Paramedic / Missouri
2026 data Missouri board official source

Missouri Paramedic License Requirements

Compiled from official public sources by the publisher.

What the state board actually requires: fees, renewal cycle, and requirements from official records.

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Provides advanced emergency medical care in the field.

What the Missouri data shows for Paramedics

Missouri sets the entry bar for paramedics at 1,470 training hours and a passing score on NREMT Paramedic Exam. A background check is a standard part of the process, and applicants must be 18 or older. The credential is administered under Missouri's licensing regime, which classifies the training track as "Paramedic Training Program".

Budget $118 to get started, plus $101 at each renewal on a 2-year cycle. Maintaining the license requires 72 hours of continuing education per 2-year cycle, an ongoing cost applicants often underestimate when budgeting the career.

On reciprocity, paramedics should know: Interstate EMS Compact: 30+ states.

Licensing Ease Score

D
Licensing Ease Score
45/100
Paramedic · Missouri

A higher score means this specific license is LESS burdensome to obtain and maintain here than the national requirement corpus, based on education hours, fees, continuing education, and experience requirements, not an overall judgment of the profession or the state.

Education & Training F
1,470 hours
Documented education/training hours required
Initial Fee D
$118
One-time application/license fee
Renewal Burden C
$51/yr
$101 every 2 years
Continuing Education F
36.0 hrs/yr
72 hours every 2 years
Experience Required A+
None required
Supervised work experience required before licensure

Licensing Requirements in Missouri

Education / Training Hours
Paramedic Training Program
1,470 hours
Exam Requirement
NREMT Paramedic Exam
Required
Initial License Fee
$118
Renewal Fee
$101
Renewal Cycle
Every 2 years
Continuing Education
72 hrs/cycle
Criminal History Check
Required
Minimum Age
18 years

Compare & Explore

Compare all states for Paramedic All Missouri licenses
Data sources: NCSL Occupational Licensing Database, Institute for Justice, state licensing boards. Verify current requirements with Missouri licensing authorities before making career decisions.

Frequently Asked Questions

What license do I need for Paramedic in Missouri? ▼
In Missouri, the license path calls for 1470 education/training hours, a passing score on NREMT Paramedic Exam, and a $118 initial fee. A criminal background check is required as well.
How do I get certified as a Paramedic in Missouri? ▼
Certification as a paramedic in Missouri means clearing the state's checklist: 1470 hours of education, and a passing exam score. The Missouri licensing board can confirm the current details.
Can I transfer my Paramedic license to Missouri from another state? ▼
Paramedic licenses generally reciprocate as follows: Interstate EMS Compact: 30+ states. Interstate licensing compacts cover many professions and can further ease a move between states. The Missouri licensing board can confirm the current rules for your credential.
Does Missouri require a background check for Paramedic licensing? ▼
Yes, Missouri requires a criminal background check as part of the paramedic licensing process. Disqualifying offenses and review criteria are determined by the state licensing board.
What are the continuing education requirements for Paramedic in Missouri? ▼
Missouri ties continued paramedic licensure to 72 continuing-education hours, due every 2 years, alongside a $101 renewal fee.

Related Guides

What to do with this paramedic license

Paramedic in Missouri, with a documented reciprocity path, is one requirement row in a paramedic-wide, 50-state comparison.

  • See how Missouri's paramedic requirements compare to every other state before relocating. Paramedic in every state
  • Confirm whether your out-of-state paramedic license transfers under an interstate compact before starting a new application. Reciprocity guide
  • See how Missouri's overall licensing burden compares to other states, not just this one profession. Missouri overview

Requirements shown are compiled from NCSL and Institute for Justice research; verify current rules with the Missouri licensing board before making career decisions.

Source: NCSL Occupational Licensing Database, Institute for Justice License to Work (3rd Ed.), state licensing board websites

According to the National Conference of State Legislatures and the Institute for Justice, the PlainCredential comparison corpus (current as of May 15, 2026) maps 4,947 state licensing requirement records; see the methodology.

Read our methodology - how this data is sourced, computed, and verified.