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How to become a certified EMT or Paramedic in Indiana. NREMT accepted. EMT training: 144.5 hours. Total initial EMT cost: $104 (NREMT exam) + course tuition. Verified 2026-03-21. Data verified 2026-03-21. Source: LicenseMap (getlicensemap.com).
EMT / Paramedic
Most information on this page has been verified.
80% of data points are verified against official sources. 6 fields based on preliminary research. 6 fields need verification. We recommend confirming details with your state's licensing authority. See sources below · Report incorrect data
No
NREMT Required?
144.5
EMT Training Hours
4 levels
Certification Levels
$104 (NREMT exam) + course tuition
EMT Initial Cost
2 years
Renewal Period
56 hrs
EMT CE Hours
Training Hours
60 hours
Scope of Practice
Basic emergency care including bleeding control, CPR, AED use, oxygen administration, and basic patient assessment
NREMT Required
Yes
Additional Requirements
Training Hours
144.5 hours
Scope of Practice
BLS care including patient assessment, vital signs monitoring, oxygen therapy, bag-valve-mask ventilation, CPR/AED, splinting, bleeding control, assisted medication administration (epinephrine auto-injector, nitroglycerin, albuterol), emergency childbirth, and spinal motion restriction
NREMT Required
Yes
Additional Requirements
Training Hours
350 hours
Scope of Practice
All EMT-Basic skills plus IV/IO access, fluid administration, supraglottic airway devices, blood glucose monitoring, CPAP, and limited medication administration per protocol
NREMT Required
Yes
Additional Requirements
Training Hours
1,200 hours
Scope of Practice
All AEMT skills plus endotracheal intubation, cardiac monitoring/12-lead ECG, manual defibrillation/cardioversion, transcutaneous pacing, needle chest decompression, surgical cricothyrotomy, comprehensive medication administration, and RSI where authorized
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified144.5
EMT Training Hours
1,200
Paramedic Hours
Notes
Indiana requires a minimum of 144.5 hours for EMT training. Candidates must pass both the NREMT cognitive exam and a separate state practical exam (dual exam requirement). A high school diploma or GED and valid driver's license are required. Mandatory mental health/wellness training begins July 2025. TIM (Traffic Incident Management) training is also required.
Exam Requirements
VerifiedAccepted
NREMT Certification
Not Required
Cognitive Exam
Not Required
Psychomotor Exam
Yes
State-Specific Exam
NREMT Details
Indiana requires NREMT cognitive exam for initial certification PLUS a separate state practical exam (dual exam requirement). NREMT is NOT required for recertification. The NREMT cognitive exam is CAT format with 70-120 questions for EMT level, 2-hour time limit, $104 per attempt, scaled score passing at 950/1500, up to 6 attempts with 15-day wait between attempts. Psychomotor exam is administered by the state. NREMT card alone is insufficient; must hold Indiana state certification.
State Exam Details
Indiana requires a dual exam: NREMT cognitive exam plus a separate state practical exam. The state practical exam is distinct from the NREMT psychomotor exam. NREMT card alone is insufficient for practice in Indiana.
Passing Score
NREMT cognitive exam uses computer adaptive testing (CAT) with 70-120 questions for EMT level. Scaled score passing threshold is 950 out of 1500. State practical exam has separate passing criteria.
Retake Policy
NREMT allows up to 6 attempts with a 15-day waiting period between attempts. After the 3rd failed attempt, candidates must complete 24 hours of remedial training. After 6 failed attempts, full course completion is required. Exam fee is $80 per attempt.
What Each Level Can Do
VerifiedOnline Medical Direction (Real-Time)
Real-time physician contact via radio or phone for consultation on patient care decisions beyond standing orders
Offline Medical Direction (Standing Orders)
Standing orders and protocols developed by the EMS medical director that authorize specific treatments without real-time physician contact
Protocol Requirements
All EMS providers in Indiana must operate under the authority of a licensed physician medical director. Each EMS agency must have approved medical protocols.
