Registered Nurse Salary in North Dakota (2026)
Average Registered Nurse pay in North Dakota
$83,600/year
≈ $40/hour before tax
After tax (single filer)
$67,293/year
$5,608/month · effective tax rate 19.51%
- Federal $9,562
- State $350
- FICA $6,395
- Take-home
Pay by role in North Dakota
- CRNA (Nurse Anesthetist)BLS · middle 50%$241,620–$262,150
- Nurse PractitionerBLS · 75th–90th percentile$135,620–$162,020
- Senior / Charge RNBLS · 75th–90th percentile$93,080–$103,480
- Staff RN (early career)BLS · 10th–25th percentile$65,520–$69,620
See the full tax breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $67,293 |
Monthly Take-Home Pay | $5,608 |
Biweekly Take-Home Pay | $2,588 |
Hourly Take-Home Pay based on 2,080 hrs/year | $32/hr |
Federal Tax | $9,562 |
State Tax | $350 |
FICA Taxes | $6,395 |
Effective Tax Rate total taxes ÷ gross salary | 19.51% |
Not all Registered Nurses earn the same — not even close
North Dakota's nursing market is anchored by Sanford Health Bismarck + Fargo (multi-state Sanford ND-SD-MN-IA + Sanford USD Medical Center affiliation + Sanford Children Hospital Fargo + Sanford Bismarck + Sanford Fargo Medical Center + Magnet designations), Essentia Health Fargo + Essentia Health-Mid Dakota (Catholic multi-state Duluth MN-HQ), Altru Health Grand Forks (substantial regional ~3K + Magnet designation), CHI St. Alexius Bismarck (CommonSpirit Health + the substantial CHI St. Alexius post-2018 CHI-Dignity merger), Trinity Health Minot (substantial NW ND), the substantial Indian Health Service IHS ND nursing (Standing Rock IHS + Spirit Lake IHS + Three Affiliated Tribes IHS + Turtle Mountain IHS + the substantial IHS Loan Repayment), VA Fargo + VA Bismarck + Minot AFB + Grand Forks AFB federal civilian nursing, plus ND NP FPA since 2011 + NLC since 2018, UND College of Nursing + NDSU College of Nursing + Minot State Nursing pipelines.
CRNA (Nurse Anesthetist)
$241,620–$262,150
CRNA at Sanford + Essentia + Altru + CHI · the substantial ND anesthesia + OBBBA OT only if paid hourly, and it phases out above $150K MAGI (single)
Source: BLS May 2025 · Nurse Anesthetists · North Dakota · middle 50%
Nurse Practitioner
$135,620–$162,020
NP at ND health systems · ND FPA since 2011
Source: BLS May 2025 · Nurse Practitioners · North Dakota · 75th–90th percentile
Senior / Charge RN
$93,080–$103,480
Charge RN at Sanford Bismarck + Fargo + Essentia + Altru + CHI · OBBBA OT applies
Source: BLS May 2025 · Registered Nurses · North Dakota · 75th–90th percentile
Staff RN (early career)
$65,520–$69,620
New grad RN at Sanford + Essentia + Altru residency programs · entry band + OT
Source: BLS May 2025 · Registered Nurses · North Dakota · 10th–25th percentile
Worth knowing: Sanford Health ND + Essentia + Altru + CHI + Trinity multi-system nursing + Indian Health Service ND reservation nursing is one of the country's distinctive concentrated US single-state multi-system + IHS reservation nursing anchor and a feature most national nursing surveys understate for ND. Sanford Health ND (Sanford Bismarck + Sanford Fargo Medical Center + Sanford Children Hospital Fargo + the substantial Sanford multi-state SD-ND-MN-IA + ~50K Sanford workforce + the substantial Sanford Magnet designations + the substantial post-2014 Sanford-Fairview blocked merger + Sanford Castle of Care + Sanford World Clinic) supports substantial ND nursing. Senior Sanford ND RNs clear $72-115K+ OT. Essentia Health Catholic (~14K Essentia + Duluth MN-HQ multi-state) + Altru Health Grand Forks (~3K + Magnet) + CHI St. Alexius CommonSpirit + Trinity Health Minot supports broad ND nursing. The substantial Indian Health Service IHS ND reservation nursing (Standing Rock IHS as substantial Standing Rock + Spirit Lake IHS + Three Affiliated Tribes IHS + Turtle Mountain IHS + the substantial IHS Loan Repayment Program + IHS Scholarship + USPHS Commissioned Corps). ND NP Full Practice Authority since 2011 (NDCC §43-12.1 + HB 1364) + ND NLC since 2018. The 2025 No Tax on Overtime federal deduction applies through 2028. ND flat 1.95%/2.5% top + ND RTW since 1948 + ND property tax ~0.98% anchor the ND nursing proposition.
Sources & Methodology
- →IRS Rev. Proc. 2025-32 — 2026 federal brackets and standard deduction
- →IRS Notice 2025-67 — 2026 retirement-plan contribution limits
- →IRS Rev. Proc. 2025-19 — 2026 HSA contribution limits
- →Social Security Administration — 2026 Social Security wage base
- →Individual income tax rates and filing information (ND Office of State Tax Commissioner)
- →BLS Occupational Employment and Wage Statistics — Registered Nurse wage data for North Dakota
Salary figures are market estimates for Registered Nurses 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
- North Dakota paycheck calculator → · 401(k), HSA, dependents
- No Tax on Overtime calculator → · up to $12,500 off federal tax
- Bonus calculator → · year-end, sign-on, retention
- 1099 tax calculator → · self-employment tax 15.3%
Frequently Asked Questions
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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.
Adjust filing status, 401(k) for your exact 2026 take-home in North Dakota.