Paramedic License in Missouri
Quick Answer
Missouri paramedic licensure requires completing an EMT-Basic and accredited Paramedic program, then passing National Registry advanced-level practical and written exams.
- Exam
- NREMT Paramedic Examination
- Timeline
- 12-18 months
- Background Check
- Required
- Renewal
- Every Every 2 years
Requirements
Paramedic license in Missouri
Paramedic Salary in Missouri
Entry Level
$40,560
Median
$55,600
Experienced
$73,060
Source: Bureau of Labor Statistics. Salary data is for informational purposes only.
How to Get Licensed
Step-by-step roadmap to becoming a licensed Paramedic in Missouri.
- 1
Complete Education Requirements
Degree required
- 2
Submit Background Check
No criminal record prohibitions
- 3
Pass the Required Exam
Both state and third-party exams required — NREMT Paramedic Examination
- 4
Submit Your Application
File your application with the licensing agency.
- 5
Receive Your License
Processing typically takes 12-18 months.
Paramedic Licensing in Missouri: What to Know
Missouri licenses paramedics through the Department of Health and Senior Services, Bureau of Emergency Medical Services. Applicants must have completed a current EMT-Basic training program and an accredited EMT-Paramedic program, as well as pass the National Registry Advanced Level practical and written examinations. Missouri requires both state and third-party exams, continuing education, and prior EMT training. Paramedics in Missouri operate under a scope of practice that includes advanced airway management, IV/IO therapy, cardiac monitoring, defibrillation, and medication administration.
Frequently Asked Questions
- How long does it take to get a Paramedic license in Missouri?
- The process typically takes 12-18 months, depending on education completion and exam scheduling.
- What exam do I need for a Paramedic license in Missouri?
- You need to pass the NREMT Paramedic Examination. Both state and third-party exams required
Considering another state?
Compare Paramedic requirements across states.
View all states →Data from CareerOneStop (DOLETA/DEED). Last updated: February 15, 2026.