National Registry of Emergency Medical Technicians (NREMT) Information

Initial cognitive examination for certification

Taken at the conclusion of an approved Washington State EMS course

Steps to sign up for cognitive assessment exam with a Pearson Vue test site:

Log into www.NREMT.org If you have problems logging into your NREMT account, contact NREMT at 1-855-460-6211.
Under my current role, select candidate.
Click on create certification application and then verify personal information.
Complete program details tabs.
Complete Disciplinary actions tab.
Then choose your level of examination.
Complete attestations and payment.
Your training program director will approve you to take the computer adaptive test (CAT) onsite at a Pearson Vue test site or via an online option (online proctored option not available for Paramedic level).

Cognitive assessment examination

Taken by EMS providers to meet educational requirements listed in WAC 246-976-162

Steps to sign up for cognitive assessment exam with a Pearson Vue test site:

Log into www.NREMT.org If you have problems logging into your NREMT account, contact NREMT at 1-855-430-6211.
Under my current role, select candidate.
Select create certification application.
Under the choose your path. Select proficiency evaluation.
Choose the level of the exam you want to take.
Verify information.
Under proficiency evaluation tab.
- For state office, select Washington (if you choose anything else it will not get to WA for approval).
- Choose your reason to test.
Complete the attestation and payment.
Your application will be reviewed by NREMT and then WA DOH EMS for approval.

Helpful tips

Once you have submitted your assessment exam request, allow 24-48 business hours for approval.
You will need to log back in to NREMT to check the status of your application. You will not get an automatic reply from the NREMT website alerting you that your request has been approved.
Once approved you will need to login to get your authorization to test (ATT)
If you need to retake the exam, please repeat your initial process.
Once you have passed the exam you will need to notify the Washington Department of Health Office of Customer Service at 360-236-4859 or submit results with your certification application.

Psychomotor Examination

Initial basic level practical skill examination

NREMT basic level examinations are administered at the conclusion of Washington State approved emergency medical responders (EMR) and emergency medical technicians (EMT) courses. These examinations are conducted through state-approved training programs.

Basic level practical skill assessment examination and refresher courses for recertification

Basic skill assessment exams and refresher courses are routinely held to assist providers who need to meet requirements for NREMT recertification. Please contact a program below to arrange to attend a refresher course or a skills assessment.

Meeting Date and Time	Location	Contact Information
Providence Health Training Varies	Spokane, WA	healthtraining.wa@providence.org

Intermediate and advanced level practical skills examination

NREMT intermediate and advanced level skill examinations are routinely administered at the conclusion of an advanced emergency medical technician (AEMT) or paramedic course. More information is on the Washington State Approved Paramedic Training Programs webpage. These examinations are normally closed to individuals not enrolled in the training program. Please contact the individual training programs for additional information.

Vouchers for NREMT initial cognitive certification examination

Update October 2025: We currently have a limited number of EMT vouchers and will prioritize distribution based on need.

National Registry initial cognitive exams for rural EMS providers in Washington State is a program designed to reduce exam costs for initial certification for students testing at the Emergency Medical Responder (EMR), Emergency Medical Technicians (EMT), and Advanced Emergency Medical Technician (AEMT) levels.

Students must have an affiliation agency in a rural area. The vouchers are distributed on a first come – first served basis with consideration given to availability of other financial resources, volunteer status, and requests per agency.

If your agency has any interested EMR, EMT, or AEMT students, please fill out the application found in the “Documents” section below and return the completed application to our EMS office three weeks prior to course completion.

The voucher program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the Medicare Rural Hospital Flexibility Program. Voucher availability is contingent on available funding.

Documents

Guidance documents

Guideline for state and local topic areas for NREMT NCCP recertification (PDF)