The National Registry Of Emergency Medical Technicians Inc.

The National Registry Of Emergency Medical Technicians Inc., doing business as National Registry-Emergency, is a non-profit organization headquartered in Columbus, Ohio, that serves as the national certification body for emergency medical services professionals and operates as a prime contractor delivering emergency medical technician (EMT), National Registry Paramedic (NRP), and Emergency Medical Responder (EMR) certification, testing, and recertification services exclusively to the Department of Defense and affiliated military medical training commands. The vendor competes full-and-open (no set-aside designations across the footprint) and holds no subcontract positions of material scale — 99% of its 173 recent awards are prime contracts or IDCs.

National Registry-Emergency's federal portfolio centers on four concrete service lines grounded in its award history. It administers initial EMT certification exams and processes application packages for military trainees, as documented across Defense Health Agency awards for Medical Education and Training Campus (METC) support, including a $2.413 million definitive contract running through April 2031 for comprehensive testing and certification services at Joint Base San Antonio-Fort Sam Houston. It delivers NRP initial and recertification services, exemplified by a $186,866 Army delivery order (January 2026) and a $2.566 million single-award IDC with the Army and United States Special Operations Command (ceiling through December 2029) to credential paramedics at Fort Liberty, North Carolina. It supplies certification vouchers for EMR and EMT testing, as shown by repeated Air Education and Training Command purchases — a $250,000 purchase order (September 2024) for 2,750 fire and emergency services testing vouchers, and a $1.76 million single-award IDC with AETC (ceiling through March 2030) for ongoing EMR voucher procurement. It performs recertification processing and examination grading for active-duty and training personnel, documented by a $441,150 Army Training and Doctrine Command delivery order (September 2024) for EMT recertification services and a $1.348 million single-award IDC with TRADOC (ultimate completion October 2026) supporting annual volumes of approximately 715 initial EMT certifications, 875 initial NRP certifications, and 2,137 recertification transactions.

Customer concentration runs heavily toward Army training and medical readiness commands. Department of the Army Training and Doctrine Command (TRADOC) anchors the portfolio with 29 awards worth $17.3 million combined potential value — 38% of total dollars. The Defense Health Agency follows with 11 awards worth $11.4 million, reflecting METC's role as the military's primary medical training facility. The Air Education and Training Command places 15 awards worth $5.7 million for EMR vouchers supporting medical education across the Air Force. A third ranking — by award count — surfaces the Department of the Navy Bureau of Medicine and Surgery with 39 small awards (combined potential value $15 thousand), indicating transactional volume without material dollar exposure. The top five customers by potential value account for 88% of the combined $45.3 million portfolio.

National Registry-Emergency holds five active IDC vehicles that structure its delivery orders. The Army's TRADOC Indefinite Delivery Contract W81K0409D0110 (ceiling $1.348 million through October 2026, though substantially obligated) has issued 13 task orders worth $3.8 million combined potential value. The Air Education and Training Command's IDC FA301620D0001 (ceiling $1.76 million through March 2030) has generated 9 task orders worth $2.4 million. A more recent Army-USSOCOM joint IDC carries a $2.566 million ceiling through December 2029 and includes dual-agency authorization for EMT and NRP certifications. The Defense Health Agency's H9223920D0001 and Army's W81K0404D0022 account for an additional 16 task orders worth roughly $2.1 million combined. No GWACs or government-wide vehicles appear in the award stream; all work flows through military command-specific single-award IDCs.

Activity has grown unevenly in recent years — six awards in 2022 and 2023, five in 2024, then ten in 2025 — with only two awards recorded in 2026 year-to-date (reflecting the source snapshot date of July 2026). The recompete cliff ahead is minimal: only one award with ultimate completion in the next twenty-four months, carrying $465 thousand in potential value. However, TRADOC's IDC ceiling of $1.348 million expires October 2026, placing that entire vehicle at recompete risk within the window. National Registry-Emergency received a single federal grant sub-award (December 2025) under The Henry M. Jackson Foundation for The Advancement Of Military Medicine, a sub-recipient role on a disaster medicine and public health research ecosystem initiative, representing less than 1% of the portfolio.

Across both prime and sub positions, National Registry-Emergency operates exclusively within DoD medical training and military readiness channels, with no civilian agency exposure and no commercial subcontractor leverage. The portfolio spans 20 distinct federal customers, but effective concentration rests with four commands — TRADOC, Defense Health Agency, AETC, and USSOCOM — that collectively drive 85% of known dollars. The vendor's non-profit structure and sole-source certification authority in EMS credentialing position it as embedded infrastructure within military medical education rather than a competitive services provider.