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Medical Assistant in North Dakota: Salary, License Requirements, and How to Start

Allied healthcare

North Dakota employs 600 medical assistants, with a statewide median of $45,980 and wide variation by city and experience. Here is the real wage data, the exact North Dakota licensing picture, and where to train.

What Medical assistants Earn in North Dakota (May 2025)

North Dakota median pay
$45,980 (May 2025)
Starting range (10th percentile)
$37,650
Experienced (75th percentile)
$54,620
Top earners (90th percentile)
$58,230
Employed in North Dakota
600
U.S. median (for comparison)
$42,000 (May 2024)
Starting $37,650 Median $45,980 Top 10% $58,230 $30k$40k$50k$60k$70k The bar spans the 10th–90th percentile of current workers.

Wages vary substantially by metro. Median annual pay for medical assistants in major North Dakota markets:

Bismarck
$48,980 (140 employed)
Fargo
$47,280 (290 employed)
Grand Forks
$44,560 (80 employed)
Minot
$43,370 (40 employed)

What That Pay Is Worth in North Dakota

Prices in North Dakota run about 11% below the national average (cost-of-living index 89.0 vs a U.S. baseline of 100, 2024), so the $45,980 median stretches to roughly $51,663 in national buying-power terms.

Job Outlook in North Dakota (2024–2034)

North Dakota is projected to grow medical assistants employment +14.9%, faster than the +12.5% projected nationally. The state expects about 90 openings a year, counting both growth and workers who retire or move on.

North Dakota License and Certification Requirements

No state license; CMA/RMA certification employer-preferred — regulated by the No North Dakota state license.

  1. North Dakota does not license medical assistants.
  2. Complete a medical assistant program (certificate or associate).
  3. Earn CMA (AAMA) or RMA (AMT) certification — preferred by most clinics and a common stepping stone into nursing.

Official requirements: No North Dakota state license →

Training in North Dakota

One of the fastest clinic-based entries. Certification and an externship placement are what get you hired.

Real training providers and registered apprenticeships in North Dakota include:

Where Medical assistants Work in North Dakota

Real North Dakota hospitals that employ medical assistants include:

Is This the Right Move for You?

Best for: People who want the fastest entry into clinical healthcare and are comfortable with both patient care and administrative tasks.

Think twice if: A pay ceiling in the low-to-mid $40s and a broad scope of low-autonomy tasks sounds frustrating rather than engaging.

Why it's resilient: Medical assistants handle clinical and administrative tasks that require physical presence, patient interaction, and real-time judgment in physician offices and clinics.

First Steps

Look for accredited medical assistant programs at community colleges — many run 9–12 months and include an externship.

Frequently Asked Questions

How much do medical assistants make in North Dakota?

The median wage for medical assistants in North Dakota is $45,980 per year (May 2025, BLS). Entry-level pay (10th percentile) starts around $37,650, and top earners (90th percentile) make about $58,230. Pay varies by metro and years of experience.

What license or certification do you need to become a Medical Assistant in North Dakota?

No state license; CMA/RMA certification employer-preferred, overseen by the No North Dakota state license. North Dakota does not license medical assistants.

Is being a Medical Assistant a good career in North Dakota?

Medical assistants handle clinical and administrative tasks that require physical presence, patient interaction, and real-time judgment in physician offices and clinics.

Which North Dakota metros pay medical assistants the most?

Among North Dakota metro areas, Bismarck leads at $48,980, followed by Fargo ($47,280), Grand Forks ($44,560). Local pay tracks regional demand and cost of living, so the highest-paying metro isn't always the best net move.

Where can I train to become a Medical Assistant in North Dakota?

Real North Dakota options include Dakota College at Bottineau, Mayville State University, North Dakota State College of Science. Most medical assistants start with an accredited program, then earn the credential the state or employer requires.

Is Medical Assistant a growing career in North Dakota?

North Dakota projects medical assistants employment to change +14.9% from 2024 to 2034, with about 90 openings a year — a growing field in the state.

Sources and Verification

Wage data: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025), North Dakota statewide and metro estimates for SOC 31-9092. Licensing summary compiled from the No North Dakota state license (2026-06-11). Requirements change — always confirm current rules with the board and verify program costs and outcomes before enrolling.

BLS Occupational Outlook · O*NET North Dakota wages · North Dakota licensing/certification source

Employment projections: Projections Central / BLS Employment Projections (2024–2034); Cost of living: BEA Regional Price Parities; Employer lists from CMS Provider of Services, the FAA Part 145 directory, EIA Form 860, and USGS/state EMS registries (2026).

Pay percentiles describe current workers, not entry-level offers; training costs and local demand vary, so verify locally before committing money or quitting a job.