Nurse Practitioner Salary in Bismarck, ND: $134,630 (2026)
Quick Answer:A full-time nurse practitioner in Bismarck, ND earns a median $134,630/year (≈ $64.73/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Bismarck's price level (9% below national, BEA RPP 91.0), that paycheck buys what $147,906 would nationally. Nominal pay sits 6.9% above the North Dakota state average.
Official BLS data · View source
In 2026, the nurse practitioner salary in Bismarck, North Dakota is projected to reach a median of $134,630, slightly below the national median of $136,864. The full salary range for nurse practitioners in this area spans from $106,440 at the 10th percentile to $156,003 at the 90th percentile. This wage structure is influenced by North Dakota's recognition of full-practice authority for nurse practitioners, allowing them to practice independently without physician collaboration agreements. The data, derived from the Bureau of Labor Statistics (BLS) Occupational Employment and Wage Statistics, suggests a healthy job market driven by the growing need for healthcare services. With approximately 220 nurse practitioners employed in Bismarck, the demand for skilled practitioners contributes to a competitive compensation environment.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $106,440 | $51.18 |
| Lower Range (P25) | $110,992 | $53.36 |
| Median (P50)(typical) | $134,630 | $64.73 |
| Upper Range (P75) | $137,609 | $66.16 |
| Top Earners (P90) | $156,003 | $75.00 |
Median Salary Position
1.63% below the national average
2026 Salary Percentile Distribution in Bismarck
In Bismarck, ND, the nurse practitioner salary spread from the 10th to 90th percentile is $49,563 (2026 est.). At $134,630, the local median is 1.63% below the national median of $136,864.
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How Bismarck Nurse Practitioner Pay Compares
Bismarck median: $134,630/year (2026)
| Compared To | Median Salary | Bismarck Pays |
|---|---|---|
| North Dakota Average | $125,940 | +6.90% more |
| National Average | $136,864 | -1.63% less |
Nurse Practitioners in Bismarck, ND earn a median of $134,630 per year (2026 est.), which is 1.63% lower than the national median of $136,864 and 6.90% above the North Dakota state average of $125,940.
Cost-of-Living Adjusted Salary
Bismarck has a cost of living 8.98% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Bismarck, ND has a cost-of-living index of 91.024 (below the national average of 100). A nurse practitioner earning $134,630 nominally has purchasing power equivalent to $147,906 in an average-cost city — an effective 9.86% boost.
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2019 BLS Actual
$107,260
2025 BLS Actual
$130,140
2026 Current Est.
$134,630
2019–2027 Growth
+29.8%
Salary Trajectory for Nurse Practitioners in Bismarck (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $107,260 | Actual |
| 2020 | $103,460 | Actual |
| 2021 | $103,550 | Actual |
| 2022 | $104,460 | Actual |
| 2023 | $124,670 | Actual |
| 2024 | $124,810 | Actual |
| 2025 | $130,140 | Actual |
| 2026(current) | $134,630 | Estimated |
| 2027 | $139,275 | Projected |
Based on 7 years of BLS OEWS data for the Bismarck metropolitan area, the median nurse practitioner salary grew 21.3% from $107,260 (2019) to $130,140 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $139,275 by 2027 — a total increase of $32,015 (29.85%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Bismarck metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.45% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $106,440 – $110,992 |
| 3-5 years (Mid Career) | $110,992 – $134,630 |
| 5+ years (Experienced) | $134,630 – $137,609 |
| 10+ years (Top Earner) | $137,609 – $156,003 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Bismarck
Analyzing the costs and compensation dynamics reveals several key considerations for nurse practitioners seeking employment in Bismarck. The area's cost-of-living index sits at 91.024, indicating a lower-than-average living expense compared to national standards, which enhances the purchasing power of healthcare professionals. Among employers, hospital outpatient clinics and specialty clinics tend to offer the most competitive salaries, while uncertainty in the retail and urgent care sectors may limit earnings. The variation in compensation is often influenced by the specialty focus of practitioners, as those working in mental health (PMHNPs) typically command higher salaries due to increased demand. Strategies for maximizing nurse practitioner pay in Bismarck include pursuing positions in higher-paying sectors, obtaining advanced certifications, and considering supplemental income opportunities through telehealth platforms or locum tenens work. By understanding these factors, nurse practitioners can effectively navigate the local job market to achieve their career and financial goals.
More salary data for Bismarck, ND:
Frequently Asked Questions
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Written by Maria Gonzalez, MSN, NP-C
Career Analyst
Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $130,140 for nurse practitionersin the Bismarck metropolitan area. A 3.45% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.45%, derived from historical BLS wage trends for nurse practitioners (SOC 29-1171).
Compiled and verified by Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov