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Verified by ND Board of Healthcare

EMT/Paramedic Licensing in North Dakota

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

Last verified: Feb 18, 2026

Current

Application Fee

See agency

Exam Requirement

Third-party exam required

Renewal Cycle

See board renewal rules

Licensing Blueprint for EMT/Paramedic in North Dakota

Estimated timeline: Varies by board

Core Requirements

  1. 1

    Education: Specific course required.

  2. 2

    Experience: Work experience required.

  3. 3

    Background/Criminal Review: Specific type of conviction prohibited.

  4. 4

    Physical Requirement: Some physical requirements.

  5. 5

    Certification: Certification required.

  6. 6

    License Type: Stand-alone license.

  7. 7

    For more information about the licensing process, including application and renewal fees, please check with the licensing authority.

Exam and processing details

  • Third-party exam required

Continuing education and program notes

  • Continuing education required to maintain license

Application Snapshot

  1. Licensing Authority

    ND Department of Health and Human Services

  2. Current Filing Fee

    See agency

  3. Renewal Cycle

    See board renewal rules

  4. Salary Position

    $59,950 median (3% above national)

  5. State Salary Rank

    #19 of 50 states

Step-by-Step Process (7)

  1. 1. Meet North Dakota eligibility requirements for EMT/Paramedic licensure.
  2. 2. Complete required education or training: Specific course required.
  3. 3. Document required supervised experience: Work experience required.
  4. 4. Pass required examination steps: Third-party exam required.
  5. 5. Prepare supporting documentation (background check: Specific type of conviction prohibited; Background/Criminal Review: Specific type of conviction prohibited.; For more information about the licensing process, including application and renewal fees, please check with the licensing authority.).
  6. 6. Submit the application to ND Department of Health and Human Services and monitor board communications.
  7. 7. Maintain post-licensure compliance (continuing education: Continuing education required to maintain license).

Salary Insights in North Dakota

With a median salary of $59,950, EMT/Paramedics in North Dakota earn 3% above the national median of $58,410. North Dakota ranks #19 among 50 states. The typical licensing timeline is Varies by board.

State Hiring Climate (QCEW)

Rising

QoQ Employment Change

+2.8%

Average Weekly Wage

$1,258

Median annual salary

$59,950

Hourly estimate

$28.82
3% above national median

Difference: +$1,540

Percentile Distribution

Annual compensation
  • P1010th percentile$48,860
  • P2525th percentile$59,570
  • P50Median$59,950
  • P7575th percentile$61,350
  • P9090th percentile$69,930

State vs National Median

State: $59,950
National: $58,410

Total employment: 180 | Annual openings: N/A

EMT/Paramedic Salary Ranking

#19 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
North Dakota$59,950Specific course requiredThird-party exam requiredVaries by board
Minnesota$68,000Varies by state boardState-approved exam1 month
South Dakota$48,070Varies by state boardState-approved examVaries by board
Montana$49,360Specific course requiredThird-party exam requiredVaries by board

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
North Dakota50LowState-specific exam conditions may apply. Documented experience may be required.
Minnesota78HighBoard-specific review required.
South Dakota78HighBoard-specific review required.
Montana50LowState-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

ND Department of Health and Human Services

1720 Burlington Dr, Bismarck, ND, 58504-0200

Phone: 7013282372

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FAQ

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

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 North Dakota?

North Dakota lists Third-party exam required as part of the licensure process for EMT/Paramedics.

What education do you need to become a EMT/Paramedic in North Dakota?

The board typically expects Specific course required for EMT/Paramedic licensure in North Dakota.

What is the typical EMT/Paramedic salary in North Dakota?

The median annual salary for EMT/Paramedics in North Dakota is $59,950. Salaries range from $48,860 (10th percentile) to $69,930 (90th percentile).

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

EMT/Paramedics in North Dakota earn 3% above the national median of $58,410, with a state median of $59,950.

How many EMT/Paramedics work in North Dakota?

North Dakota employs approximately 180 EMT/Paramedics according to BLS data.

Can I transfer my EMT/Paramedic license to North Dakota 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 North Dakota?

The licensing agency is ND Department of Health and Human Services. Review agency details at https://www.health.nd.gov/regulation-licensure.

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

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