Application Fee
See agencyVerified by MO Board of Healthcare
EMT/Paramedic Licensing in Missouri
Review current requirements, exam details, renewal cycle, and salary outlook for emt/paramedic in Missouri, including See agency and board contact links.
Last verified: Feb 12, 2026
Exam Requirement
Both state and third-party exams requiredRenewal Cycle
See board renewal rulesLicensing Blueprint for EMT/Paramedic in Missouri
Estimated timeline: 6-24 monthsCore Requirements
- License Type: Stand-alone license
- Education: Degree required
- Examination: Both state and third-party exams required
- Application Fee: See agency
- Experience: Work experience required
- Background Check: No criminal record prohibitions
- Continuing Education: Continuing education required to maintain license
Application Snapshot
- Licensing Authority
Department Of Health and Senior Services • Emergency Medical Services, Bureau of • Emergency Medical Services, Bureau of
- Current Filing Fee
See agency
- Renewal Cycle
See board renewal rules
- Salary Position
$55,600 median (5% below national)
- State Salary Rank
#28 of 50 states
Step-by-Step Process (4)
- 1. Meet baseline eligibility requirements.
- 2. Complete approved education/training requirements.
- 3. Pass required exam(s) and submit application.
- 4. Maintain and renew license according to board rules.
Salary Insights in Missouri
With a median salary of 55,600, EMT/Paramedics in Missouri earn 5% below the national median of $58,410. Missouri ranks #28 among 50 states. The typical licensing timeline is 6-24 months.
Median annual salary
$55,600Hourly estimate
$26.735% below national median
Difference: -$2,810
Percentile Distribution
Annual compensationEMT/Paramedic Salary Ranking
#28 of 50 statesfor EMT/Paramedic median salary
| Rank | State | Median Salary |
|---|---|---|
| #1 | Washington | 100,780 |
| #2 | New Jersey | 80,100 |
| #3 | Connecticut | 75,400 |
| #4 | Oregon | 73,380 |
| #5 | California | 72,180 |
Nearby States Comparison
EMT/Paramedic licensing across the region| State | Median Salary | Education | Exam | Timeline |
|---|---|---|---|---|
| Missouri | $55,600 | Degree required | Both state and third-party exams required | 6-24 months |
| Iowa | $53,470 | Specific course required | Third-party exam required | 6-24 months |
| Illinois | $59,110 | Varies by state board | State-approved exam | 6-24 months |
| Kentucky | $47,650 | Specific course required | Both state and third-party exams required | 6-24 months |
| Tennessee | $52,860 | Specific course required | Third-party exam required | 6-24 months |
| Arkansas | $45,710 | Specific course required | Third-party exam required | 6-24 months |
| Oklahoma | $47,890 | Specific course required | Third-party exam required | 6-24 months |
| Kansas | $49,090 | Specific course required | Third-party exam required | 6-24 months |
| Nebraska | $54,170 | Varies by state board | State-approved exam | 6-24 months |
License by Endorsement
Transfer requirements are state-specific. Use this quick matrix as a planning signal, then verify final endorsement rules with each board.
| State | Reciprocity Score | Tier | Notes |
|---|---|---|---|
| Missouri | 50 | Low | State-specific exam conditions may apply. Documented experience may be required. |
| Iowa | 58 | Medium | State-specific exam conditions may apply. Background check or criminal history review is indicated. |
| Illinois | 78 | High | Board-specific review required. |
| Kentucky | 50 | Low | State-specific exam conditions may apply. Documented experience may be required. |
| Tennessee | 62 | Medium | State-specific exam conditions may apply. Background check or criminal history review is indicated. |
| Arkansas | 50 | Low | State-specific exam conditions may apply. Documented experience may be required. |
- License status indicator: Active.
- Continuing education indicator: Continuing education required to maintain license.
- Reciprocity and transfer rules vary by state board. Verify directly with the agency.
Official Licensing Agency
Department Of Health and Senior Services • Emergency Medical Services, Bureau of • Emergency Medical Services, Bureau of
1617 Southridge Drive, P.O Box 570, Jefferson City, MO, 65109-0423
Phone: 5737516356ext5737516400
Related Careers in Missouri
| Profession | Median Salary | Education | Timeline |
|---|---|---|---|
| Audiologist | $87,840 | Degree required | 6-24 months |
| Chiropractor | $61,020 | Degree required | 6-24 months |
| Clinical Lab Technologist | $57,460 | Degree required | 6-24 months |
| Dental Assistant | $45,220 | Degree required | 6-24 months |
FAQ
How long does it take to become a EMT/Paramedic in Missouri?
Most applicants finish the licensing path in about 6-24 months, but timing can change based on education track, exam scheduling, and board processing.
What exams are required for EMT/Paramedics in Missouri?
Missouri lists Both state and third-party exams required as part of the licensure process for EMT/Paramedics.
What education do you need to become a EMT/Paramedic in Missouri?
The board typically expects Degree required for EMT/Paramedic licensure in Missouri.
What is the typical EMT/Paramedic salary in Missouri?
The median annual salary for EMT/Paramedics in Missouri is 55,600. Salaries range from $40,560 (10th percentile) to $73,060 (90th percentile).
How does the EMT/Paramedic salary in Missouri compare to the national average?
EMT/Paramedics in Missouri earn 5% below the national median of $58,410, with a state median of 55,600.
How many EMT/Paramedics work in Missouri?
Missouri employs approximately 2,800 EMT/Paramedics according to BLS data.
Can I transfer my EMT/Paramedic license to Missouri from another state?
Transfer requirements vary by board. License status indicator: Active. Continuing education indicator: Continuing education required to maintain license. Reciprocity and transfer rules vary by state board. Verify directly with the agency.
Who is the licensing agency for EMT/Paramedics in Missouri?
The licensing agency is Department Of Health and Senior Services / Emergency Medical Services, Bureau of / Emergency Medical Services, Bureau of. Review agency details at http://www.dhss.mo.gov/.