How to Become an LPN in North Dakota for 2025

Co-Founder and Chief Data Scientist

North Dakota offers a promising career path for aspiring Licensed Practical Nurses (LPNs) with a strong job market, competitive salaries for its low cost of living, and diverse opportunities across various healthcare settings. While the state faces some healthcare access challenges, this often translates to higher demand for LPNs. The emphasis on quality nursing education and the state's participation in the Nurse Licensure Compact further enhance its appeal for those looking to start or advance their LPN career.

If you are interested in the professional opportunities for LPNs in North Dakota, use this guide to gain insights into what it takes to become an LPN in the Peace Garden State and how to position yourself for success in this evolving healthcare environment.

Key Things to Know About Becoming an LPN in North Dakota

North Dakota’s LPN job outlook is positive, with a 12% growth rate expected through 2030, driven by increasing healthcare needs in rural and urban areas.
The average annual salary for LPNs in North Dakota is approximately $57,000, which is more than the state's annual minimum wage of approximately $15,080.
Key employers include Sanford Health, CHI St. Alexius Health, and Trinity Health, which are all major healthcare providers offering diverse LPN career opportunities.

What education is required to become an LPN in North Dakota?
How do you obtain an LPN license in North Dakota?
Can you transfer your LPN license to North Dakota?
What financial aid options are available for LPN students in North Dakota?
What is the average salary of an LPN in North Dakota?
What is the job outlook for LPNs in North Dakota?
Where do LPNs work in North Dakota?
Can LPNs transition into healthcare administration and medical coding roles?
How can professional networks enhance LPN career growth in North Dakota?
How can LPNs transition to advanced practice roles?
What additional certifications can enhance an LPN’s career in North Dakota?
Are there other career opportunities that LPNs can explore in North Dakota?
What are the challenges of being an LPN in North Dakota’s healthcare system?
What are the latest regulatory updates affecting LPN licensure in North Dakota?
Other Things You Need to Know About Becoming an LPN in North Dakota

What education is required to become an LPN in North Dakota?

Becoming a Licensed Practical Nurse in North Dakota involves meeting specific educational standards designed to ensure readiness for the healthcare environment. While the pathway may seem straightforward, it is worth considering how these requirements shape the skill set and professional competence of future nurses. Below is a breakdown of the key educational prerequisites and components generally expected in the state:

Completion of a state-approved practical nursing program, typically lasting one to two years, offered by institutions such as community colleges, technical schools, or vocational centers. A testament to the quality of nursing education in North Dakota is the state's high passing rates for nurse licensure exams.
Possession of a high school diploma or an equivalent credential like a GED, which serves as a foundational benchmark for essential literacy and numeracy skills.
Engagement in a curriculum that integrates theoretical classroom instruction with practical clinical training, covering core subjects including anatomy, pharmacology, and patient care methods.
Alignment of coursework with the standards set by the North Dakota State Board of Nursing, ensuring graduates meet state-specific educational and professional criteria.

While these requirements aim to produce competent LPNs, it is important to consider whether the balance between academic coursework and clinical exposure adequately prepares students for the complexities of modern healthcare. Additionally, the variation in clinical hour requirements across programs raises questions about consistency in practical training quality. Prospective students might reflect on how these factors align with their personal learning preferences and career goals.

How do you obtain an LPN license in North Dakota?

Obtaining an LPN license in North Dakota involves navigating a structured process designed to verify that candidates meet the state’s professional standards. While the steps may seem straightforward, it is important to understand the underlying requirements and the rationale behind them. Below is an outline of the essential actions needed to earn licensure in this state.

To become a licensed practical nurse in North Dakota, applicants typically must:

Submit a fully completed application form to the North Dakota Board of Nursing and pay the associated fees required for processing.
Provide proof of graduation from a nursing education program that the Board has approved or that is otherwise recognized within the state’s regulatory framework.
Complete a criminal background check, including fingerprinting, as part of the state’s commitment to public safety and professional accountability.
Successfully pass the NCLEX-PN exam, the standardized test used nationwide to assess the knowledge and skills necessary for entry-level practical nursing practice.
If applying by endorsement, supply verification of any active or expired nursing licenses previously held in other states.
Meet additional conditions set by the Board, such as demonstrating ethical conduct and good moral character, which reflect the profession’s values.

These steps reflect a balance between ensuring competent care and protecting the public, yet one might consider whether the process could be further streamlined or if alternative pathways might exist for experienced candidates. Applicants should remain attentive to any updates in the Board’s regulations and prepare thoroughly to avoid common pitfalls that can delay licensure.

