To earn your Certified Nursing Assistant (CNA) license in North Dakota, you must complete a state-approved training program, pass the competency exam, and be listed on the North Dakota Nurse Aide Registry. This guide explains how to become certified, verify status, renew or reinstate your license, and transfer an out-of-state credential—based on regulations from the North Dakota Department of Health and Human Services (NDHHS).
How to Get Your CNA License in North Dakota
Follow these steps to earn CNA certification in North Dakota.
Step 1: Complete an Approved CNA Program
Enroll in an NDHHS-approved Nurse Aide Training Program (NATP). Programs require at least 75 hours, including 16 hours of clinical training before resident contact.
Training covers:
- Communication, safety, infection control, and resident rights
- Basic nursing and personal care skills
- Support for cognitively impaired residents
- Mental health, restorative care, and social services
Once complete, your program will register you in the TMU portal.
Step 2: Activate Your TMU Account
You will receive login credentials from D&SDT-Headmaster. Log in to:
- Reset your password
- Complete your demographic profile
Your account must be complete before scheduling your exam.
Step 3: Submit Exam Payment
Pay through the TMU portal unless covered by your program:
| Exam Component | Fee |
|---|---|
| Skills + Knowledge Exam | $250 |
| Audio Knowledge Exam (optional) | $10 |
| Knowledge Retake | $120 |
| Skills Retake | $170 |
Step 4: Schedule and Take the Exam
Schedule your test in TMU. Exams are administered by D&SDT-Headmaster.
Knowledge Exam
- 72 multiple-choice questions
- Time limit: 90 minutes
- Passing score: 75%
Skills Exam
- Five randomly assigned tasks
- Includes mandatory hand hygiene and indirect care
- Passing score: 80% with all key steps correct
You are allowed three attempts per component. After three failures, retraining is required.
Exam Day Requirements
Bring:
- Valid, non-expired U.S. government-issued photo ID
- Original Social Security card
Both must match your TMU profile exactly.
Step 5: Apply for Certification
After passing both exams, complete the Nurse Aide Initial Application. The non-refundable fee is $25.
You must provide:
- Full legal name, date of birth, Social Security number
- Mailing address, phone, and email
- Background documentation if required
Step 6: Verify Your Status
Once approved, your name will appear in the North Dakota Nurse Aide Registry. Use the Print Registrant Card tool to access your listing.
Need help? Contact D&SDT-Headmaster at (800) 393-8664 or northdakota@hdmaster.com.
State-Approved CNA Programs in North Dakota
The following CNA programs are approved by NDHHS. Compare tuition, schedule, clinical sites, and job placement support to choose the best option.
-
Bismarck State College
1500 Edwards Ave, Bismarck, ND 58501(800) 445-5073 -
Lake Region State College
1801 College Dr N, Devils Lake, ND 58301(701) 662-1600 -
North Dakota State College of Science
800 6th St N, Wahpeton, ND 58075(800) 342-4325 -
Nueta Hidatsa Sahnish College
220 8th Ave E, New Town, ND 58763(701) 627-4738 -
Quentin N. Burdick Job Corps Center
1500 University Ave W, Minot, ND 58703(701) 857-9600 -
Turtle Mountain Community College
10145 BIA Rd 7, St John, ND 58369(701) 477-7862
How to Verify Your CNA License in North Dakota
Use the NDHHS Nurse Aide Registry Verification tool to confirm certification, employment eligibility, and any disciplinary actions.
Step 1: Visit the Verification Portal
Go to the verification page.

Step 2: Search by Name
Enter your full name to view:
- Registry type and certification status
- Any substantiated findings
Step 3: View Full Details
To unlock full results, enter:
- Registrant ID
- Date of birth
- Last 4 digits of your SSN
Step 4: Confirm Status
Your profile will show issue and expiration dates and any findings of abuse, neglect, or misappropriation.
Need help? Call NDHHS at (701) 328-2353, Monday–Friday, 8:00 a.m.–5:00 p.m. CT.
How to Renew Your CNA License in North Dakota
CNA licenses must be renewed every 24 months through the NDHHS Renewal Portal.
Step 1: Confirm Eligibility
You are eligible if you:
- Completed at least 8 hours of paid nursing-related duties
- Worked in North Dakota within the past 24 months
Step 2: Access the Renewal Application
Select the CNA renewal form (not NA, HHA, or MA unless applicable).
Step 3: Submit Employer Verification
Your employer must complete the form. Upload background documents if required.
Step 4: Submit the Renewal
Log in with:
- Last name
- Last four digits of SSN
- Registry ID
There is no fee for CNA renewal.
Step 5: Verify Renewal
Check the registry to confirm your renewed status.
Need help? Call NDHHS at (701) 328-2353 or email naregistry@nd.gov.
How to Reinstate Your CNA License in North Dakota
If your certification is expired and not eligible for renewal, you must complete Reactivation by Examination.
