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Paramedic — EMS
Total cost: $275
Governing Authority
Wyoming Department of Health - Office of Emergency Medical Services
Official website →Yes
NREMT Required
Member
EMS Compact
48 hrs
CE Hours
$275
Total Fees
Required
Medical Direction
Yes
RSI Permitted
Paramedic Program & Clinical Training
VerifiedDegree Required
Certificate or Associates degree
Program Accreditation
CAAHEP accreditation or CoAEMSP Letter of Review
Program Length
12-24 months
Prerequisite
EMT certification required
Clinical Hours
500 hrs
Field Internship Hours
500 hrs
Paramedic programs are accredited by CoAEMSP (Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions) through CAAHEP. Programs typically require EMT-Basic certification as a prerequisite and include extensive clinical rotations and field internship hours.
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Certification Exam Requirements
VerifiedNREMT Required
National Registry of Emergency Medical Technicians
Unified computer-adaptive Paramedic Certification Examination since July 1, 2024, replacing former separate cognitive and psychomotor exams
Cognitive Format
Not Required
Psychomotor Exam
$110
NREMT Fee
State Exam
Not Required
Jurisprudence Exam
Not Required
Retake Policy
NREMT allows 3 attempts within 24 months; remedial training required after 3rd failure
The NREMT Paramedic exam consists of a computer adaptive test (CAT) covering airway, breathing, cardiology, trauma, medical emergencies, and EMS operations. Most states require NREMT certification for initial licensure. Some states also require a psychomotor skills exam and/or a state-specific jurisprudence exam.
Overall licensing difficulty: 12/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NREMT Paramedic (EMT-P) Exam
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Paramedic 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 Paramedic Cognitive Exam
Questions
150 questions
Time Limit
2 hours 30 minutes
Format
Unified computer-adaptive Paramedic Certification Examination since July 1, 2024, replacing former separate cognitive and psychomotor exams
How long should you study? Most candidates study 2–4 weeks before taking the NREMT Paramedic Cognitive Exam.
Study guides and practice tests for the NREMT Paramedic certification exam.
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State Protocols & Medical Direction Requirements
VerifiedState Protocols
Statewide Protocols
Medical Direction
Required
Online Medical Direction
Real-time physician consultation for non-standing-order situations
Offline Medical Direction
Physician-approved standing orders and protocols
Protocol Details
Wyoming maintains state EMS protocols; local medical directors may expand or restrict scope within state guidelines
Paramedics operate under medical direction from a licensed physician. Online (direct) medical direction involves real-time communication with a physician, while offline (indirect) medical direction includes standing orders and protocols. Some states maintain statewide protocols, while others allow local or regional EMS agencies to establish their own.
Paramedic Practice Capabilities
VerifiedYes
Advanced Airway
Yes
IV Access
Yes
Medication Admin
Yes
Cardiac Monitoring
Yes
Defibrillation
Yes
Cardioversion
Yes
Needle Decompression
No
Chest Tubes
Yes
RSI Permitted
No
Blood Products
Yes
Telehealth
Restricted Activities
Paramedic scope of practice includes advanced life support skills such as advanced airway management, IV/IO access, medication administration, cardiac monitoring, and defibrillation. Advanced procedures like RSI (rapid sequence intubation), chest tubes, and blood product administration vary by state and require specific medical direction authorization.
| Fee | Amount |
|---|---|
Application Fee | $50 |
NREMT Fee NREMT Paramedic cognitive exam fee | $110 |
License Fee | $0 |
Background Check Fee | $50 |
Renewal Fee | $50 |
Total Initial Fees Includes application, NREMT exam (if applicable), license, and background check fees | $275 |
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Renewal & CE Requirements
Verified2 years
Renewal Period
48 hrs
CE Hours Required
Required
NREMT Recertification
Required CE Topics
Renewal Fee
$50
Regulatory Board
Paramedic licenses must be renewed on schedule with the state EMS office. Most states require continuing education hours covering topics such as trauma, cardiac emergencies, pediatrics, and pharmacology. Many states also require maintaining active NREMT certification for renewal.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
EMS Compact (REPLiCATE)
Member State
NREMT Reciprocity
Accepted
Endorsement Available
Yes
Reciprocity Requirements
The Recognition of EMS Personnel Licensure Interstate CompAct (REPLiCATE) allows paramedics to practice across state lines in member states. For non-compact states, paramedics must apply for licensure by endorsement, which typically requires active NREMT certification and meeting state-specific requirements.
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Wyoming requires at least 1 year of EMT experience before admission to paramedic programs. All applications processed through the Online Wyoming Licensing System (OWLS) at owls.wyo.gov.
Requires 1 year EMT experience before paramedic program.
Applications through OWLS at owls.wyo.gov.
Programs must be CAAHEP-accredited or have CoAEMSP Letter of Review.
Wyoming is a member of the EMS Compact (REPLICA).
60 hours CE per 2-year cycle.
Paramedic requirements in nearby states
Other professional licenses in Wyoming
See how Wyoming compares: Paramedic License Fees by State — Cheapest to Most Expensive →
✓ REPLICA Compact State — Wyoming is a member of the EMS Compact (REPLICA). Licensed paramedics from other member states may be eligible for expedited practice privileges.
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Paramedic Schools in Wyoming
Compare approved training programs, costs, and requirements.
Moving to Wyoming? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your Paramedic license to Wyoming →
Transfer your Paramedic license from Wyoming to: Colorado → | Idaho → | Montana → | Nebraska → | South Dakota → | Utah →
Wyoming requires NREMT certification for paramedic licensure. As an EMS Compact member, Wyoming allows paramedics from other compact states to practice across state lines. All licensing is managed through the Wyoming Department of Health - Office of Emergency Medical Services.
Requirements vary by state. Always verify current requirements with your state EMS authority.