How much does a Nurse Practitioner make in North Dakota?

BLS puts the average Nurse Practitioner pay in North Dakota at $126,370 a year (BLS, May 2025). On that pay in North Dakota, after federal taxes, FICA, and North Dakota state taxes, your estimated take-home pay is approximately $96,456 annually ($8,038/month).

What is the take-home pay for a Nurse Practitioner in North Dakota?

On a $126,370 salary in North Dakota, your take-home pay is approximately $96,456/year or $8,038/month. Federal tax: $19,063. State tax: $1,184. FICA: $9,667.

Is $126,370 a good Nurse Practitioner salary?

$126,370 is the BLS average Nurse Practitioner pay in North Dakota, 8% below the US average of $137,300 (BLS, May 2025). The middle 50% in North Dakota earn between $107,290 and $135,620.

How do North Dakota taxes affect Nurse Practitioner salaries?

North Dakota levies state income tax on top of federal taxes. Your estimated state tax on $126,370 is $1,184. Your total effective tax rate is approximately 23.7%.

What are the career growth prospects for Nurse Practitioners?

In North Dakota, the top 10% earn over $162,020 and the bottom 10% under $103,490 (BLS, May 2025). BLS projects 38% growth 2022-2032 — one of fastest-growing US occupations. Full Practice Authority states (24 states + DC as of 2026) drive uniquely high NP scope + independent practice opportunity. PMHNP shortage post-2020 mental health crisis = highest specialty premium. Aesthetic NP cash-pay 1099 path uniquely lucrative. Related roles include: FNP (Family Nurse Practitioner), AGNP (Adult-Gerontology NP), PMHNP (Psychiatric Mental Health NP), PNP (Pediatric NP), WHNP (Women's Health NP), ACNP (Acute Care NP), CRNA (Nurse Anesthetist), CNM (Nurse Midwife).

How can a Nurse Practitioner in North Dakota reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Nurse Practitioner Salary in North Dakota (2026)

Average Nurse Practitioner pay in North Dakota

$126,370/year

≈ $61/hour before tax

Middle 50% earn $107,290–$135,620

US average: $137,300

Source: BLS, May 2025

After tax (single filer)

$96,456/year

$8,038/month · effective tax rate 23.67%

Federal $19,063
State $1,184
FICA $9,667
Take-home

Pay by role in North Dakota

Senior NP Owner / Independent Practice$108,000–$172,000+ profit
Senior FNP (Sanford / Essentia / Altru / CHI)$92,000–$132,000+ bonus
Senior Acute Care NP (Sanford Level 2 / Essentia / Altru)$105,000–$145,000+ bonus
Senior PMHNP (Mental Health)$108,000–$155,000+ bonus
Senior Pediatric NP (Sanford Children Fargo)$98,000–$135,000+ bonus
Senior IHS Reservation NP$108,000–$148,000+ loan repayment + housing

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$96,456
Monthly Take-Home Pay	$8,038
Biweekly Take-Home Pay	$3,710
Hourly Take-Home Pay based on 2,080 hrs/year	$46/hr
Federal Tax	$19,063
State Tax	$1,184
FICA Taxes	$9,667
Effective Tax Rate total taxes ÷ gross salary	23.67%

Estimates only — not tax advice. · Full disclaimer →

Not all Nurse Practitioners earn the same — not even close

North Dakota's nurse practitioner market is anchored by ND NP Full Practice Authority since 2011 (NDCC §43-12.1 + HB 1364 + the substantial ND NP independent practice + the substantial ND NP rural + reservation NP practice + the substantial ND NP own clinic ownership), Sanford Health Bismarck + Fargo (multi-state Sanford ND-SD-MN-IA), Essentia Health Fargo + Essentia Health-Mid Dakota Catholic multi-state, Altru Health Grand Forks (substantial regional NP), CHI St. Alexius Bismarck CommonSpirit + Trinity Health Minot NP, the substantial Indian Health Service IHS ND reservation NP (Standing Rock + Spirit Lake + Three Affiliated Tribes + Turtle Mountain IHS NP), the substantial ND rural NP practice serving Bakken oilfield + Eastern ND + Western ND, VA Fargo + VA Bismarck VAHCS NP, plus UND College of Nursing DNP + NDSU College of Nursing DNP + Frontier Nursing University ND residents pipeline.

Senior NP Owner / Independent Practice

$108,000–$172,000+ profit

ND FPA since 2011 · NP own primary care + women + mental health clinic ownership

Senior FNP (Sanford / Essentia / Altru / CHI)

$92,000–$132,000+ bonus

Family NP at ND health systems + community health · panel-based primary care

Senior Acute Care NP (Sanford Level 2 / Essentia / Altru)

$105,000–$145,000+ bonus

AGACNP at Sanford Bismarck Level 2 + Essentia + Altru + CHI · acute care

Senior PMHNP (Mental Health)

$108,000–$155,000+ bonus

PMHNP at ND behavioral health + the substantial ND rural + reservation psychiatric NP demand

Senior Pediatric NP (Sanford Children Fargo)

$98,000–$135,000+ bonus

PNP at Sanford Children Hospital Fargo · the substantial ND pediatric NP

Senior IHS Reservation NP

$108,000–$148,000+ loan repayment + housing

Standing Rock + Spirit Lake + MHA Nation + Turtle Mountain IHS · NHSC + LRP + housing

Senior Rural NP (Bakken / Western ND)

$98,000–$138,000+ loan repayment

Rural NP at Bakken oilfield + Western ND + Eastern ND · NHSC + ND Loan Repayment

Senior Federal Civilian NP (VA Fargo / Bismarck)

$105,000–$148,000

VA Fargo + VA Bismarck VAHCS + Minot AFB + Grand Forks AFB · GS-13 federal civilian NP

Senior School / Occupational NP

$78,000–$115,000

ND public schools + ND Workforce Safety & Insurance WSI + occupational health NP

New NP (0-2 yrs)

$78,000–$108,000

New grad NP at Sanford + Essentia + Altru residency programs · entry NP band

Worth knowing: North Dakota NP Full Practice Authority since 2011 + the substantial ND rural + Bakken oilfield NP practice is one of the country's distinctive concentrated US single-state FPA + rural + Bakken NP anchor and a feature most national NP surveys understate for ND. ND NP FPA (NDCC §43-12.1 + HB 1364 + the substantial ND NP independent practice authority since 2011 + the substantial ND NP own clinic ownership + the substantial ND NP independent prescribing + the substantial ND NP independent diagnosis + treatment + the substantial ND NP rural + community health independent practice serving Bakken oilfield + Williston + Watford City + Stanley + Western ND + Eastern ND + the substantial ND NP reservation independent practice serving 5 ND reservations + the substantial ND NP rural primary care expansion post-Bakken boom) supports distinctive ND NP independent practice economics. Senior independent NP clinic owners clear $108-172K+ profit. The substantial Indian Health Service IHS ND reservation NP (Standing Rock IHS + Spirit Lake IHS + Three Affiliated Tribes IHS New Town + Turtle Mountain IHS Belcourt + the substantial Sisseton-Wahpeton cross-border + the substantial IHS Loan Repayment Program LRP + IHS Scholarship + housing). Sanford + Essentia + Altru + CHI St. Alexius + Trinity Health Minot + VA Fargo + VA Bismarck federal civilian NP. ND flat 1.95%/2.5% top + ND RTW since 1948 anchor the ND NP proposition.

Sources & Methodology

Salary figures are market estimates for Nurse Practitioners in North Dakota and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and North Dakota 2026 state rates. Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.

Run your own numbers