The North Dakota Board of Nursing reports that there were 209 new LPNs who got their license through examination in 2024. This indicates a downward trend in the number of new licensed practical nurses in the last four years, further fueling the need for more LPNs.

When speaking with a nurse from North Dakota about her experience, she shared, “Waiting for the background check results was nerve-wracking, especially because any minor mistake could hold up my license. But once everything was in order, passing the NCLEX-PN felt like a real milestone that confirmed I was ready to serve my community.”

Trends in number of first-time NCLEX-PN takers

Can you transfer your LPN license to North Dakota?

Transferring an LPN license to North Dakota involves a detailed endorsement process designed to ensure that applicants meet state-specific standards. The North Dakota LPN license reciprocity process requires careful attention to documentation and regulatory compliance.

To navigate the transfer effectively, applicants should follow these key steps:

Hold an active, unencumbered LPN license from another U.S. state or territory.
Submit a completed application form and pay the required fee to the North Dakota Board of Nursing.
Provide official verification of licensure from the original state, either through direct confirmation or the Nursing Licensure Compact if applicable.
Submit proof of passing the NCLEX-PN examination.
Complete a criminal background check if requested.
Ensure compliance with North Dakota’s continuing education requirements where applicable.

It is important to note that North Dakota participates in the Nurse Licensure Compact (NLC), which can narrow down the amount of steps and time required to transfer a nursing license. The North Dakota Board of Nursing reports 59 new LPNs through endorsement in 2024.

What financial aid options are available for LPN students in North Dakota?

Financing an education as a Licensed Practical Nurse in North Dakota involves navigating several targeted aid programs that help reduce the financial burden. Understanding these options is essential, as they can significantly influence your ability to complete nursing training without excessive debt. Below are key financial aid opportunities specifically designed for LPN students in the state.

North Dakota Board of Nursing Education Loan Program: This program offers loans to students in various nursing programs, including certificate practical nurse programs. A unique feature is that the loan can be repaid or forgiven by working as a nurse in North Dakota after graduation at a rate of $1 per hour worked.
Allan B. Engen Nursing Scholarship: This scholarship is specifically for individuals currently employed in a North Dakota Long Term Care Association member facility who are interested in becoming a nurse (LPN or RN). Several $1,000 scholarships are awarded annually. You need a recommendation from your facility's Director of Nursing or Administrator. The application deadline is typically in early September.
Trinity Health Foundation Nursing Scholarship: This scholarship, offered by Trinity Health, can provide up to $2,000 per semester, plus a living allowance if employed by them while attending school. A key condition is that you must take a job with Trinity within 90 days of completing your education. For each year of employment, a portion of the scholarship is forgiven.
North Dakota Area Health Education Center (AHEC) Programs: AHEC offers stipends for clinical rotations in rural or underserved areas. This could help offset costs for LPN students doing clinicals in these settings.

While these programs provide valuable assistance, it remains important to critically assess eligibility criteria and obligations, such as service commitments, to ensure that the aid aligns with your career goals and personal circumstances.

For those considering career advancement or alternative routes, reviewing options like cheap LPN certificates vs nursing degree programs may provide useful insights into different educational paths.

When speaking with a North Dakota nurse about her experience, she reflected on the challenge of balancing multiple applications while managing coursework. She shared, “It was overwhelming at times, but knowing that each scholarship brought me closer to my goal made the effort worthwhile,” emphasizing how persistence and early planning were crucial in her journey to securing financial aid.

Certain nursing schools in North Dakota also have their own scholarships and other forms of financial aid for students.

What is the average salary of an LPN in North Dakota?

The average annual salary for licensed practical nurses in North Dakota is $57,530, according to 2023 data from the U.S. Bureau of Labor Statistics. This wage aligns with the state's relatively low cost of living, which is about 5.5% below the national average, making the salary sufficient for a modest but comfortable lifestyle in most areas. Considering the average licensed practical nurse salary North Dakota offers, it provides a reasonable income for those pursuing this nursing profession within the state.

Several factors influence North Dakota LPN salary and job outlook variations, including geographic location. Urban centers like Fargo typically offer higher pay than rural areas. Experience level and the type of healthcare facility also play significant roles. Additionally, demand for healthcare services and state-specific funding for healthcare programs contribute to wage disparities. For those interested in advancing their careers, exploring affordable LPN to BSN programs can be a strategic step toward higher earning potential and broader opportunities.

What is the job outlook for LPNs in North Dakota?

