavioral Health (DPBH), Emergency Medical Systems Program

How to get licensed

  1. 1

    Meet the prerequisites

    Pass a criminal background check. NAC 450B.360 requires applicants to submit fingerprints and written authorization for a background check, subject to NRS 450B.183, with the Division able to deny certification based on serious convictions (violent crimes, sexual offenses, controlled-substance violations, fraud, and other felonies affecting patient-care capability). DPBH's EMS FAQ confirms this background check runs at initial certification and again every 6 years. No fixed minimum-age figure was located in NAC 450B.360 or DPBH's training/licensing pages, so minAge is left null rather than guessed. Applicants must also hold a current CPR card (American Heart Association or Division-approved equivalent). [1]

  2. 2

    Complete approved training

    Complete training at a state-approved program. NAC 450B.360 requires successful completion of a course 'at least equivalent to the national standard' set by the National Highway Traffic Safety Administration for the EMT level, at a DPBH-approved training program, but does not itself set a fixed statewide classroom-hour count, and no fixed hour figure was found on DPBH's training/education page. Left null rather than citing a third-party estimate. [1]

  3. 3

    NREMT EMT Cognitive and Psychomotor Examinations

    Pass the NREMT EMT Cognitive and Psychomotor Examinations (fee: $104). Cognitive: computer-adaptive test at Pearson VUE test centers or via OnVUE remote proctoring. Psychomotor: hands-on skills exam. NAC 450B.360 requires an applicant to have 'successfully passed an assessment developed by the National Registry of Emergency Medical Technicians' at the level applied for -- Nevada certifies based on NREMT's cognitive and psychomotor exams rather than running its own separate exam. Fee shown is NREMT's published national cognitive-exam rate, paid to NREMT/Pearson. [1]

  4. 4

    Submit your application

    Submit your application to Nevada Division of Public and Behavioral Health (DPBH), Emergency Medical Systems Program with the $45 application fee. [2]

  5. 5

    Receive your license

    Once your application is approved, Nevada Division of Public and Behavioral Health (DPBH), Emergency Medical Systems Program issues your Emergency Medical Technician (EMT) for Nevada.

Fees

Fee Amount
Application fee [2] $45
License fee [2] None specified
Renewal fee [2] $24
NREMT EMT Cognitive and Psychomotor Examinations [1] $104

DPBH's EMS FAQ states the EMT Certification (initial) fee is $45.00. The EMS Licensing page lists a $24.00 certification renewal fee ($34.00 if renewing both Certification and Attendant License together), with a $50.00 late renewal fee. No separate ongoing 'license' fee distinct from these was found.

Renewal & continuing education

Renew every 2 years. 24 continuing education hours required per cycle.

DPBH's licensing page states new expiration dates 'correspond with each individual provider's date of birth not to exceed a two year period,' so certifications renew on a maximum 2-year cycle tied to the provider's birthdate. The EMS FAQ page lists 24 hours of continuing education for EMT renewal, acceptable via traditional state-approved refresher courses, state-approved CEU courses, CAPCE-approved courses, or credit for cards such as BLS/ACLS/PALS/ITLS/PHTLS. Separately, DPBH requires a new Department of Public Safety background/fingerprint check at initial certification and again every 6 years (i.e., roughly every third renewal cycle), not at every renewal.

Reciprocity

Endorsement/reciprocity from another state is available. Participates in: EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact).

Nevada is a confirmed current member state on the EMS Compact Commission's own commissioners page. Outside the Compact, DPBH's EMS FAQ describes two non-Nevada-trained pathways: National Registry reciprocity for candidates with active NREMT certification, and out-of-state certification reciprocity for candidates without active NREMT status, which requires passing the NREMT written (cognitive) exam. DPBH publishes dedicated Reciprocity Instructions for out-of-state applicants.

1 state-approved training provider in Nevada — browse programs and compare schools on tradecolleges.org.

Cost calculator

  • $45
  • $104
Total$149

Frequently asked questions

Does Nevada require NREMT certification for EMTs?

Yes. NAC 450B.360 requires applicants to have passed an NREMT assessment at the EMT level -- Nevada certifies based on the NREMT cognitive and psychomotor exams rather than running a separate state exam.

How much does it cost to get an EMT certification in Nevada?

DPBH's EMS FAQ lists a $45.00 initial EMT certification fee. Renewal costs $24.00 (or $34.00 combined with an Attendant License), with a $50.00 late fee. These are separate from the NREMT cognitive exam fee (about $104, paid to Pearson VUE).

How often do Nevada EMTs need to renew their certification?

Certifications expire on a cycle tied to the provider's date of birth, not to exceed 2 years, and require 24 hours of continuing education. A full Department of Public Safety background/fingerprint recheck is required only every 6 years, not at every renewal.

Does Nevada require a background check for EMT certification?

Yes. NAC 450B.360 requires fingerprints and a Department of Public Safety background check at initial certification and again every 6 years, with certification deniable for certain serious convictions.

Is Nevada part of the EMS Compact?

Yes. Nevada is a confirmed member state of the EMS Personnel Licensure Interstate Compact (REPLICA). Outside the Compact, DPBH also offers National Registry reciprocity and out-of-state certification reciprocity (which requires the NREMT written exam for non-NREMT-current applicants).

Sources

  1. [1] law.cornell.edu/regulations/nevada/NAC-450B-360 — accessed 2026-07-12
  2. [2] dpbh.nv.gov/regulatory/emergency-medical-systems-ems/ems-home/dta/emergency-medical-system-ems-licensing/ — accessed 2026-07-12
  3. [3] dpbh.nv.gov/siteassets/regulatory/ems/dta/licensing/Nevada_Reciprocity_Instructions.pdf — accessed 2026-07-12