NRCME Training Online Program

NRCME Training Institute

Our Department of Transportation (DOT) accredited National Registry Certified Medical Examiners (NRCME) training program exceeds the core curriculum requirements established by the Federal Motor Carrier Safety Administration (FMCSA) for both the Initial training and the 10-Year Recertification training. Upon completion of our self-paced online program, participants will have instant access to their Certificate of Completion, which is the document required to sit for the Medical Examiner national examination to become certified to perform commercial driver license (CDL) examinations on commercial motor vehicle (CMV) drivers for 10 years in all the states they are licensed to practice in and do so independent of MD or DO supervision.

Call (941) 600-8411 9am-9pm EST 7/365 for current single-provider discounts.

Providers seeking to recertify: 10-Year Recertification

Target Audience

Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO), Advanced Practice Registered Nurse (APRN), Doctor of Nursing Practice (DNP), Nurse Practitioner (NP) and Physician Assistant (PA).

Additional medical provider eligibility varies by state:

  • Doctor of Chiropractic (DC)
  • Doctor of Physical Therapy (DPT)
  • Doctor of Oriental Medicine (OMD/DOM)
  • Clinical Nurse Specialist (CNS)
  • Registered Nurse (RN)
  • Physical Therapist (PT)
  • Acupuncturist (LAc)

The process of applying for an account with the DOT begins with entering your state and medical title to verify your eligibility at

Program Highlights

Certified Content

Our NRCME training online program consists of 14 self-paced courses and 9 quizzes, followed by a 50-question Final Test that participants can take as often as necessary to obtain their Certificate of Completion. This program, last updated in May 2024, is reviewed periodically and updated to reflect any changes in FMCSA regulations.

Pass Rate

99% of our providers pass the national exam the first time. Read More

Same Day Certificate

Participants will have instant access to their Certificate of Completion after passing our Final Test.

Audio and Video

Optional audio and video lecture files included.

Extended Access

Participants will receive 2 years of unlimited access to our online classroom from any smart device to complete our 14-hour self-paced program.

DOT Study Guide

Included with the training program is a question bank of over 400 practice questions and a study and reference guide.

Accredited Program

Our accredited DOT training program provides up to 14 AMA PRA Category 1 Credits™ or 14 ANCC contact hours.

Customer Service

We offer email and telephone consulting with our medical advisory team for questions regarding regulations, both during and after training. Call us at (941) 600-8411 9am - 9pm EST 7/365 for assistance.

How to Become Certified in 2024

1. Verify your eligibility to become a certified Medical Examiner (ME) with the DOT/FMCSA.

2. Enroll in our accredited NRCME training online program to obtain your Certificate of Completion.

3. Register online with the DOT/FMCSA for your 10-digit National Registry number. Once you complete the registration, upload your training certificate to your DOT account.

4. Schedule the in-person $80 NRCME exam with either a PSI or Prometric testing company using the 10-digit National Registry certification number issued to you by the DOT. To locate testing centers near you, visit Google Maps and search for “PSI Testing” or “Prometric Testing”. Most testing centers are open six days a week.

On the day you sit for the national exam, you will need to bring one of the following forms of identification (ID) (Note: temporary forms of ID, such as a temporary driver’s license or temporary employment card, are not acceptable):

  • U.S. driver’s license with photograph

  • State-issued ID card with photograph

  • U.S. Passport

  • U.S. Military ID card with photograph

  • Permanent Resident Card with photo

  • Native American Tribal ID Card with photo

  • Foreign government-issued passport with photo

  • Canadian Provincial driver’s license with photo

  • Indian and Northern Affairs Canada card with photo (INAC)

You will also need the following:

  • A valid license to practice in your healthcare profession

  • Your training Certificate of Completion

  • Your National Registry Number

Once the DOT has received and processed your passing exam score from the testing company, you will receive an email from the DOT with an official certificate indicating your status as a certified Medical Examiner listed on the public National Registry who can perform CDL examinations on commercial motor vehicle drivers (which can take 1 to 2 business days).

Related blog entries:

FMCSA Tech Support:
 For assistance regarding your national registry number, your DOT account, or your final certificate to perform CDL examinations, contact the DOT at or by phone at (617) 494-3003.

Verification Delays

It is likely that the DOT/FMCSA are backlogged, causing delays in provider credential verification. In 2014, there were over 17,000 providers who became certified. The remaining years had, on average, 2,500 providers a year certifying. If only half of the initial crowd from 2014 are recertifying, that would still be a larger than normal amount of providers the NRCME have to verify before allowing them to schedule the exam.

If you uploaded your PDF training certificate of completion into your DOT account, and manually input the training company name and address, and the accrediting organization’s name (both listed on your training certificate), and checked the box that this was “online” training and not “in person” training, and if it has been more than 24 hours since you have completed all of these tasks and still cannot schedule the national exam online, you will need to:

1. Call the FMCSA between the hours of 9am to 5pm EST, M-F, call the FMCSA at (617) 494-3003. Press option 2 when the first greeting starts, then press the number 6 on hearing the start of the second greeting. This will bypass the greetings and if available, they will answer the phone.

2. Compose an email to the FMCSA requesting verification to schedule the exam and send it to

3. Attempt to schedule the exam at the end of every business day. You will know you have been verified when you can schedule the exam.

Single-Provider Discounts

Call (941) 600-8411

1 of 3

Participant Testimonials

"I have reviewed every other training program available, and the NRCME Training Institute program stood out for simplicity, clarity, and price."

"Elegant, thorough, easy-to-use!"

"This has to be the best dot medical examiner course for the money and customer service. I'm very pleased."

"All of my providers were happy with the program and telephone support. The go at your own pace learning system was good for both inexperienced and experienced providers. Even the most experienced commented that they learned new information that will be invaluable."

"Presented the fundamentals clearly and offered as much additional detail as my providers wanted."

"The NRCME Training Institute program was fantastic! I was able to quickly gain the knowledge I needed and pass the certification examination."

"Best DOT training program for the money."


© 2024. This CME-certified activity is held as copyrighted © by The NRCME Training Institute. Through this notice, The NRCME Training Institute grants permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).