Nurse practitioner salary in North Dakota
North Dakota nurse practitioners earn a median of $130,070 a year ($62.53 an hour), according to BLS data for May 2025. That is 2% below the national median of $132,300, and ranks 34th of 51 states.
Median, North Dakota
$130,070
Mean $126,370
Middle half earns
$107,290 to $135,620
US: $117,990 to $156,700
Employed in North Dakota
1,290
1.44x the national concentration
Where North Dakota sits in the range
North Dakota
Statewide
United States
National
Fargo
Metro area
Bismarck
Metro area
Grand Forks
Metro area
Minot
Metro area
Nurse practitioner pay by percentile
Ten percent of North Dakota nurse practitioners earned less than $103,490 and ten percent earned more than $162,020, a spread of $58,530. Where you land depends mostly on specialty, setting, experience and how the productivity pay is built, which is why two offers in the same city can be far apart.
| Percentile | North Dakota | United States | Difference |
|---|---|---|---|
| 10th | $103,490 | $101,340 | +2.1% |
| 25th | $107,290 | $117,990 | -9.1% |
| Median | $130,070 | $132,300 | -1.7% |
| 75th | $135,620 | $156,700 | -13.5% |
| 90th | $162,020 | $174,420 | -7.1% |
Nurse practitioner pay by metro area
BLS published NP pay for 4 metro areas that include part of North Dakota. Grand Forks, ND-MN has the highest median at $130,990. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.
| Metro area | Employed | Median | Middle half |
|---|---|---|---|
| Fargo, ND-MN | 490 | $130,070 | $113,060 to $135,620 |
| Bismarck, ND | 220 | $130,140 | $107,290 to $133,020 |
| Grand Forks, ND-MN | 190 | $130,990 | $104,130 to $130,990 |
| Minot, NDmoderate precision | 60 | $130,820 | $106,610 to $131,860 |
How NP pay compares with other clinicians in North Dakota
| Occupation | North Dakota | United States |
|---|---|---|
| Nurse practitioner | $130,070 | $132,300 |
| Physician assistant | $133,450 | $135,880 |
| Nurse anesthetist (CRNA) | $244,240 | $236,590 |
| Registered nurse | $80,730 | $97,550 |
The North Dakota NP workforce
BLS counts 1,290 nurse practitioners on North Dakota payrolls, or 3.00 for every 1,000 jobs in the state, more concentrated than in the country as a whole. The federal NPI registry, which also counts self-employed and part-time clinicians, lists 1,466 nurse practitioners with a North Dakota practice address, and 92 new NP NPIs there in the past twelve months.
Using these numbers when you negotiate
A state median is a reference point, not a target. If an offer comes in under $107,290, it sits in the bottom quarter of what North Dakota nurse practitioners earn, and you should know why before you sign: a new-grad rate, a light schedule, or a base kept low because a productivity bonus is supposed to make up the difference. If it is above $135,620, ask what is expected in return, such as call, volume targets or a longer non-compete.
Compare the whole package, not the base: how the bonus is calculated, call pay, CME, PTO and who pays malpractice tail coverage. The negotiation guide and the contract checklist walk through each term.
Questions about NP pay in North Dakota
How much does a NP make in North Dakota?
The median annual wage for nurse practitioners in North Dakota was $130,070 in May 2025, and the mean was $126,370, per the BLS. The middle half earned between $107,290 and $135,620.
What is the hourly rate for nurse practitioners in North Dakota?
The median hourly wage was $62.53 and the mean was $60.76. BLS computes hourly figures from annual pay assuming a full-time year, so per-shift or per-diem rates can differ.
Where do NPs earn the most in North Dakota?
Among North Dakota metro areas with published data, Grand Forks, ND-MN had the highest median at $130,990, and Fargo, ND-MN the lowest at $130,070.
How does North Dakota rank for NP pay?
North Dakota ranks 34th of 51 states (including DC) by median NP pay, 2% below the national median of $132,300. Pay is only half the picture: compare it with what housing and taxes cost where you would live.
How many nurse practitioners work in North Dakota?
BLS estimated 1,290 nurse practitioners employed in North Dakota in May 2025. The federal NPI registry lists 1,466 with a North Dakota practice address.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (bls.gov/oes), SOC 29-1171, all industries and ownerships. NPI counts: NPPES monthly file, August 2026 (CMS, public domain). BLS wages are straight-time pay: they include production bonuses but leave out overtime, shift differentials, non-production bonuses and benefits, and they exclude the self-employed.
Have an offer on the table?
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