Nurse Practitioner Salary in Fargo, ND: $134,557 (2026)
Quick Answer:A full-time nurse practitioner in Fargo, ND earns a median $134,557/year (≈ $64.69/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Fargo's price level (9% below national, BEA RPP 90.9), that paycheck buys what $148,075 would nationally. Nominal pay sits 6.9% above the North Dakota state average.
Official BLS data · View source

Nurse practitioners in Fargo, North Dakota, can expect a median annual salary of $134,557 in 2026, slightly below the national average for the profession. The salary range for NPs in Fargo spans from $107,060 at the 10th percentile to $168,179 at the 90th percentile, reflecting the diverse opportunities available in this market. This data, derived from 2025 BLS OEWS surveys projected to 2026, shows a notable differential based on specialty. Psychiatric-Mental Health Nurse Practitioners (PMHNP) generally command higher pay than Family Nurse Practitioners (FNP) and Adult-Gerontology Acute Care Nurse Practitioners (AGACNP), reflecting both the demand for mental health services and varying levels of complexity in patient care.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $107,060 | $51.48 |
| Lower Range (P25) | $116,961 | $56.24 |
| Median (P50)(typical) | $134,557 | $64.69 |
| Upper Range (P75) | $140,299 | $67.45 |
| Top Earners (P90) | $168,179 | $80.86 |
Median Salary Position
1.69% below the national average
2026 Salary Percentile Distribution in Fargo
In Fargo, ND, the nurse practitioner salary spread from the 10th to 90th percentile is $61,119 (2026 est.). At $134,557, the local median is 1.69% below the national median of $136,864.
Salary Calculator
At 40 hours/week in Fargo: You'd be in the lower-middle range
How Fargo Nurse Practitioner Pay Compares
Fargo median: $134,557/year (2026)
| Compared To | Median Salary | Fargo Pays |
|---|---|---|
| North Dakota Average | $125,872 | +6.90% more |
| National Average | $136,864 | -1.69% less |
Nurse Practitioners in Fargo, ND earn a median of $134,557 per year (2026 est.), which is 1.69% lower than the national median of $136,864 and 6.90% above the North Dakota state average of $125,872.
Cost-of-Living Adjusted Salary
Fargo has a cost of living 9.13% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Fargo, ND has a cost-of-living index of 90.871 (below the national average of 100). A nurse practitioner earning $134,557 nominally has purchasing power equivalent to $148,075 in an average-cost city — an effective 10.05% boost.
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2019 BLS Actual
$103,860
2025 BLS Actual
$130,070
2026 Current Est.
$134,557
2019–2027 Growth
+34.0%
Salary Trajectory for Nurse Practitioners in Fargo (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $103,860 | Actual |
| 2020 | $106,800 | Actual |
| 2021 | $101,850 | Actual |
| 2022 | $115,640 | Actual |
| 2023 | $125,030 | Actual |
| 2024 | $129,130 | Actual |
| 2025 | $130,070 | Actual |
| 2026(current) | $134,557 | Estimated |
| 2027 | $139,200 | Projected |
Based on 7 years of BLS OEWS data for the Fargo metropolitan area, the median nurse practitioner salary grew 25.2% from $103,860 (2019) to $130,070 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $139,200 by 2027 — a total increase of $35,340 (34.03%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fargo 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) | $107,060 – $116,961 |
| 3-5 years (Mid Career) | $116,961 – $134,557 |
| 5+ years (Experienced) | $134,557 – $140,299 |
| 10+ years (Top Earner) | $140,299 – $168,179 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Fargo
Within Fargo's healthcare landscape, about 490 nurse practitioners are employed, contributing to a competitive job market driven by local healthcare needs. The cost of living index in Fargo stands at 90.871, below the national average, indicating that NPs can enjoy a favorable purchasing power relative to other regions. Among potential employers, hospital outpatient clinics and specialty clinics tend to offer the most lucrative positions. Factors influencing salary variations include the NP's area of focus, state regulations regarding full-practice authority, and opportunities for productivity bonuses. To maximize pay, NPs in Fargo should consider obtaining additional certifications and exploring telehealth roles, which have become increasingly popular and can supplement income through flexible arrangements. The emphasis here is clearly on understanding both local demand and the value of specific NP specialties in negotiating their worth in this evolving market.
More salary data for Fargo, 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 $130,070 for nurse practitionersin the Fargo 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