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Nurse Practitioner Salaries in North Dakota — 2026 Overview

BLS 2026

Nurse Practitioners in North Dakota earn an average of $123,220 per year ($59.24/hr) according to the latest BLS data. The state currently employs around 1,260 nurse practitioners.

Nurse Practitioner salaries in North Dakota are below the national average by approximately $5,859. North Dakota has a flat state income tax rate of 2.5%.

North Dakota's manufacturing base and stable economy provide steady employment for nurse practitioners.

North Dakota Nurse Practitioner Take-Home Pay Calculator

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Enter your gross annual salary to estimate take-home pay in North Dakota after federal tax, Social Security and Medicare. North Dakota has a flat state income tax rate of 2.5%.

Your annual gross salary ($)
Gross Annual
$123,220
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$91,509

Estimate based on 2026 federal tax brackets, single filer, standard deduction. North Dakota has a flat state income tax rate of 2.5%. Does not account for local taxes or benefit deductions.

Am I Paid Fairly? — North Dakota Nurse Practitioner Check

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Enter your current salary to see how it compares to the North Dakota median of $123,220.

Your annual salary ($)

Nurse Practitioner Salary by Experience — North Dakota

Entry Level (0–2 years)$76,400/yr · $36.73/hr
Beginning career, developing core skills under supervision in North Dakota.
Mid-Level (3–6 years)$109,665/yr · $52.72/hr
Established professional working independently in North Dakota. Pursuing advanced certifications.
Experienced (7–12 years)$136,774/yr · $65.76/hr
Senior professional with specialised skills commanding above-average pay in North Dakota.
Senior / Expert (12+ years)$177,400+/yr · $85.29/hr
Top earner. Leadership, management or highly specialised role in North Dakota.
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Nurse Practitioner Salary Trend in North Dakota — 2021 to 2026

5-Year Data

Five-year wage growth for nurse practitioners in North Dakota: 13.9% — a useful benchmark when negotiating pay or planning a career move. The growth reflects broader workforce and economic conditions in North Dakota's healthcare and outpatient care.

2021
$108,187
2022
$114,471
+5.8%
2023
$119,769
+4.6%
2024
$121,741
+1.6%
2026
$123,220
+1.2%

Nurse Practitioner Salary by City — North Dakota

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Fargo$136,750$65.75+11.0%441
Bismarck$130,600$62.79+6.0%352
Grand Forks$126,900$61.01+3.0%226
Minot$118,300$56.88-4.0%113
West Fargo$112,150$53.92-9.0%75
Williston$107,200$51.54-13.0%50

Tip: Fargo offers the highest nurse practitioner salaries in North Dakota at $136,750/yr — +11.0% above the state average.

North Dakota vs Nearby States — Purchasing Power

Cost of Living Adjusted

Gross salary figures don't tell the whole story. After adjusting for state income tax, North Dakota sits in the mid-range for nurse practitioners.

North Dakota — 2.5% state income tax$123,220 gross~$91,509 take-home
Minnesota — 9.85%$128,570 gross+4.3% vs ND
South Dakota — no state tax$122,600 gross-0.5% vs ND
Montana — 6.75%$133,640 gross+8.5% vs ND

Take-home estimates based on single filer, standard deduction, 2026 federal brackets. North Dakota has a flat state income tax rate of 2.5%.

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Nurse Practitioner Job Outlook in North Dakota

BLS Projections
+10%Job growth 2026–33
1,260Currently employed
126+New jobs projected

Employment for nurse practitioners in North Dakota is projected to grow over the next decade, driven by strong demand across the North Dakota job market. North Dakota's manufacturing base and stable economy provide steady employment for nurse practitioners.

How to Earn More as a Nurse Practitioner in North Dakota

1. Pursue advanced certification or licensing. Moving from entry to senior level as a nurse practitioner in North Dakota typically adds $101,000 to your annual salary. Additional certifications from the State Board of Nursing can accelerate this progression.

2. Target the highest-paying city. Fargo pays nurse practitioners $136,750/yr — +11.0% above the North Dakota average. Simply relocating within North Dakota can meaningfully increase your income without changing careers.

3. Specialise in high-demand areas. Nurse Practitioners who specialise in healthcare and outpatient care typically command premium rates in North Dakota. Identifying growing niches within your field is one of the fastest paths to higher pay.

4. Consider neighbouring states. Minnesota pays nurse practitioners $128,570/yr — 4.3% vs North Dakota.

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Frequently Asked Questions

How much do nurse practitioners earn in North Dakota?
The average nurse practitioner salary in North Dakota is $123,220 per year, or $59.24 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $76,400 while experienced professionals earn $177,400 or more.
Where do nurse practitioners earn the most in North Dakota?
Fargo pays nurse practitioners the most in North Dakota at an average of $136,750 per year — +11.0% above the state average.
Is nurse practitioner pay in North Dakota above or below the US average?
North Dakota nurse practitioner salaries are below the calculated national average by approximately $5,859. North Dakota has a flat state income tax rate of 2.5%.
What is the take-home pay for a nurse practitioner in North Dakota?
A nurse practitioner earning the North Dakota average of $123,220 takes home approximately $91,509 per year after federal income tax, Social Security and Medicare. North Dakota has a flat state income tax rate of 2.5%.
Is nurse practitioner a good career in North Dakota?
Yes. Nurse Practitioner is a strong career choice in North Dakota with steady demand projected over the next decade. North Dakota's manufacturing base and stable economy provide steady employment for nurse practitioners.
How do you become a licensed nurse practitioner in North Dakota?
In North Dakota, nurse practitioners are licensed through the State Board of Nursing. Requirements vary by specialisation level — contact the State Board of Nursing for current examination and experience requirements.
DATA SOURCE All salary data from Bureau of Labor Statistics OEWS May 2024 survey. Employment projections from BLS Occupational Outlook Handbook. Full methodology →

Important disclaimer: Salary and wage data on WageByState is provided for informational purposes only. Figures are sourced from the Bureau of Labor Statistics OEWS programme and represent median values across large populations — your individual earnings will vary. Take-home pay calculations are estimates and do not constitute tax advice. WageByState accepts no liability for decisions made based on information on this site. Not affiliated with the Bureau of Labor Statistics or any government agency.