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North Dakota and the PA Licensure Compact

North Dakota is listed by the PA Compact as a member state (as of August 28, 2026). Per the PA Compact, no states were issuing privileges yet at that date.

PA Compact facts

PA Compact status
Listed by the PA Compact as a member state (as of August 28, 2026)
Privileges
Per the PA Compact, no states were issuing privileges yet at that date

Check pacompact.org for current status; this page is not updated automatically.

What a PA should do for North Dakota

  • Keep your home-state license in good standing.
  • Confirm current requirements with the North Dakota licensing board.
  • Check pacompact.org for current compact status.

The FSMB directory is only a starting point for finding a board: it lists medical boards, so PAs should confirm which board licenses PAs in that state.

FSMB: contact a state medical board

Decision checklist for North Dakota

  • Start with current privilege availability, not the member label for North Dakota.
  • Take the home-state license record to the board and confirm it is valid and unencumbered for the proposed route.
  • Ask how North Dakota laws and regulations apply to the intended clinical work.

The hub’s dated statement says no states were actively issuing privileges yet. Confirm current availability rather than treating a member listing as a permission to start.

Find your state board (FSMB directory) — this directory lists medical boards; confirm which board licenses PAs.

Neighbors

3 of the 3 bordering states are PA Compact members: Minnesota, Montana, South Dakota.

The count is the number of named qualifying neighbors out of all listed land/river neighbors. Open-water-only and point-only contacts are excluded; a neighboring status does not grant practice authority here.

In this state, in context

BLS OEWS May 2025 annual mean employee wages — physicians, all other: $406,630; nurse practitioners: $126,370; physician assistants: $130,930. The physician row is the broad “physicians, all other” category, not an average for all physicians or a particular specialty. These are employee wage estimates, not total compensation or contract rates.

North Dakota physicians, all other pay · North Dakota nurse practitioners pay · North Dakota physician assistants pay · North Dakota nurse anesthetists pay

Sources

Frequently asked questions

Is North Dakota in the PA Compact?

North Dakota is listed by the PA Compact as a member state (as of August 28, 2026). Check pacompact.org for current status; this page is not updated automatically.

Can a PA practice in North Dakota on a compact privilege now?

Per the PA Compact, no states were issuing privileges yet as of August 28, 2026. Confirm with the North Dakota licensing board.

Which rules apply when practicing in North Dakota on a privilege?

PAs using a privilege must follow the laws and regulations of the state where they practice, in this case North Dakota.

How many neighbors of North Dakota are PA Compact members?

3 of the 3 bordering states are PA Compact members: Minnesota, Montana, South Dakota.

Can the North Dakota wage links establish permission to practice?

No. The linked BLS state wage estimates describe employee wages, not licensing, compact privileges or prescribing authority. Confirm the North Dakota board’s requirements separately.