Healthcare

Registered Nurse Salary in North Dakota (2026)

Average Registered Nurse pay in North Dakota

$83,600/year

≈ $40/hour before tax

Middle 50% earn $69,620–$93,080

US average: $101,420

Source: BLS, May 2025

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
CategoryAmount
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%
Estimates only — not tax advice. · Full disclaimer →

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

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.

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