2026 Salary — North Dakota
Updated April 29, 2026
Nurse Practitioner Salary in North Dakota: $122K Median
Nurse Practitioners in North Dakota earn between $90K and $166K per year.
That's -5% below the US national median.
Quick Answer
As of April 2026, the median Nurse Practitioner salary in North Dakota is $122,066 per year — -5% below the US national median of $128,490. Salaries range from $90,250 (entry, 25th percentile) to $166,250 (90th percentile). North Dakota's cost-of-living index is 94. State income tax applies.
Median
$122,066
+560.0% YoY
Entry
$95,000
Experienced
$147,250
Top 10%
$166,250
About Nurse Practitioners in North Dakota
NPs are advanced practice registered nurses who diagnose conditions, prescribe medications, and provide primary or specialty care.
Hot 2026 Skills
Telehealth NPMental health (PMHNP)Pediatric NPGeriatric NPFull practice authority states
ATS Keywords
NP certificationpatient careEHR (Epic)primary carepediatricmental healthtelehealth
How to Negotiate Your Nurse Practitioner Salary in North Dakota
Walk-away anchor: $110,969.
Leverage Points
- Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
- Compact license / multi-state authority and willingness to float between units
- Night, weekend, and holiday shift differentials add up to $10K-$25K annually
- Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage
Negotiate Beyond Base
Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend
Nurse Practitioner Salary FAQ — North Dakota
What is the average Nurse Practitioner salary in North Dakota?
The average Nurse Practitioner salary in North Dakota is $122,066 per year as of April 2026. Salaries range from $90,250 (entry, 25th percentile) up to $166,250 (90th percentile). State income tax applies.
How does Nurse Practitioner pay in North Dakota compare to the US average?
Nurse Practitioners in North Dakota earn approximately 5% less than the US national median ($128,490 nationally vs $122,066 in North Dakota). North Dakota's cost-of-living index of 94 amplifies the real purchasing power.
Did Nurse Practitioner salaries in North Dakota increase in 2026?
Yes — Nurse Practitioner salaries in North Dakota grew approximately 560.0% year-over-year, from $18,495 in 2025 to $122,066 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telehealth NP and Mental health (PMHNP) demand.
Which North Dakota cities pay Nurse Practitioners the most?
North Dakota has no major metros in our database — fallback to the closest tracked city for detailed breakdowns.
What's the job outlook for Nurse Practitioners in North Dakota?
NP roles growing 38% through 2034 — among fastest-growing US occupations. Full practice authority in 27 states drives demand. North Dakota's top industries include Energy (Bakken Oil), Agriculture, Manufacturing, and the state's unemployment rate is 2.5% — a tight labor market favoring candidates.
Does North Dakota have state income tax?
Yes, North Dakota has state income tax. This affects take-home pay — at $122,066, expect 4-7% effective state tax depending on filing status. See city pages for detailed take-home calculations.
What skills are most in demand for Nurse Practitioners in 2026?
Hottest 2026 skills: Telehealth NP, Mental health (PMHNP), Pediatric NP, Geriatric NP, Full practice authority states. ATS systems specifically scan for these. Adding them to your resume — naturally and in context — improves your match rate with North Dakota employers.
How can I increase my Nurse Practitioner salary in North Dakota?
Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Beyond base, negotiate: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%). Walk-away anchor for North Dakota: $110,969.
Methodology
North Dakota Nurse Practitioner salary is the BLS national median ($128,490) adjusted by North Dakota's state multiplier (0.95×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.
Nurse Practitioner Salary in Other States
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