EMT in North Dakota
Requirements, salary data, licensing costs, and career ROI for ND. Updated with 2024 BLS OEWS wage data.
BLS OEWS 2024, North Dakota.
Jobs (ND)
10-yr job growth
Time to complete
route How to become an emt in North Dakota
To become a licensed EMT in North Dakota, applicants must complete a state-approved EMT training program, which includes at least 110 hours of didactic and practical instruction, and possess a High School Diploma or GED. Candidates must then pass the NREMT cognitive and psychomotor exams. North Dakota uses NREMT certification as the basis for state licensure and requires a criminal background check. The license renewal cycle is every two years, with 40 hours of continuing education required per cycle. North Dakota participates in the EMS Compact (REPLICA), allowing for reciprocity with other member states.
bar_chart Salary percentiles
Source: BLS OEWS 2024 for North Dakota. Metro-area wages may differ significantly from the state aggregate.
checklist North Dakota requirements
| Licensing body | North Dakota Department of Health and Human Services, Emergency Medical Systems Unit |
| State license | Required |
| Education | State-approved EMT training program (at least 110 hours of didactic and practical instruction) and High School Diploma/GED. |
| Exam | NREMT Cognitive and Psychomotor Exams |
| Renewal | Every 2.0 years |
| Continuing education | 40.0 hours per cycle |
| Reciprocity | North Dakota recognizes NREMT certification for reciprocity and is an EMS Compact member.Reciprocal states: North Dakota recognizes NREMT certification for reciprocity. Applicants must submit an application and may require a background check. North Dakota is also a member of the EMS Personnel Licensure Interstate Compact (REPLICA). |
| Notes | Must be at least 18 years old. Requires a criminal background check. North Dakota utilizes the National Registry of Emergency Medical Technicians (NREMT) certification as the basis for issuing a state EMT license. All licenses expire on June 30th every two years. |
Source: North Dakota Department of Health and Human Services, Emergency Medical Systems Unit
Already licensed elsewhere and moving to North Dakota? See whether North Dakota recognizes an out-of-state credential — with the tier and pathway for all 50 states — in our EMT license reciprocity guide.
workspace_premium North Dakota license tiers
North Dakota offers multiple tiers of emt licensing:
| Tier | Hours required |
|---|---|
| EMR | N/A |
| EMT | N/A |
| AEMT | N/A |
| Paramedic | N/A |
work_outline Job outlook
balance Is it worth it?
- check_circleNorth Dakota license required — clearer credential signal to employers
- check_circleStrong 10-year job growth (+5.1%)
Compare EMT head-to-head
See all comparisons →Considering an EMT vs another career? Side-by-side breakdowns of pay, training time, and licensing.