✓ CAPCE Accepted2-Year Cycle

⚠ Axene covers most requirements — see gaps below

North Dakota EMS Recertification Requirements

Complete 2026 guide to CE requirements in North Dakota for EMR, EMT, AEMT, and Paramedic certification levels. Regulated by the North Dakota Department of Health and Human Services, Division of Emergency Medical Services and Trauma.

Best Value

All-Access Subscription

$175/year

All 170+ courses — covers way more than your North Dakota hours

Subscribe Now

CE Requirements

Continuing Education Hours by Level

Level	CE Hours	Cycle
EMR	16	2 years
EMT	40	2 years
AEMT	50	2 years
Paramedic	60	2 years

Topic Distribution Requirements

None beyond NCCP components (national: e.g., airway, cardio, medical, ops, trauma, peds 10%; local/individual: flexible EMS-related)

Accepted CE Providers

Follows department EMS instructor handbook policy; DEMS approves specific trainings

Important Notes

State licensure needs affiliation with ND EMS operation or ND physician MD direction; ALS forms require MD signature; community roles need extra MD-approved clinical CE (12-18 hrs); CE per instructor handbook

Special State Requirements

Axene Coverage Report

CE coverage analysis for North Dakota

Renewal Hour Requirements & Axene Coverage

Level	Required	Axene Hrs	Scope	Status
EMR	16 hrs	76.5 hrs	BLS	✓ SURPLUS
EMT	40 hrs	76.5 hrs	BLS	✓ SURPLUS
AEMT	50 hrs	167.5 hrs	ALL	✓ SURPLUS
Paramedic	60 hrs	167.5 hrs	ALL	✓ SURPLUS

EMR

16 hrs required · BLS

76.5 hrs

✓ SURPLUS

EMT

40 hrs required · BLS

76.5 hrs

✓ SURPLUS

AEMT

50 hrs required · ALL

167.5 hrs

✓ SURPLUS

Paramedic

60 hrs required · ALL

167.5 hrs

✓ SURPLUS

BLS scope: 80 courses / 76.5 hrs. ALL scope: 173 courses / 167.5 hrs.

Axene Course Library

Medical

~58 hrs

Trauma

~39 hrs

Operations

~35 hrs

Cardiology

~19 hrs

Airway

~18 hrs

Universal Mandates (All States)

10% Pediatric Content (NCCP)

Varies by level

7001 Pediatric Respiratory A&P 7002 Pediatric Respiratory Emergencies 7003 Pediatric Cardiac Arrest

Covered

Requirements last verified: April 7, 2026

Cover All Your North Dakota CE Requirements

One annual subscription. Unlimited CAPCE-accredited courses. Everything you need to meet North Dakota's CE requirements — for just $175/year.

Subscribe — $175/yr Browse Courses

Cancel anytime. Instant access to all courses.

Course Finder

Build Your North Dakota CE Plan

Select your certification level, enter completed hours by category, and get a personalized course plan with pricing.

State

Level

Hours

Plan

What's your certification level?

Showing requirements for North Dakota

State EMS Office

North Dakota Department of Health and Human Services, Division of Emergency Medical Services and Trauma

Website: Visit Official Site

Official Resources

FAQs

Frequently Asked Questions

North Dakota EMS providers renew every 2 years. Required CE hours: EMR: 16 hours EMT: 40 hours AEMT: 50 hours Paramedic: 60 hours

Yes. North Dakota accepts CAPCE-accredited courses. Axene CE courses are CAPCE-accredited and count toward your renewal.

Varies by certification level. Check with your state EMS office.

NCCP national (e.g., airway, cardiac, trauma, operations, pediatrics), local/state, individual components related to EMS patient care

Axene Continuing Education, LLC offers CEUs for EMS providers in most states. Continuing education requirements vary by state and may change. Users are responsible for verifying requirements with their agency and/or state EMS office, including whether specific courses are required for the local/state NREMT component. Where specific education is not mandated, required hours are considered flexible but must be directly related to EMS patient care. We do our best to keep information current — please check with your state EMS representative for the most up-to-date recertification information.

Axene CE is Accepted in North Dakota

All our courses are CAPCE-accredited and meet North Dakota's CE requirements. Get unlimited access with an annual subscription.

Subscribe — $175/yr All States