Paramedic in Nevada: Salary, License Requirements, and How to Start

Public safety

Nevada employs 950 paramedics, with a statewide median of $59,280 and wide variation by city and experience. Here is the real wage data, the exact Nevada licensing picture, and where to train.

What Paramedics Earn in Nevada (May 2025)

Nevada median pay: $59,280 (May 2025)
Starting range (10th percentile): $49,320
Experienced (75th percentile): $67,370
Top earners (90th percentile): $83,580
Employed in Nevada: 950
U.S. median (for comparison): $58,410 (May 2024)

Wages vary substantially by metro. Median annual pay for paramedics in major Nevada markets:

Reno: $64,750
Las Vegas: $59,770 (640 employed)

What That Pay Is Worth in Nevada

Prices in Nevada run right about the national average (cost-of-living index 100.0 vs a U.S. baseline of 100, 2024), so the $59,280 median holds roughly its face value.

Job Outlook in Nevada (2022–2032)

Nevada is projected to grow paramedics employment +9.1%, faster than the +5.0% projected nationally.

Nevada License and Certification Requirements

Paramedic certification — regulated by the Nevada Division of Public & Behavioral Health — Office of EMS (Clark/Washoe counties credential locally).

First earn your EMT certification.
Complete a CAAHEP-accredited paramedic program (1–2 years with field and hospital rotations).
Pass the NREMT-Paramedic exam and obtain Nevada paramedic certification (the state Office of EMS, or the Southern Nevada/Washoe health districts in the major metros).

Official requirements: Nevada Division of Public & Behavioral Health — Office of EMS (Clark/Washoe counties credential locally) →

Training in Nevada

Paramedic is the pay/scope step up from EMT. In Clark and Washoe counties, EMS credentialing runs through the county health district rather than the state.

Real training providers and registered apprenticeships in Nevada include:

Advanced Training Institute — Certificate
College of Southern Nevada — Certificate / Associate
Great Basin College — Certificate / Associate
Las Vegas College — Associate

Where Paramedics Work in Nevada

Real Nevada EMS agencies that employ paramedics include:

Nye County Ambulance - Amargosa Valley Emergency Medical Services — Amargosa Valley
Austin Volunteer Ambulance Service — Austin
White Pine County Emergency Medical Services - Baker — Baker
Battle Mountain Ambulance Service — Battle Mountain
Nye County Ambulance - Beatty — Beatty
Mercy Air Services 11 — Boulder City

Is This the Right Move for You?

Best for: Calm, service-oriented people who can handle urgent, unpredictable work.

Think twice if: You need routine hours, low stress, or low physical demand.

Why it's resilient: Emergency response depends on physical presence, judgment under pressure, patient care, and local systems.

First Steps

Start with EMT training, then compare paramedic programs and local EMS employers.

Frequently Asked Questions

How much do paramedics make in Nevada?

The median wage for paramedics in Nevada is $59,280 per year (May 2025, BLS). Entry-level pay (10th percentile) starts around $49,320, and top earners (90th percentile) make about $83,580. Pay varies by metro and years of experience.

What license or certification do you need to become a Paramedic in Nevada?

Paramedic certification, overseen by the Nevada Division of Public & Behavioral Health — Office of EMS (Clark/Washoe counties credential locally). First earn your EMT certification.

Is being a Paramedic a good career in Nevada?

Emergency response depends on physical presence, judgment under pressure, patient care, and local systems.

Which Nevada metros pay paramedics the most?

Among Nevada metro areas, Reno leads at $64,750, followed by Las Vegas ($59,770). Local pay tracks regional demand and cost of living, so the highest-paying metro isn't always the best net move.

Where can I train to become a Paramedic in Nevada?

Real Nevada options include Advanced Training Institute, College of Southern Nevada, Great Basin College. Most paramedics start with an accredited program, then earn the credential the state or employer requires.

Is Paramedic a growing career in Nevada?

Nevada projects paramedics employment to change +9.1% from 2022 to 2032 — a growing field in the state.

Sources and Verification

Wage data: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025), Nevada statewide and metro estimates for SOC 29-2043. Licensing summary compiled from the Nevada Division of Public & Behavioral Health — Office of EMS (Clark/Washoe counties credential locally) (2026-06-11). Requirements change — always confirm current rules with the board and verify program costs and outcomes before enrolling.

BLS Occupational Outlook · O*NET Nevada wages · Nevada licensing/certification source

Employment projections: Projections Central / BLS Employment Projections (2024–2034); Cost of living: BEA Regional Price Parities; Employer lists from CMS Provider of Services, the FAA Part 145 directory, EIA Form 860, and USGS/state EMS registries (2026).

Pay percentiles describe current workers, not entry-level offers; training costs and local demand vary, so verify locally before committing money or quitting a job.