The employment prospects for Licensed Practical Nurses (LPNs) in North Dakota appear to be encouraging, with job growth anticipated to be around 12% in 2020-2030. This rate exceeds the national average growth of approximately 3%, suggesting that the demand for LPNs in the state is relatively strong. However, while these figures indicate a healthy job market, it is important for prospective nurses to consider how regional factors, such as population distribution and healthcare infrastructure, might influence actual job availability.

Annually, North Dakota typically presents about 240 job openings for LPNs. These positions arise not only from the creation of new roles but also from the need to fill vacancies left by retirements or career shifts. This steady stream of opportunities points to a consistent need for skilled LPNs, yet aspiring nurses should assess whether these openings align with their preferred locations and specialties within the state.

The demand for LPNs in North Dakota is largely driven by an aging population and expanding healthcare needs across both rural and urban settings. While this suggests a stable and accessible job market, it prompts consideration of whether the supply of trained LPNs will keep pace with demand and how changes in healthcare policy or technology might impact future employment trends. For those aiming to build a career in nursing within North Dakota, understanding these dynamics can be crucial in making informed decisions about education and job placement.

Where do LPNs work in North Dakota?

There are plenty of options for LPNs who wish to work in North Dakota, reflecting the state’s diverse healthcare landscape. Employment opportunities span from hospitals to community health organizations, each offering unique experiences and career growth potential.

Those exploring LPN job opportunities in North Dakota should consider the following organizations:

Sanford Health. The largest healthcare provider in the region, offering advanced clinical experience and a supportive professional environment that encourages career development.
Altru Health System . Known for its dedication to community health and ongoing nurse education, providing LPNs with patient-centered care opportunities.
Good Samaritan Society: Specializes in long-term and elder care, enabling LPNs to develop expertise in geriatric nursing through compassionate care.
North Dakota Department of Health: Employs LPNs in preventive and rural health programs, addressing critical healthcare access issues in underserved areas.

These healthcare facilities hiring LPNs North Dakota-wide illustrate the growing demand driven by an aging population and expanding medical services. For those interested in advancing their qualifications, exploring the best nursing career paths can provide valuable insights into affordable education options and career trajectories in this field.

To give you additional ideas about employment opportunities, here are the top-paying industries for LPNs.

Can LPNs transition into healthcare administration and medical coding roles?

Licensed Practical Nurses can leverage their clinical experience to pursue roles in healthcare administration and medical coding, diversifying their career path beyond direct patient care. Transitioning into these fields involves targeted training in areas such as office management, data analysis, and regulatory compliance, which complements the practical skills developed on the floor. This pathway not only broadens career prospects but also addresses the evolving needs of healthcare organizations. For a detailed roadmap on pursuing a career pivot, refer to how to become a medical coder in North Dakota.

How can professional networks enhance LPN career growth in North Dakota?

Professional networks and associations offer valuable mentorship, industry insights, and career development opportunities that extend beyond formal certifications. Active participation in local or national nursing organizations can facilitate access to exclusive training sessions, workshops, and job placement services tailored to the evolving healthcare landscape in North Dakota. Engaging with these communities often reveals strategic pathways to upgrade skills and transition into roles with expanded responsibilities, including exploring alternatives like how to become an LVN nurse in North Dakota.

How can LPNs transition to advanced practice roles?

Transitioning from an LPN to an advanced role requires focusing on complementary education, targeted training, and careful career planning. Aspiring advanced practitioners often explore bridging programs and mentorship initiatives that build on existing clinical skills. One significant progression pathway is becoming a nurse practitioner in North Dakota, which demands additional formal education and specialized clinical experience. Leveraging professional associations and continuing education opportunities can help LPNs meet the prerequisites for advanced practice while aligning their real-world experience with the evolving demands of higher-level patient care.

What additional certifications can enhance an LPN’s career in North Dakota?

Continuing education and certifications play a crucial role in the career development of Licensed Practical Nurses in North Dakota. While the foundational LPN license allows nurses to deliver essential patient care, pursuing advanced LPN certifications North Dakota offers can significantly enhance their expertise, career prospects, and earning potential. However, it is worth considering whether these certifications are always necessary or if experience alone suffices in this evolving healthcare landscape. Nevertheless, many employers value credentials as evidence of specialized knowledge and commitment to professional growth.

Among the notable specialty credentials available, the Certified IV Therapy Technician (IVT) stands out. This certification trains LPNs in the safe administration of intravenous fluids and medications, a skill increasingly required in hospitals, clinics, and long-term care facilities across North Dakota. By gaining IV therapy expertise, nurses can expand their responsibilities and improve their employability in diverse healthcare settings.

