Registered Nurse Salary in North Dakota (2026)
The average Registered Nurse in North Dakota earns around $86,000/year. After taxes, your estimated take-home is $67,933/year ($5,661/month).
Take-Home Pay Breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $67,933 |
Monthly Take-Home Pay | $5,661 |
Biweekly Take-Home Pay | $2,613 |
Hourly Take-Home Pay based on 2,080 hrs/year | $33/hr |
Federal Tax | $10,090 |
State Tax | $1,398 |
FICA Taxes | $6,579 |
Effective Tax Rate total taxes ÷ gross salary | 21.01% |
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Registered Nurse Salary Ranges in North Dakota
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 (Sanford / Essentia / Altru)
$185,000–$258,000+ OT
CRNA at Sanford + Essentia + Altru + CHI · the substantial ND anesthesia + OBBBA OT applies
Senior NP (ND FPA since 2011)
$92,000–$132,000+ bonus
NP at ND health systems · ND FPA since 2011
Senior Charge Nurse (Sanford / Essentia)
$78,000–$115,000+ OT
Charge RN at Sanford Bismarck + Fargo + Essentia + Altru + CHI · OBBBA OT applies
Senior ICU / ED RN
$72,000–$105,000+ OT
ICU + ED RN at Sanford Level 2 + Essentia + Altru · the substantial ND acute care + OT
Senior OR RN
$72,000–$105,000+ OT
OR RN at Sanford + Essentia + Altru + CHI · the substantial ND surgical + OT
Senior Pediatric RN (Sanford Children Fargo)
$72,000–$102,000+ OT
Sanford Children Hospital Fargo · the substantial ND pediatric + OBBBA OT
Senior Oncology RN (Sanford Cancer)
$72,000–$105,000+ OT
Sanford Cancer Center + Essentia Cancer · oncology RN + OBBBA OT applies
Senior IHS Reservation RN
$72,000–$108,000+ loan repayment
Standing Rock + Spirit Lake + MHA Nation + Turtle Mountain IHS · NHSC + LRP
Senior Federal Civilian RN (VA Fargo / Minot AFB)
$72,000–$108,000
VA Fargo + VA Bismarck + Minot AFB + Grand Forks AFB · federal civilian RN
New RN (Step 1-3 / Sanford / Essentia)
$55,000–$72,000+ OT
New grad RN at Sanford + Essentia + Altru residency programs · entry band + OT
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.
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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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