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Registered Nurse Salary in North Dakota 2026: City-by-City Pay Data

AH
Ava Health Team
··8 min read

North Dakota registered nurses earn an average of $68,500 per year in 2026. Fargo's expanding healthcare infrastructure anchors the high end of the market, while western North Dakota oil communities and rural reservation areas offer significant incentives to attract and retain nursing staff.

North Dakota RN Salary by City (2026)

CityAvg Annual SalaryHourly Rate
Fargo$72,000$34.62
Bismarck$69,500$33.41
Grand Forks$67,500$32.45
Minot$67,000$32.21
Williston$68,500$32.93
Dickinson$66,000$31.73

Highest-Paying Nursing Specialties in North Dakota

SpecialtyAvg Annual Salary
CRNA$208,000
ICU / Critical Care RN$80,500
ER / Emergency RN$78,500
OR / Surgical RN$77,000
Labor & Delivery RN$73,500
Med-Surg RN$67,500

Top Employers in North Dakota

  • Sanford Health — Fargo and Bismarck; largest health system in ND, strong new-grad residency
  • Essentia Health — Fargo; Duluth-based system with major ND presence; Level I trauma
  • CHI St. Alexius Health — Bismarck; statewide presence, competitive benefits
  • Altru Health System — Grand Forks; serves northeastern ND and northwestern MN
  • Trinity Health ND — Minot; north-central ND regional hub

NLC Compact Status

North Dakota is a full NLC compact member. RNs with a North Dakota multistate license may practice in any compact state without a separate license. This is particularly valuable for nurses near the South Dakota and Minnesota borders.

North Dakota RN Market Outlook

Western ND's oil patch (Williston Basin) generates healthcare demand that outstrips local supply — Williston and Dickinson hospitals offer competitive premiums. Rural reservation communities have NHSC loan repayment eligibility. Travel RN rates in Fargo run $1,500–$1,900/week.

Related: RN Salary South Dakota 2026, RN Salary Minnesota 2026, North Dakota RN License Guide.

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