Healthcare North Dakota (ND) Rank #38 of 50

Nurse Practitioner Salary in North Dakota

The median nurse practitioner salary in North Dakota is $109,449 per year, which is 10% below the national median of $121,610.

Median Salary
$109,449
vs National
$-12,161
State Rank
#38 of 50
Cost of Living
90%

Nurse Practitioner Salary Overview in North Dakota (2026)

North Dakota ranks #38 out of 50 states for nurse practitioner compensation. Nurse Practitioner salaries in North Dakota are below the national median, though the lower cost of living can offset the difference. At $109,449 per year, nurse practitioners in North Dakota earn $12,161 less than the national median of $121,610.

A key advantage of working in North Dakota is its below-average cost of living (90% of the national index). This means the $109,449 salary has the purchasing power of roughly $121,610 in an average-cost area.

The salary spread in North Dakota is significant: nurse practitioners at the 10th percentile earn $78,390, while those at the 90th percentile bring home $151,380 — a $72,990 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in North Dakota for this role is Fargo, where the median reaches $114,313.

Nationally, nurse practitioner employment is projected to grow 40% over the next decade (much faster than average). This strong growth suggests increasing demand and competitive salaries in North Dakota and beyond.

Nurse Practitioner Salary in North Dakota by Experience

In North Dakota, an entry-level nurse practitioner earns around $81,000, while experienced professionals earn up to $139,500 per year. The cost of living index in North Dakota is 90% of the national average.

Entry Level (0-2 yrs)
$81,000
$-9,000 vs national
Mid Level (3-7 yrs)
$109,800
$-12,200 vs national
Senior Level (8+ yrs)
$139,500
$-15,500 vs national

You May Qualify for Premium Rewards

Professionals earning $109,449+ often qualify for premium rewards cards with $500+ signup bonuses and 2–5% cashback on every purchase.

View Offers You Qualify For →

Salary Percentiles in North Dakota

Percentile ND Salary
10th Percentile $78,390
25th Percentile $93,780
Median (50th) $109,449
75th Percentile $129,150
90th Percentile $151,380

Nurse Practitioner Salary by City in North Dakota

The largest employment areas for nurse practitioners in North Dakota include Fargo, Bismarck, Grand Forks, and Minot. Salaries vary by city based on local cost of living and demand.

How to Become a Nurse Practitioner in North Dakota

Education

Most nurse practitioner positions require a master's degree. North Dakota has several accredited institutions offering relevant programs.

Key Skills

Advanced AssessmentPharmacologyDiagnosisPatient EducationEMR SystemsClinical Decision-Making

Job Outlook in North Dakota

Nationally, nurse practitioner employment is projected to grow 40% over the next decade (much faster than average). North Dakota's demand may vary based on local industry trends.

Negotiate Your Way to Senior Pay

Data shows Nurse Practitioners who negotiate earn 7–15% more. A single negotiation could add $30,051 over your career trajectory.

Get Negotiation Scripts — $197 →

Open to Nurse Practitioner Roles in North Dakota?

Get matched with recruiters hiring nurse practitioners in North Dakota at competitive salaries.

Or browse positions directly:

Frequently Asked Questions: Nurse Practitioner Salary in North Dakota

How much does a Nurse Practitioner make in North Dakota? ▼
The median nurse practitioner salary in North Dakota is $109,449 per year, which is 10% below the national median of $121,610. Salaries range from $78,390 (10th percentile) to $151,380 (90th percentile).
How much does a Nurse Practitioner make per hour in North Dakota? ▼
Based on the median annual salary of $109,449, a nurse practitioner in North Dakota earns approximately $53 per hour assuming a standard 2,080-hour work year.
Is North Dakota a good state for nurse practitioners? ▼
North Dakota ranks #38 out of 50 states for nurse practitioner pay. The cost of living index is 90% of the national average. Entry-level nurse practitioners earn $81,000, while senior professionals earn $139,500.
How does North Dakota compare to other states for nurse practitioner salary? ▼
The highest paying state for nurse practitioners is Hawaii at $216,466. North Dakota's median of $109,449 ranks #38 nationally. Nearby-ranked states include Michigan ($109,449) and Nebraska ($109,449).
What is the entry-level nurse practitioner salary in North Dakota? ▼
An entry-level nurse practitioner in North Dakota earns approximately $81,000 per year. With 3-7 years of experience, pay increases to around $109,800. Senior-level professionals with 8+ years earn up to $139,500.
What city in North Dakota pays nurse practitioners the most? ▼
Fargo is the highest paying city in North Dakota for nurse practitioners, with a median salary of $114,313. Other cities include Bismarck and Grand Forks.