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EMT / Paramedic
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
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.
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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.
Didn't pass on the first try? Learn what to do if you fail the NREMT.
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NREMT (EMT Certification Exam)
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EMT Exam Prep Books
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Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
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NREMT Cognitive Exam
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.
Cost of failing
Retake fee: $80Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the NREMT Cognitive Exam.
Study Materials & Exam Prep — NREMT Certification Exam
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Study guides and practice tests for the NREMT certification exam.
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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
Not sure if you need a emt license? Check whether your state requires one.
| 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 reapplication fee confirmed on page |
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 |
Use our licensing cost calculator to estimate your total investment including education and exam fees.
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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.
For a deeper dive into CE requirements and deadlines, see our emt license renewal guide.
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.
See all EMS Compact (REPLICA) member states & eligibility details →
Moving to another state? Use our Transfer Tool to see what you need →
Compare Indiana with other states →
See how requirements, costs, and timelines differ across all 50 states.
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.
Indiana is an EMS Compact member state
EMT requirements in nearby states
| State | Total Cost | Timeline | |
|---|---|---|---|
| Indiana (you) | $104 (NREMT exam) + course tuition | 8–24 wks | |
| Illinois | $45 (application) + $104 (NREMT exam) + course tuition | — | → |
| Kentucky | $10 (application) + $30 (initial cert) + $104 (NREMT exam) + ViewPoint background check fee + course tuition | — | → |
| Michigan | $1,000 (program) + $104 (NREMT exam) + $40 (state application) | — | → |
| Ohio | $104 (NREMT exam) + course tuition + background check | — | → |
Other professional licenses in Indiana
See how Indiana compares: EMT License Fees by State — Cheapest to Most Expensive →
✓ REPLICA Compact State — Indiana is a member of the EMS Compact (REPLICA). Licensed emts from other member states may be eligible for expedited practice privileges.
Related Guides
Explore requirements for other professional licenses in Indiana.
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EMT requirements in Indiana verified against Indiana Department of Homeland Security, EMS Section, March 2026.
Moving to Indiana? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your EMT license to Indiana →
Transfer your EMT license from Indiana to: Illinois → | Kentucky → | Michigan → | Ohio →
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.
EMT Schools in Indiana
Compare approved training programs, costs, and requirements.