Step 1: Check Eligibility
- Previously certified in North Dakota
- Completed an approved CNA program
- Did not earn original certification by challenge
Step 2: Apply Online
Submit the Reactivation by Examination application. Upload proof of training.
Step 3: Complete TMU Profile
Use your temporary login to update password and demographic details in TMU.
Step 4: Schedule the Exam
Use the Test Site List to find a location.
Step 5: Pass the Exam
- Knowledge: 72 questions, 90 minutes, 75% passing score
- Skills: 3–4 tasks, 80% accuracy, all key steps correct
Step 6: Verify Certification
Once passed, your status will be updated in the registry. Use the verification tool to confirm.
Reminder: If you challenged the original exam without training, you must complete a new program to reapply.
How to Transfer Your CNA License to North Dakota
If certified in another state, apply for endorsement through the NDHHS CNA Endorsement Application.
Step 1: Verify Eligibility
- Current CNA certification in another U.S. state
- Good standing with no disciplinary findings
Step 2: Obtain State Verifications
Upload online verifications or request state registries to send verification directly.
Step 3: Gather Required Documents
- Copy of out-of-state CNA certificate
- Verification from all applicable states
- Background documents if needed
Step 4: Submit the Application
Upload all documents. Use “Save for Later” as needed. Avoid the browser back button.
Step 5: Monitor Your Application
Processing takes 3–5 business days. Check status online or by email.
Step 6: Confirm Your Certification
Once approved, your listing will appear as Active in the registry.
Need help? Call NDHHS at (701) 328-2353 or email naregistry@nd.gov.
North Dakota Nurse Aide Registry
The North Dakota Nurse Aide Registry, maintained by the North Dakota Department of Health and Human Services (NDHHS), is the official database of certified nurse aides eligible to work in the state. The registry records certification status, renewal eligibility, training history, and any substantiated findings of abuse, neglect, or misappropriation of property. Employers must verify a CNA’s active status before hire, while nurse aides use the registry to confirm certification, renew or reinstate credentials, and update personal information.
Contact Information
- Agency: North Dakota Department of Health and Human Services (NDHHS), Health Facilities Unit
- Address: 1720 Burlington Drive, Suite A, Bismarck, ND 58504-7736
- Phone: (701) 328-2353
- Fax: (701) 328-1890
- Email: naregistry@nd.gov
- Registry Search: North Dakota CNA Registry Lookup
Frequently Asked Questions
Can you get CNA certification in North Dakota with a criminal record?
Possibly. You must disclose any convictions in your application. NDHHS reviews each case individually, and supporting documentation may be required.
Are ADA testing accommodations available?
Yes. Submit an ADA Accommodation Request in TMU with supporting documentation. Approval is required before scheduling.
How should you prepare for the knowledge exam?
Review the North Dakota Candidate Handbook. Use official Headmaster practice tests and cover all required topics.
What identification is required for the exam?
Bring a valid, signed, non-expired U.S. government-issued photo ID and your original Social Security card. The name on both must match your TMU record.
What should you wear for the skills exam?
Wear scrubs and closed-toe shoes. Clinical attire is recommended but not required. Remove all jewelry and accessories before testing.
How do you update your name or address?
Use the NDHHS Change Request Form. You will need your last name, last four digits of your SSN, and Registry ID to log in.
Can you work before you are certified?
No. You may not perform CNA duties until your name appears on the North Dakota Nurse Aide Registry.
Key Takeaways
- Complete approved training: Finish an NDHHS-approved nurse aide training program before testing.
- Pass both exam components: Take the knowledge and skills exams through D&SDT-Headmaster within 24 months of training.
- Appear on the state registry: After passing both exams, your active status is posted on the North Dakota Nurse Aide Registry.
- Renew every two years: Complete at least 8 hours of paid nursing-related work under RN or LPN supervision in the past 24 months. No renewal fee applies.
- Reinstate if expired: If not eligible for renewal, submit a Reactivation by Examination application in TMU and retake both exams.
- Transfer by endorsement: Apply through the NDHHS CNA Endorsement Application with official verification from each state where you hold or have held certification.
- Verify status online: Use the North Dakota Nurse Aide Registry search tool to confirm your certification status.
Sources
- North Dakota Nurse Aide Registry – NDHHS
- Certified Nurse Aide Endorsement Application – NDHHS
- CNA Renewal Form – NDHHS
- Verify CNA Certification – NDHHS
- Update CNA Contact Information – NDHHS
- Approved CNA Training Programs in North Dakota – NDHHS
- North Dakota Nurse Aide Candidate Handbook – D&SDT-Headmaster
- CNA Testing Information – D&SDT-Headmaster
- Reactivation by Examination Application – TMU Portal
- ADA Accommodation Request – TMU Portal
- Certified Nurse Aide Information – NDHHS
- Nurse Aide Registry Unit – NDHHS Health Facilities
- North Dakota CNA Wage Data – U.S. Bureau of Labor Statistics

