Source: BLS OEWS, Nurse Practitioners (29-1171), median annual wage, May 2025. The South Dakota median is computed from live postings with disclosed, non-estimated salary on NP Hiring.
Cost-of-living index: 93-7% vs. national average
Living costs in Mitchell run about 7% below the national average (100), per NP Hiring's city dataset.
Adjusted for local costs, this job's posted range of $151,911 to $151,911 is worth about $163,345 to $163,345 in national-average dollars.
AANP classification: Full Practice
South Dakota NPs need a written collaborative agreement with a physician, certified nurse practitioner or certified nurse midwife licensed in South Dakota until they have completed 1,040 hours of licensed practice. After that, they can practice without a collaborative agreement. Classification source: AANP State Practice Environment