Minimum Age
Education
Background Check
Drug Screening
CPR/BLS Certification
Immunizations Required
Driver's License Required
| Fee | Amount |
|---|---|
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee Application fee included in NREMT exam and state renewal fees | $50 |
Renewal Fee Per 2-year renewal cycle | $50 |
Total Initial EMT Cost Does not include course costs, textbooks, or equipment | $104 (NREMT exam) + course tuition |
Total Initial Paramedic Cost Does not include textbooks, uniforms, or equipment | $104 (NREMT exam) + program tuition |
Renewal & CE Requirements
Verified2 years
Renewal Period
56 hrs
EMT CE Hours
80 hrs
Paramedic CE Hours
Required
Skills Verification
NREMT Recertification Not Accepted for State Renewal
CE Topics
Renewal Fee
$50
Per 2-year renewal cycle
Regulatory Board
EMS certifications must be renewed on schedule. Most states require continuing education covering patient assessment, trauma care, cardiac emergencies, and applicable protocol updates.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
NREMT-Based Reciprocity Available
Reciprocity Type
NREMT-based; NOT an EMS Compact member state
Transfer Details
Indiana is an EMS Compact member state. EMS personnel from other compact states can practice in Indiana under the compact privilege. Non-compact applicants may apply through NREMT-based reciprocity but must still obtain Indiana state certification (NREMT card alone is insufficient).
Additional Requirements for Transfer
EMT/Paramedic reciprocity is often facilitated through NREMT certification. States that require NREMT typically allow easier transfer for certified providers. Always verify current reciprocity policies with your state EMS office.
Indiana requires a dual exam (NREMT cognitive plus separate state practical exam). NREMT card alone is insufficient; must hold Indiana state certification. Mandatory mental health/wellness training starting July 2025. TIM training required. Must have HS diploma/GED and valid driver's license.
Indiana requires a dual exam: NREMT cognitive exam PLUS a separate state practical exam.
NREMT card alone is insufficient to practice in Indiana; must hold Indiana state certification.
Mandatory mental health/wellness training begins July 2025.
TIM (Traffic Incident Management) training is required.
High school diploma or GED and valid driver's license are required.
NREMT is NOT required for recertification.
State renewal fee is $50 per 2-year cycle.
Indiana is an EMS Compact (REPLICA) member state, allowing cross-state EMS practice.
Explore requirements for other professional licenses in Indiana.
How this state compares to 50 others for this profession
Timeline
#1 of 51
Salary
#24 of 51
Cost
#14 of 51
Processing
#1 of 51
Based on May 2024 Bureau of Labor Statistics OEWS data for Emergency Medical Technicians (SOC 29-2042)
Entry Level
$37,050
25th percentile
Median
$39,850
-4% vs. national avg ($41,340)Experienced
$46,380
75th percentile
Wage Distribution (Annual)
3,760 employed in this state
Note: BLS EMT category includes EMT-Basic level. Paramedics (EMT-P) are classified separately under SOC 29-2043 with higher wages.
Source: BLS OEWS – Emergency Medical Technicians (May 2024)
National employment projections for 2024-2034
Projected Growth
+8.8%
High DemandNew Jobs
+12,900
over 10 years
Annual Openings
19,600
per year (avg.)
147,300 currently employed nationwide (2024)
Source: BLS Employment Projections 2024-2034 (September 2025)
Emergency Medicine Career Ladder+232% salary growth potential
You are here
EMT
$39,850
EMT-Basic course (120-150 hours) + NREMT
You are here
EMT
EMT-Basic course (120-150 hours) + NREMT
$39,850
Paramedic program (1-2 years) + NREMT-P
$58,260
Master's in PA Studies + PANCE
$132,200
Salary data from BLS OEWS May 2024 for this state. Career paths represent common advancement routes — actual progression may vary. Bureau of Labor Statistics — Occupational Outlook Handbook
Government fees and exam costs to obtain your initial license
Note: These are government licensing fees only. Education/training program costs (tuition, books, etc.) are not included as they vary widely by institution.
Estimated total: 8–24 weeks
Timeline estimated from licensing requirements on this page.
Source: Indiana Department of Homeland Security, EMS Section — Licensing Requirements
2–6 weeks
Estimated processing time
Source: Indiana Department of Homeland Security, EMS Section — Licensing Requirements
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Indiana accepts NREMT certification for EMS providers. EMT training requires 144.5 hours. All certification is managed through the Indiana Department of Homeland Security, EMS Section.
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.