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Verified by NE Board of Healthcare

EMT/Paramedic Licensing in Nebraska

Review current requirements, exam details, renewal cycle, and salary outlook for emt/paramedic in Nebraska, including See agency and board contact links.

Last verified: Feb 18, 2026

Current

Application Fee

See agency

Exam Requirement

State-approved exam

Renewal Cycle

See board renewal rules

Licensing Blueprint for EMT/Paramedic in Nebraska

Estimated timeline: 1-18 years

Core Requirements

  1. 1

    Complete an approved training program5

  2. 2

    Education: Varies by state board.

  3. 3

    License Type: Stand-alone license.

  4. 4

    Complete an approved training program5.

  5. 5

    Successfully pass the examination appropriate to the level of certification being sought.6.

  6. 6

    B a citizen of the United States, an alien lawfully admitted into the United States who is eligible for a credential under the Uniform Credentialing Act, or a nonimmigrant whose visa for entry, or application for visa for entry, is related to such employment in the United States.7.

  7. 7

    (Emergency Medical Technicians, Advanced Emergency Medical Technicians, and Paramedics Only): Have a fingerprint criminal background check through the Nebraska State Patrol.

  8. 8

    No fee for initial or renewal at any license level.

  9. 9

    Renewal.

Exam and processing details

  • pass the examination appropriate to the level of certification being sought

Continuing education and program notes

  • certification being sought

Application Snapshot

  1. Licensing Authority

    Nebraska Dept. of Health & Human Services • Division of Public Health, Office of Emergency Health Systems • Division of Public Health, Office of Emergency Health Systems

  2. Current Filing Fee

    See agency

  3. Renewal Cycle

    See board renewal rules

  4. Salary Position

    $54,170 median (7% below national)

  5. State Salary Rank

    #29 of 50 states

Step-by-Step Process (5)

  1. 1. Confirm eligibility prerequisites (B a citizen of the United States, an alien lawfully admitted into the United States who is eligible for a credential under the Uniform Cr...).
  2. 2. Complete required education or training (Complete an approved training program5).
  3. 3. Pass required examination steps: pass the examination appropriate to the level of certification being sought.
  4. 4. Prepare supporting documentation (B a citizen of the United States, an alien lawfully admitted into the United States who is eligible for a credential under the Uniform Cr...; (Emergency Medical Technicians, Advanced Emergency Medical Technicians, and Paramedics Only): Have a fingerprint criminal background chec...).
  5. 5. Submit the application to Nebraska Dept. of Health & Human Services~Division of Public Health, Office of Emergency Health Systems~Division of Public Health, Office of Emergency Health Systems and monitor board communications.

Salary Insights in Nebraska

With a median salary of $54,170, EMT/Paramedics in Nebraska earn 7% below the national median of $58,410. Nebraska ranks #29 among 50 states. The typical licensing timeline is 1-18 years.

State Hiring Climate (QCEW)

Rising

QoQ Employment Change

+2.2%

Average Weekly Wage

$1,157

Median annual salary

$54,170

Hourly estimate

$26.04
7% below national median

Difference: -$4,240

Percentile Distribution

Annual compensation
  • P1010th percentile$44,990
  • P2525th percentile$48,330
  • P50Median$54,170
  • P7575th percentile$64,160
  • P9090th percentile$73,940

State vs National Median

State: $54,170
National: $58,410

Total employment: 460 | Annual openings: N/A

EMT/Paramedic Salary Ranking

#29 of 50 statesfor EMT/Paramedic median salary
RankStateMedian Salary
#1Washington$100,780
#2New Jersey$80,100
#3Connecticut$75,400
#4Oregon$73,380
#5California$72,180

Nearby States Comparison

EMT/Paramedic licensing across the region
StateMedian SalaryEducationExamTimeline
Nebraska$54,170Varies by state boardState-approved exam1-18 years
South Dakota$48,070Varies by state boardState-approved examVaries by board
Iowa$53,470Specific course requiredThird-party exam requiredVaries by board
Missouri$55,600Degree requiredBoth state and third-party exams requiredVaries by board
Kansas$49,090Specific course requiredThird-party exam requiredVaries by board
Colorado$64,690Degree requiredThird-party exam requiredVaries by board
Wyoming$61,600Specific course requiredState exam required1-2 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.

StateReciprocity ScoreTierNotes
Nebraska78HighBoard-specific review required.
South Dakota78HighBoard-specific review required.
Iowa58MediumState-specific exam conditions may apply. Background check or criminal history review is indicated.
Missouri50LowState-specific exam conditions may apply. Documented experience may be required.
Kansas50LowState-specific exam conditions may apply. Documented experience may be required.
Colorado60MediumState-specific exam conditions may apply. Documented experience may be required.
  • License status indicator: Active.
  • Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Official Licensing Agency

Official website verified

Nebraska Dept. of Health & Human Services • Division of Public Health, Office of Emergency Health Systems • Division of Public Health, Office of Emergency Health Systems

P.O Box 95026, 301 Centennial Mall S, Lincoln, NE, 68509

Phone: 4022470371

Related Careers in Nebraska

ProfessionMedian SalaryEducationTimeline
Acupuncturist$78,140Varies by state board1-19 years
Anesthesiologist$389,480Varies by state board1-10 years
Athletic Trainer$57,430Varies by state board1-2 years
Audiologist$85,820Varies by state boardVaries by board

FAQ

How long does it take to become a EMT/Paramedic in Nebraska?

Most applicants finish the licensing path in about 1-18 years, but timing can change based on education track, exam scheduling, and board processing.

What is the typical EMT/Paramedic salary in Nebraska?

The median annual salary for EMT/Paramedics in Nebraska is $54,170. Salaries range from $44,990 (10th percentile) to $73,940 (90th percentile).

How does the EMT/Paramedic salary in Nebraska compare to the national average?

EMT/Paramedics in Nebraska earn 7% below the national median of $58,410, with a state median of $54,170.

How many EMT/Paramedics work in Nebraska?

Nebraska employs approximately 460 EMT/Paramedics according to BLS data.

Can I transfer my EMT/Paramedic license to Nebraska from another state?

Transfer requirements vary by board. License status indicator: Active. Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Who is the licensing agency for EMT/Paramedics in Nebraska?

The licensing agency is Nebraska Dept. of Health & Human Services / Division of Public Health, Office of Emergency Health Systems / Division of Public Health, Office of Emergency Health Systems. Review agency details at https://dhhs.ne.gov/ems.

How often do you renew a EMT/Paramedic license in Nebraska?

Current guidance indicates a renewal cycle of See board renewal rules.