Another valuable credential is the Certified Wound Care Associate (CWCA), which focuses on wound assessment, treatment, and prevention. As wound care is a critical component in home health and long-term care environments, this certification enables LPNs to contribute more autonomously within multidisciplinary teams. Such credentials support better patient outcomes and reinforce the nurse’s role in specialized care.

For those exploring how to begin or advance their nursing education journey, options for licensed practical nurse classes online offer flexible pathways to obtain foundational and advanced skills. Considering the demand for skilled nursing professionals in the region, combining practical experience with recognized specialty certifications can make a substantial difference in career trajectory and job stability.

Are there other career opportunities that LPNs can explore in North Dakota?

Licensed Practical Nurses in North Dakota often seek employment opportunities beyond traditional nursing roles, and there are plenty of options available that utilize their healthcare expertise in new ways. Exploring alternative nursing careers in North Dakota can open doors to diverse professional paths that may better align with personal interests or lifestyle needs. While many assume LPNs are limited to bedside care, several roles leverage their clinical knowledge without requiring direct patient care.

Medical billing and coding specialist: This role involves managing patient records, processing insurance claims, and ensuring accurate billing. It suits LPNs well because their familiarity with medical terminology and healthcare procedures eases the transition to administrative healthcare roles.
Pharmacy technician: Assisting pharmacists with medication preparation, dispensing, inventory management, and customer service is a natural fit for LPNs who understand medication administration protocols.
Home health aide: Providing personalized care in patients’ homes extends the hands-on care experience LPNs have, offering a more flexible and often less clinical work environment.
Patient care coordinator: Managing treatment plans and facilitating communication between patients and providers benefits from an LPN’s clinical insight and organizational skills.

For those considering certification in medical billing, preparation is crucial. Enrolling in accredited coding and billing courses can be a practical first step. These are often offered through community colleges or online programs in North Dakota. Participating in local seminars, such as those by the North Dakota Health Information Management Association, helps candidates stay current on coding standards and exam strategies. Consistent practice with ICD-10 and CPT coding manuals also improves exam confidence and success rates.

When evaluating career options for LPNs in North Dakota, it is important to question whether traditional nursing roles are the only viable path. Alternative careers can offer rewarding, stable employment while capitalizing on an LPN’s existing skills. For those considering further education or a career shift, exploring fast-track LPN schools may provide accelerated pathways to broaden qualifications and opportunities.

Another career option is to become a nurse educator, a valuable role in training more skilled nursing professionals. Furthermore, as the healthcare industry moves toward a more inclusive culture and system of health care, there is a need for more nurse educators from varying backgrounds. The chart below presents the gender distribution among nurse educators.

What are the challenges of being an LPN in North Dakota’s healthcare system?

Becoming a Licensed Practical Nurse in North Dakota involves navigating several distinctive challenges shaped by the state's healthcare environment. Prospective LPNs should be aware of these factors as they prepare for careers in this field.

Rural healthcare limitations: Much of North Dakota is rural, resulting in fewer healthcare facilities and increased demands on LPNs who often serve in understaffed clinics or long-term care centers, which can elevate stress and workload.
Increasing elderly population: With the state’s aging demographic, LPNs must develop specialized skills in managing chronic illnesses and geriatric care, requiring ongoing education to meet complex patient needs.
Healthcare workforce shortages: A projected rise in demand for practical nurses through 2030 means current LPNs may face longer shifts and higher burnout risk, potentially affecting job satisfaction and retention.
Competition within nursing roles: LPNs may encounter challenges advancing their careers due to competition with registered nurses and other healthcare professionals, particularly in a limited job market.
Need for continuous professional development: As healthcare needs evolve, LPNs in North Dakota must commit to lifelong learning to maintain relevant skills and adapt to changing care environments.

What are the latest regulatory updates affecting LPN licensure in North Dakota?

Staying current with evolving regulatory standards is essential for maintaining professional eligibility and ensuring quality patient care. LPNs must monitor periodic changes in state guidelines and continuing education mandates that directly impact practice authorization. Compliance with newly implemented policies and adjustments in required clinical hours can influence both the renewal process and ongoing career opportunities. For detailed and updated information, refer to our article on North Dakota nursing licensure requirements.

