Medical assistant certification in North Dakota
Read the official rule (N.D.C.C. § 43-12.1-03; N.D. Admin. Code 54-07-02, 54-07-05)
In North Dakota, medical assistant certification counts the most when your job involves giving medications. To do that, the state wants you to hold an up-to-date national certification and to have completed a program that the Board of Nursing approves. If you assist with nursing tasks, you also need to be on the state registry. You can qualify with a recognized training program or a current national certification, plus a background check and a $40 fee.
- Cost to join the registry: $40
- You renew every 2 years
- Certifications required for giving medications: CMA, RMA, CCMA or NCMA
- X-ray work: its own state license
Want to explore training? Visit our North Dakota programs page, choose an accredited program, and send that school a Request information form. Before enrolling for medication work, confirm that the Board of Nursing recognizes the program.
- State credential
- Unlicensed assistive person registration; Medication Assistant III
- Certification required
- Yes for medication work: MA III needs a current CMA, RMA, CCMA or NCMA; the basic registry accepts a training program or certification
- Injections
- Conditions
The reason behind North Dakota's registration rule
Under North Dakota law, a person who delivers nursing care or helps with it must carry a license or registration issued by the Board of Nursing. If you're a medical assistant doing nursing tasks a nurse delegates and supervises, the state counts you as an unlicensed assistive person, so this rule covers you.
An unlicensed assistive person means any assistant, no matter what the job title says, who performs nursing duties that a nurse delegates and oversees. The name on your badge at the clinic makes no difference. The deciding factor is the work itself.
How to get on the registry
The state's application rules lay out what you need:
- Provide proof that you completed a recognized formal training program or hold a current national certification. Both options work.
- Clear a criminal history check.
- Send in the $40 fee.
Renewal comes around every 2 years, and at each renewal you must present evidence of competency or a national certification that is still current.
Do you need certification to give medications?
You do. Giving medications as a medical assistant calls for an additional registration known as Medication Assistant III. That registration asks for a board-recognized medical assistant program along with a current certification from one of these bodies: the CMA through AAMA, the RMA through AMT, the CCMA (NHA's clinical medical assistant exam), or the NCMA (NCCT's national certified medical assistant exam).
Medical assistant students come up in the rules as well. A registered student who administers medications must take the same Medication Assistant III path and respect the same medication limits.
Work settings for a Medication Assistant III
A Medication Assistant III works in ambulatory care, such as a clinic. A licensed nurse must be available to monitor the patient and direct your work.
Injections and other medication limits
Injections into the muscle, beneath the skin and within the skin are all within your scope. They apply only to patients whose conditions are stable and predictable.
Certain tasks remain out of reach. Giving medications through an IV line, an IV lock or a central line is not allowed. A licensed nurse must verify any dose conversion or calculation you make.
X-rays need a separate state license
To take x-rays on patients, you need a state license under chapter 43-62 except where an exemption applies. Several license types come from the Medical Imaging and Radiation Therapy Board, with limited x-ray machine operator being one. A medical assistant certification on its own does not qualify you for this.
Choosing a program that leads to certification
If you want to give medications, check that the Board of Nursing recognizes the program you're considering. You'll also need one of the national certifications the rule names. Out of the 1,094 medical assistant programs listed on our site, 484 hold accreditation from CAAHEP or ABHES.
You can also study online. Classes happen from home, while the supervised clinical practice still takes place in person. Among the 30 programs completable through distance education, 14 hold accreditation.
| Item | Figure |
|---|---|
| Typical program length at career schools | 9 months |
| Typical full-program cost at career schools | $17,257 |
| Typical yearly in-district tuition at public colleges | $4,346 |
| Typical medical assistant pay nationwide, May 2025 (Bureau of Labor Statistics) | $45,690 a year ($21.97 an hour) |
Most career school programs take 7 to 9 months. Pick an accredited program on our North Dakota programs page and send that school the short Request information form today.
Sources: N.D. Admin. Code ch. 54-07-02, Unlicensed Assistive Person Registry · N.D.C.C. ch. 43-12.1, Nurse Practices Act · ND Medical Imaging and Radiation Therapy Board. This plain summary isn’t legal advice; the statute or board rule is the authority.
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