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Max Mello, PA-CCareer coaching for PAs, NPs and CRNAs

Physician assistant salary in North Dakota

North Dakota physician assistants earn a median of $133,450 a year ($64.16 an hour), according to BLS data for May 2025. That is 2% below the national median of $135,880, and ranks 31st of 51 states.

Median, North Dakota

$133,450

Mean $130,930

Middle half earns

$107,030 to $155,010

US: $120,670 to $163,980

Employed in North Dakota

510

1.15x 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

Line: 10th to 90th percentile. Bar: 25th to 75th. Tick: median. Annual wages, BLS OEWS, May 2025.

Physician assistant pay by percentile

Ten percent of North Dakota physician assistants earned less than $77,300 and ten percent earned more than $173,860, a spread of $96,560. 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.

Annual wages, BLS OEWS, May 2025
PercentileNorth DakotaUnited StatesDifference
10th$77,300$99,380-22.2%
25th$107,030$120,670-11.3%
Median$133,450$135,880-1.8%
75th$155,010$163,980-5.5%
90th$173,860$190,280-8.6%

Physician assistant pay by metro area

BLS published PA pay for 4 metro areas that include part of North Dakota. Fargo, ND-MN has the highest median at $136,610. Metro estimates rest on smaller samples than the statewide figure, so treat a low-precision row as a direction, not a number.

Annual wages, BLS OEWS, May 2025
Metro areaEmployedMedianMiddle half
Fargo, ND-MN240$136,610$111,920 to $156,550
Bismarck, NDmoderate precision80$129,650$107,030 to $136,600
Grand Forks, ND-MN70$133,450$104,220 to $156,680
Minot, ND40$134,090$83,880 to $152,000

How PA pay compares with other clinicians in North Dakota

Median annual wage, BLS OEWS, May 2025
OccupationNorth DakotaUnited States
Physician assistant$133,450$135,880
Nurse practitioner$130,070$132,300
Nurse anesthetist (CRNA)$244,240$236,590
Registered nurse$80,730$97,550

The North Dakota PA workforce

BLS counts 510 physician assistants on North Dakota payrolls, or 1.20 for every 1,000 jobs in the state, close to the national concentration. The federal NPI registry, which also counts self-employed and part-time clinicians, lists 563 physician assistants with a North Dakota practice address, and 13 new PA 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 $107,030, it sits in the bottom quarter of what North Dakota physician assistants 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 $155,010, 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 PA pay in North Dakota

How much does a PA make in North Dakota?

The median annual wage for physician assistants in North Dakota was $133,450 in May 2025, and the mean was $130,930, per the BLS. The middle half earned between $107,030 and $155,010.

What is the hourly rate for physician assistants in North Dakota?

The median hourly wage was $64.16 and the mean was $62.95. BLS computes hourly figures from annual pay assuming a full-time year, so per-shift or per-diem rates can differ.

Where do PAs earn the most in North Dakota?

Among North Dakota metro areas with published data, Fargo, ND-MN had the highest median at $136,610, and Bismarck, ND the lowest at $129,650.

How does North Dakota rank for PA pay?

North Dakota ranks 31st of 51 states (including DC) by median PA pay, 2% below the national median of $135,880. Pay is only half the picture: compare it with what housing and taxes cost where you would live.

How many physician assistants work in North Dakota?

BLS estimated 510 physician assistants employed in North Dakota in May 2025. The federal NPI registry lists 563 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 29-1071, 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?

Book a free intro call with Max. Tell him what you are weighing, and he will tell you whether coaching would help, or whether you just need a few answers.