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How to become a certified EMT or Paramedic in New Mexico. NREMT certification required. EMT training: 120-150 hours. Total initial EMT cost: $65 (state application) + $104 (NREMT exam) + background check fee. Verified 2026-03-21. Data verified 2026-03-21. Source: LicenseMap (getlicensemap.com).
EMT / Paramedic
Governing Authority
New Mexico Department of Health, Emergency Medical Systems Bureau
Official website →Most information on this page has been verified.
82% of data points are verified against official sources. 5 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
Yes
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
$65 (state application) + $104 (NREMT exam) + background check fee
EMT Initial Cost
2 years
Renewal Period
40 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
120-150 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
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
Notes
New Mexico requires a minimum of 160 hours for EMT-B training. Training programs must be approved by the NM EMS Bureau. All applications are online-only. Minimum age is 17 for EMT-B (with parental consent if under 18), 16 for EMSFR, and 18 for EMT-I level.
Exam Requirements
VerifiedRequired
NREMT Certification
Required
Cognitive Exam
Required
Psychomotor Exam
No
State-Specific Exam
NREMT Details
New Mexico requires NREMT certification for both initial certification and recertification (aligned with NREMT cycles). 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 allowed with 15-day wait between attempts. Psychomotor exam is administered by the state for EMT level.
State Exam Details
New Mexico uses NREMT cognitive and psychomotor exams for initial certification. For reciprocity, a NM reciprocity written exam is required (up to 3 attempts).
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. The exam adapts difficulty based on candidate performance.
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. NM retest fee is $25-$40.
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 New Mexico 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 Initial EMT-B certification fee | $35 |
State License Fee Included in initial application fee; reciprocity fee is $130 | $65 |
Renewal Fee Reinstatement fees range from $120-$300; replacement credential $10 | $65 |
Total Initial EMT Cost Does not include course tuition, textbooks, or equipment costs. Retest fee $25-$40 if needed. | $65 (state application) + $104 (NREMT exam) + background check fee |
Total Initial Paramedic Cost Does not include textbooks, uniforms, or equipment | $65 (state application) + $104 (NREMT exam) + background check fee + program tuition |
Renewal & CE Requirements
Verified2 years
Renewal Period
40 hrs
EMT CE Hours
60 hrs
Paramedic CE Hours
Required
Skills Verification
NREMT Recertification Accepted for State Renewal
CE Topics
Renewal Fee
$35
Reinstatement fees $120-$300 for lapsed credentials
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
Reciprocity applicants must hold current NREMT certification, complete a 16-hour NM transition course, and pass the NM reciprocity written exam (up to 3 attempts). A 6-month temporary license is available during the reciprocity process. Reciprocity fee is $130.
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.
New Mexico reciprocity requires a 16-hour transition course plus a NM reciprocity written exam (3 attempts allowed). A 6-month temporary license is available during the reciprocity process. All applications are online-only. Minimum age is 17 for EMT-B (parental consent required if under 18), 16 for EMSFR, and 18 for EMT-I.
New Mexico requires NREMT certification for both initial certification and recertification (aligned with NREMT cycles).
Minimum age varies by level: 16 for EMSFR, 17 for EMT-B (parental consent under 18), 18 for EMT-I.
All applications are online-only; no paper applications accepted.
Reciprocity requires a 16-hour NM transition course and passing the NM reciprocity written exam (up to 3 attempts).
A 6-month temporary license is available for reciprocity applicants during the transition process.
Renewal is every 2 years with expiration on March 31.
New Mexico is NOT an EMS Compact member state.
Explore requirements for other professional licenses in New Mexico.
How this state compares to 50 others for this profession
Salary
#42 of 51
Cost
#9 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
$34,610
25th percentile
Median
$36,850
-11% vs. national avg ($41,340)Experienced
$44,710
75th percentile
Wage Distribution (Annual)
1,400 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+280% salary growth potential
You are here
EMT
$36,850
EMT-Basic course (120-150 hours) + NREMT
You are here
EMT
EMT-Basic course (120-150 hours) + NREMT
$36,850
Paramedic program (1-2 years) + NREMT-P
$50,340
Master's in PA Studies + PANCE
$139,990
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: ~null weeks
Timeline estimated from licensing requirements on this page.
Source: New Mexico Department of Health, Emergency Medical Systems Bureau — Licensing Requirements
2–6 weeks
Estimated processing time
Source: New Mexico Department of Health, Emergency Medical Systems Bureau — Licensing Requirements
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New Mexico requires NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the New Mexico Department of Health, Emergency Medical Systems Bureau.
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.