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 18, 2026
Current
Exam Requirement
Both state and third-party exams requiredRenewal Cycle
See board renewal rulesLicensing Blueprint for EMT/Paramedic in Missouri
Estimated timeline: Varies by boardCore Requirements
- 1
Education: Degree required.
- 2
Experience: Work experience required.
- 3
Background/Criminal Review: No criminal record prohibitions.
- 4
License Type: Stand-alone license.
- 5
Applicants for paramedics must have completed a current EMT-Basic training program, and an accredited EMT-Paramedic program, as well as completing the National Registry Advance Level Practical and Written Examinations.
Exam and processing details
- National Registry Advance Level Practical and Written Examinations
Continuing education and program notes
- 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 (7)
- 1. Meet Missouri eligibility requirements for EMT/Paramedic licensure.
- 2. Complete required education or training: Degree required.
- 3. Document required supervised experience: Work experience required.
- 4. Pass required examination steps: Both state and third-party exams required National Registry Advance Level Practical and Written Examinations.
- 5. Prepare supporting documentation (background check: No criminal record prohibitions; Background/Criminal Review: No criminal record prohibitions.).
- 6. Submit the application to Department Of Health and Senior Services~Emergency Medical Services, Bureau of~Emergency Medical Services, Bureau of and monitor board communications.
- 7. Maintain post-licensure compliance (continuing education: Continuing education required to maintain license).
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 Varies by board.
State Hiring Climate (QCEW)
RisingQoQ Employment Change
+2%Average Weekly Wage
$1,232Median 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 | Varies by board |
| Iowa | $53,470 | Specific course required | Third-party exam required | Varies by board |
| Illinois | $59,110 | Varies by state board | State-approved exam | Varies by board |
| Kentucky | $47,650 | Specific course required | Both state and third-party exams required | Varies by board |
| Tennessee | $52,860 | Specific course required | Third-party exam required | 1-18 years |
| Arkansas | $45,710 | Specific course required | Third-party exam required | Varies by board |
| Oklahoma | $47,890 | Specific course required | Third-party exam required | Varies by board |
| Kansas | $49,090 | Specific course required | Third-party exam required | Varies by board |
| Nebraska | $54,170 | Varies by state board | State-approved exam | 1-18 years |
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
Official website verified
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 |
|---|---|---|---|
| Acupuncturist | $80,360 | Degree required | Varies by board |
| Anesthesiologist | N/A | Degree required | Varies by board |
| Athletic Trainer | $54,340 | Degree required | Varies by board |
| Audiologist | $87,840 | Degree required | Varies by board |
FAQ
How long does it take to become a EMT/Paramedic in Missouri?
Most applicants finish the licensing path in about Varies by board, 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/.
How often do you renew a EMT/Paramedic license in Missouri?
Current guidance indicates a renewal cycle of See board renewal rules.