Paramedic in New Hampshire

Requirements, salary data, licensing costs, and career ROI for NH. Updated with 2024 BLS OEWS wage data.

Median annual salary
$45,170
trending_up +9.3% vs. national

BLS OEWS 2024, New Hampshire.

engineering
1,070

Jobs (NH)

monitoring Strong
+5.1%

10-yr job growth

payments
$310

Licensing fees

schedule
1-2 years

Time to complete

route How to become a paramedic in New Hampshire

To become a licensed Paramedic in New Hampshire, individuals must first complete a state-approved and nationally accredited Paramedic program and pass the NREMT Paramedic cognitive and psychomotor exams. Subsequently, applicants need to complete New Hampshire-specific Scope of Practice Modules and a Protocol Program/Exam. The licensing body is the New Hampshire Department of Safety, Division of Fire Standards and Training & EMS, and the application fee is $150. Licenses must be renewed every two years, requiring 60 hours of continuing education.

bar_chart Salary percentiles

10th percentile (entry) $35,220
25th percentile $38,610
50th (median) $45,170
75th percentile $48,780
90th (experienced) $56,400

Source: BLS OEWS 2024 for New Hampshire. Metro-area wages may differ significantly from the state aggregate.

checklist New Hampshire requirements

Licensing bodyNew Hampshire Department of Safety, Division of Fire Standards and Training & EMS
State license Required
EducationState-approved Paramedic program
ExamNREMT Paramedic (Cognitive and Psychomotor) ($160)
Application fee$150
RenewalEvery 2.0 years
Continuing education60.0 hours per cycle
ReciprocityNew Hampshire offers reciprocity if requirements are similar, but requires NREMT computer-based test completion.Reciprocal states: New Hampshire offers reciprocity for paramedics licensed in other states, provided the licensing requirements are substantially similar. Applicants must provide proof of residency or work in NH (or pending work), an application, and successful completion of the NREMT computer-based test. The Division of Fire Standards and Training & EMS does not offer reciprocity or equivalency for EMS licenses directly, but rather a process to attain a New Hampshire license using an existing out-of-state license.
NotesMinimum age of 18. Requires a criminal background check and affiliation with a licensed New Hampshire EMS unit. Renewal requires maintaining NREMT certification, which has its own CE requirements. Must complete NH Approved Scope of Practice Modules and NH Protocol Program/Exam.

Source: New Hampshire Department of Safety, Division of Fire Standards and Training & EMS

Already licensed elsewhere and moving to New Hampshire? See whether New Hampshire recognizes an out-of-state credential — with the tier and pathway for all 50 states — in our Paramedic license reciprocity guide.

work_outline Job outlook

10-year growth
+5.1%
Faster than average
Annual openings
14,100
Nationwide per year
Total employment
181,000
Nationwide

balance Is it worth it?

  • check_circleNew Hampshire license required — clearer credential signal to employers
  • check_circleStrong 10-year job growth (+5.1%)
psychology
Wondering if a paramedic career is the right fit?
See what the day actually looks like, who the role suits, and who should skip it — grounded in real practitioner sources.
arrow_forward

Compare Paramedic head-to-head

See all comparisons →

Considering a Paramedic vs another career? Side-by-side breakdowns of pay, training time, and licensing.

Frequently asked questions

What's required to work as a paramedic in New Hampshire? expand_more
In New Hampshire, becoming a paramedic requires you to complete the required education (State-approved Paramedic program), pass the NREMT Paramedic (Cognitive and Psychomotor), and submit your application ($150 fee).
Do I need a license to work as a paramedic in New Hampshire? expand_more
You cannot practice as a paramedic in New Hampshire without a state license from New Hampshire Department of Safety, Division of Fire Standards and Training & EMS. The required exam is the NREMT Paramedic (Cognitive and Psychomotor).
What do paramedics earn in New Hampshire? expand_more
New Hampshire paramedics bring home a median salary of $45,170. That's 9% above the national median of $41,340. The range spans from $35,220 at the entry level to $56,400 for top earners.
What's the total cost to get paramedic certified in New Hampshire? expand_more
Between exam fee ($160) and application fee ($150), expect to invest around varies in total to get started.
How long does it take to become a paramedic in New Hampshire? expand_more
Expect to spend 1-2 years from start to finish in New Hampshire — covering coursework, supervised experience, and examination.
What's required to renew a paramedic license in New Hampshire? expand_more
Yes — paramedics in New Hampshire must complete 60.0 CE hours every 2.0 years to stay licensed.

Explore more