PermanentPosted 27 days ago
Advanced Practice Nurse (Midwife)
Indian Health Service · Kyle, SD
$117k–$164k/ year
Nurse Practitioner jobs in Rapid City, SD
Pay for nurse practitioners in the Rapid City area centers on $53.75 per hour, or about $111,810 a year. The lower quarter earns under $48.91 and the upper quarter over $61.82. That ranks 333rd of 372 U.S. metro areas for nurse practitioner pay, and 281st of 336 once local prices are factored in. The CMS hospital directory lists 3 hospitals in Rapid City. Your free pay report adds named employers and the roles open near Rapid City.
- $53.75median pay per hour, Rapid City
- $49–$62typical range per hour
- 170nurse practitioners employed in the metro area
- 89cost of living index (U.S. = 100)
Nurse Practitioner pay in Rapid City, SD
The metro median is 9% below the South Dakota statewide median of $58.94 per hour. Nationally the median is $62.12 per hour. BLS counts about 170 nurse practitioners employed in the Rapid City metro area, 2.4 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.18).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $44.86 | $93,310 | 28% below U.S. median |
| Lower quartile | $48.91 | $101,730 | 21% below U.S. median |
| Median | $53.75 | $111,810 | 13% below U.S. median |
| Upper quartile | $61.82 | $128,590 | in line with U.S. median |
| Top 10% | $70.66 | $146,970 | 14% above U.S. median |
How Rapid City ranks
- 333rd of 372 U.S. metro areas by median hourly pay
- 281st of 336 after adjusting for local prices
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Nurse Practitioners (SOC 29-1171), all industries. This is what employers report paying, not an offer for a specific role.
What your pay buys in Rapid City
- Overall prices in Rapid City run 11% below the U.S. average (index 89.2, U.S. = 100).
- Housing is the biggest driver: 27% below the U.S. average (index 72.6).
- Adjusted for local prices, a $53.75 median hour buys what $60.28 buys at the national price level, 3% below the national median.
Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.
Get the Rapid City Nurse Practitioner pay report
Named employers near Rapid City, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportEstimate your Rapid City paycheck
Estimated weekly gross$1,935
- Per year: $96,750
- Per month: $8,062
- South Dakota has no state income tax on wages.
Gross pay before taxes and benefits, from BLS pay levels for the Rapid City metro area. For take-home pay use the take-home pay calculator.
Travel assignment per diem in Rapid City
| Item | Federal rate |
|---|---|
| Lodging per night | $122 |
| Meals and incidentals per day | $74 |
| Per week (7 nights, 7 days) | $1,372 |
| 13-week assignment | $17,836 |
Travel nurse practitioner assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.
Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).
Open Nurse Practitioner roles in South Dakota
Nearest open roles with published pay. Your free report adds roles in Rapid City as they open.
For youUpdated weekly
30+ more Nurse Practitioner roles for you in South Dakota
Most are never shown on this page. Tell us your role and get the full list, with the pay on every one, in your inbox within 24 hours.
- Free
- No card
- Email only, no calls
Hospitals in Rapid City
CMS lists 3 hospitals in Rapid City, 0 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of nurse practitioners.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Monument Health Rapid City Hospital Rapid City, SD | Acute care | Nonprofit | 3 of 5 | Yes |
| Black Hills Surgical Hospital Llc Rapid City, SD | Acute care | For-profit | Not rated | No |
| Same Day Surgery Center Llc Rapid City, SD | Acute care | For-profit | Not rated | No |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
Primary care shortage areas in Pennington County
HRSA lists 4 active primary care shortage designations that include Pennington County (1 population-group, 3 facility). The highest-scoring one rates 18 on a 0 to 25 scale, where a higher score means a greater shortage.
Shortage areas are where demand for nurses, nurse practitioners, physician assistants and other clinicians is greatest. Federal loan repayment programs such as the NHSC and Nurse Corps cover some clinicians who work at eligible shortage-area sites. Eligibility is set by each program and by the site, so ask your recruiter before you plan around it.
Source: HRSA Health Professional Shortage Areas data warehouse, designated areas only. A designation can cover part of a county.
Nurse Practitioner pay in nearby cities
| City | Distance | Median pay | Population |
|---|---|---|---|
| Casper, WY | 177 mi | $57.55/hr | 58,823 |
| Cheyenne, WY | 218 mi | $62.52/hr | 65,704 |
| Bismarck, ND | 224 mi | $60.00/hr | 77,772 |
| Billings, MT | 287 mi | $65.41/hr | 121,483 |
| Sioux Falls, SD | 325 mi | $62.78/hr | 209,289 |
| Sioux City, IA | 360 mi | $62.18/hr | 86,875 |
Nurse Practitioner jobs in South Dakota · Nurse Practitioner jobs nationwide
License and tax basics in South Dakota
South Dakota is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a South Dakota license by endorsement.
South Dakota does not tax wage income at the state level, so take-home pay is higher than the same gross pay in a state that does.
Other healthcare roles in Rapid City
Rapid City city guide: hospitals, employers and licensing
Common questions
How much do nurse practitioners make in Rapid City, SD?
Nurse Practitioners in the Rapid City metro area have a median pay of $53.75 per hour, about $111,810 a year. The middle half earn between $48.91 and $61.82 per hour (BLS, May 2024).
Is Rapid City a good place for nurse practitioners once cost of living is counted?
Rapid City ranks 281st of 336 metro areas for nurse practitioner pay after adjusting for local prices, and 333rd of 372 before adjusting. Overall prices run 11% below the U.S. average.
Where do nurse practitioners work in Rapid City?
CMS lists 3 hospitals in Rapid City, led by Monument Health Rapid City Hospital. Ask for the free report to see current openings and pay.
Do I need a South Dakota license to work in Rapid City as a nurse practitioner?
South Dakota is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a South Dakota license by endorsement. Confirm with the board before you accept a role.
Is Rapid City in a shortage area?
HRSA lists 4 active primary care shortage designations that include Pennington County. Shortage areas often have more openings, and some loan repayment programs cover clinicians who work at eligible sites.
What is the per diem for a travel assignment in Rapid City?
The federal per diem benchmark in Rapid City is $122 a night for lodging and $74 a day for meals and incidentals, about $1,372 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.
Does Valorem Health place nurse practitioners in Rapid City?
Yes. We place healthcare staff in Rapid City and across South Dakota. Tell us your profession and we email the roles open near Rapid City.
Free for every candidate
What do employers near Rapid City pay nurse practitioners? Get the report.
Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
Get your free pay report
30+ Nurse Practitioner roles in South Dakota, sent free by email
Tell us who you are and what you do. We email the report within 24 hours on business days.
Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your NP pay reportTop-paying hospitals shown · your South Dakota list by name comes with the full report
1Pay for your role at other hospitals
- MarinHealthGreenbrae, CA · 4 postings$96.91/ hr$86–$108
- Sharp HealthCareSan Diego, CA · 6 postings$92.12/ hr$80–$104
- Sharp HealthcareSan Diego, CA · 3 postings$92.12/ hr$80–$104
- MemorialCareLong Beach, CA · 4 postings$89.59/ hr$70–$109
Median posted pay per hour, with the range each employer published. Request your South Dakota list
2What they are offering now
Low$52Median$67.39High$89
424 NP postings with published pay in the US, 363 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.
3Open now: 1 NP roles
- Advanced Practice Nurse (Midwife)Permanent$117k–$164k/ year
Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.