North Dakota
Clinician license renewal in North Dakota
Renewal cycles, fees, CE requirements, and compact membership for nurse practitioners, physician assistants, and physicians in North Dakota. Sourced from state boards and the official compact registries; we surface the citation next to every claim and never invent a rule we can’t verify.
Last reviewed 05/08/2026.
Compact membership
Nurse Licensure Compact (NLC)
Full member
Source: nursecompact.com, as of 05/05/2026
Interstate Medical Licensure Compact (IMLC)
Member
Source: imlcc.com, as of 05/05/2026
APRN / nurse practitioner license
- Renewal cycle
- Biennial. ND APRN/RN CE is measured 'within the preceding two (2) years' under NDAC 54-02-05-08.
- ndbon.org, as of 05/08/2026
- Renewal fee
- $220 APRN biennial renewal (without Rx authority) or $295 with Rx authority, + $140 RN biennial renewal (as of 2026-05-08; NDBON Renewal page). $435 total per biennium for a prescribing APRN+RN. Late renewal doubles each component to $440 (APRN), $590 (APRN-Rx), and $280 (RN). Compact-RN APRN-only renewal is $80 (without Rx) or $155 (with Rx).
- ndbon.org, as of 05/08/2026
- Continuing education
- 12 contact hours of CE per 2-year period (NDAC 54-02-05-08) for the underlying RN credential. APRNs WITH Prescriptive Authority must additionally complete 15 contact hours of pharmacotherapy education related to scope of practice during the previous 2 years (NDAC 54-05-03.1-11). Per the rule, these pharmacotherapy hours fulfill the registered nurse renewal CE requirement (so a prescribing APRN's 15 pharm hours also satisfy the 12 RN hours). Practice requirement: 400 hours of nursing practice within the preceding 4 years.
- ndbon.org, as of 05/08/2026
- Online renewal available
- Confirm with North Dakota Board of Nursing
Track this credential automatically with Larch’s License tracking.
Physician assistant license
- Renewal cycle
- Annual. North Dakota PA licenses are renewed each year online via NDBOM.
- ndbom.org, as of 05/08/2026
- Renewal fee
- $105 annual PA license online renewal fee per the NDBOM PA FAQs page (as of 2026-05-08).
- ndbom.org, as of 05/08/2026
- Continuing education
- 100 hours of CME every 2 years per North Dakota Board of Medicine rules. (CE cadence is biennial even though the license cycle is annual.)
- ndbom.org, as of 05/08/2026
- Online renewal available
- Confirm with North Dakota Board of Medicine
Track this credential automatically with Larch’s License tracking.
MD / DO license
- Renewal cycle
- Confirm with North Dakota Board of Medicine
- Renewal fee
- Confirm with North Dakota Board of Medicine
- Continuing education
- Confirm with North Dakota Board of Medicine
- Online renewal available
- Confirm with North Dakota Board of Medicine
We’re still verifying North Dakota Board of Medicine’s MD/DO- specific renewal details. The most accurate source is the board itself — visit North Dakota Board of Medicine.
Track this credential automatically with Larch’s License tracking.
State controlled-substance registration
Some states layer a state-level controlled-substance registration (CSR or CDS) on top of the federal DEA; others rely on the DEA alone. Where North Dakotarequires one, it carries its own number, fee, and renewal clock — independent of the DEA cycle.
- Required in this state
- Confirm with North Dakota controlled-substances regulator
We’re still verifying North Dakota’s state CSR rules. Confirm with the North Dakotacontrolled-substances regulator (often the Board of Pharmacy or a Department of Health office) before assuming you do or don’t need a state CSR alongside your DEA.
Track DEA + state CSR together with Larch’s DEA + CSR tracker.
Federal DEA registration
DEA registration is federal, not state-issued. DEA practitioner registrations renew on a three-year cycle and are tied to a specific practice address — multi-site clinicians typically hold one DEA per practice location, each with its own number and clock. The first renewal on or after June 27, 2023 also required a one-time MATE Act 8-hour training attestation; once attested, the credit carries forward.
See Larch’s DEA tracking page for details on the federal cycle, multi-site rules, and the MATE Act attestation requirements.
Common questions about North Dakota renewals
- Is North Dakota a Nurse Licensure Compact (NLC) state?
- Yes — North Dakota is a full NLC member. Nurses who hold an active multistate license issued by another compact state may practice in North Dakota without applying separately, and North Dakota residents may apply for a multistate license through the North Dakota Board of Nursing if they meet the NCSBN's Uniform Licensure Requirements. Note that nurses changing their primary state of residence to or from a compact state generally must apply in the new home state within 60 days. Source: NCSBN compact map.
- Does the Interstate Medical Licensure Compact (IMLC) work for physicians in North Dakota?
- Yes — North Dakota participates in the IMLC. Eligible physicians can use the compact's expedited pathway to obtain medical licenses in additional member states. Whether North Dakota serves as a physician's State of Principal License or only as a license-issuing state varies; check the IMLCC for current specifics. Source: IMLCC.
- Does the federal DEA renewal cycle differ in North Dakota?
- No. DEA practitioner registrations are federal and renew on a three-year cycle regardless of state. Registrations are tied to a specific practice address — not to the holder personally — so multi-site clinicians typically hold one DEA per practice location. North Dakota's state-level controlled-substance registration, if it requires one, is separate from the federal DEA.
- How does Larch keep North Dakota's rules current?
- A drift-detection job re-fetches each cited source on a weekly cadence and flags pages where the source content has changed since our last review. Where we don't have a verified detail, we surface "Confirm with [Board]" with a link to the issuing board — never a guess.
Track every ND credential on one calendar.
Larch keeps a clean clock on every license, DEA, state CSR, board cert, and CE hour. Smart renewal alerts on the schedule you set. Encrypted document vault. License tracker is $5/month or $49/year — bundle with Collaboration + CE for $119/year.
Start trackingSources for North Dakota
- ndbon.org · retrieved 05/08/2026
- ndbom.org · retrieved 05/08/2026
- NCSBN Nurse Licensure Compact Map (PDF) · retrieved 05/05/2026
- Interstate Medical Licensure Compact Commission (IMLCC) · retrieved 05/05/2026
Other states