What LPNs in North Dakota Say About Their Careers

"Pursuing my LPN career in Bismarck has allowed me to grow both personally and professionally. Working closely with the local community, I’ve witnessed firsthand how much of a difference compassionate care can make, especially in rural areas where resources are limited. Graduating from Bismarck State College’s practical nursing program truly prepared me for this rewarding journey." – Nina
"North Dakota’s unique environment offers challenges that have pushed me to become a more adaptable nurse. Living and working in Williston, I’ve encountered diverse patient needs tied to the oil industry and rural lifestyles. This experience has expanded my skills and kept my work truly engaging. The state’s supportive job market for LPNs also gives me confidence in my career stability." - Allan
"After over 15 years as an LPN educator in Fort Yates, I appreciate how this career supports a balanced lifestyle while offering continued opportunities for advancement. The affordable cost of living and family-friendly communities here make it easier to focus on my students and my own professional growth. Teaching future nurses keeps my passion alive, even as I look toward retirement." – Lena

Other Things You Need to Know About Becoming an LPN in North Dakota

How much does it cost to complete an LPN program in North Dakota?

The average tuition for Licensed Practical Nurse (LPN) programs in North Dakota typically ranges between $8,000 and $15,000. This cost varies depending on the institution, with schools like Bismarck State College charging around $7,000 to $11,000, depending on your residency. However, tuition is not the only expense; students must also account for fees such as textbooks, uniforms, and licensing exam costs. These additional expenses can add several hundred dollars, prompting prospective students to carefully evaluate total program costs rather than focusing solely on tuition fees.

While tuition estimates provide a baseline, it is important to question whether higher costs correlate with better educational outcomes. Some programs may offer financial aid or payment plans that mitigate upfront expenses. Considering the full financial commitment, including hidden fees, is essential for making an informed decision about pursuing an LPN credential in North Dakota.

Are there fast-track LPN programs in North Dakota?

Fast-track LPN programs in North Dakota do exist, but they are relatively rare compared to traditional pathways. These accelerated programs typically last around nine to 12 months, offering a condensed curriculum for students who meet specific prerequisites such as prior healthcare experience or relevant coursework. It is important to critically assess whether speeding through training compromises depth of learning, especially in a field requiring strong clinical judgment. Potential candidates should weigh the benefits of faster entry against the rigors of intensive study.

Two examples of accelerated LPN programs in North Dakota include the Practical Nursing program at Bismarck State College and the accelerated track at Lake Region State College. Both offer streamlined curricula designed to prepare students efficiently for the NCLEX-PN licensure exam. However, admission criteria and program lengths may vary, so prospective students must research thoroughly to ensure alignment with their personal and professional goals.

Can you take online LPN programs in North Dakota?

In North Dakota, fully online LPN programs are uncommon due to the hands-on clinical skills required for licensure. While some schools offer hybrid models combining online coursework with in-person labs, complete online study is limited. This raises questions about whether online programs can adequately prepare students for practical nursing demands. The on-campus experience often provides direct patient interaction and supervised clinical practice that online formats may struggle to replicate effectively.

Students considering online options should weigh convenience against potential gaps in clinical training. North Dakota’s Nursing Board mandates specific clinical hours that most online programs must fulfill in person. This means even programs advertised as online usually require local clinical placements. Therefore, prospective LPNs must critically assess how their chosen program balances theory and practical experience within state regulations.

Is North Dakota a good place for LPNs?

North Dakota can be considered a good place for Licensed Practical Nurses, though this assessment depends on individual priorities and market conditions. The state offers certain advantages, but also some challenges that warrant careful consideration.

Demand and job stability: North Dakota has a steady demand for LPNs, especially in rural healthcare settings where shortages are common. However, the population size limits the overall number of job openings compared to more populous states.
Competitive salaries: LPNs in North Dakota tend to earn salaries that are competitive relative to the cost of living. Yet, these wages may be lower than those in metropolitan areas elsewhere, potentially affecting long-term earning potential.
Scope of practice and work environment: The state’s regulations define the LPN scope of practice clearly, but some nurses report limited opportunities for advancement or specialization without further education. This can influence career growth depending on one’s ambitions.

References:

North Dakota Board of Nursing (2025). Data – ND Board of Nursing. https://www.ndbon.org/data
O*NET OnLine (n.d.). North Dakota Employment Trends, 29-2061.00 - Licensed Practical and Licensed Vocational Nurses. https://www.onetonline.org/link/localtrends/29-2061.00?st=ND
U.S. Bureau of Labor Statistics (April 2024). May 2023 State Occupational Employment and Wage Estimates, North Dakota. https://www.bls.gov/oes/2023/may/oes_nd.htm
World Population Review (n.d.). Living Wage by State 2025. https://worldpopulationreview.com/state-rankings/livable-wage-by-state