Nurse Practitioner Salary in North Dakota (2026)
The average Nurse Practitioner in North Dakota earns around $138,000/year. After taxes, your estimated take-home is $103,151/year ($8,596/month).
Take-Home Pay Breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $103,151 |
Monthly Take-Home Pay | $8,596 |
Biweekly Take-Home Pay | $3,967 |
Hourly Take-Home Pay based on 2,080 hrs/year | $50/hr |
Federal Tax | $21,854 |
State Tax | $2,438 |
FICA Taxes | $10,557 |
Effective Tax Rate total taxes ÷ gross salary | 25.25% |
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Nurse Practitioner Salary Ranges in North Dakota
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.
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More on North Dakota
Salaries by profession, top-paying roles by industry, and an economic breakdown for North Dakota in 2026.
Tax brackets, standard deductions, and take-home estimates for North Dakota in 2026.
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