ZIP code
58355
in Nekoma, North DakotaPopulation 22
56.79/ 100
Ranked #7,472 of 32,066 US ZIPs (top 23%)
Ranked #100 of 371 North Dakota ZIPs (top 27%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Fiber broadband
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Loneliness
25.9%
in the bottom 1.0% nationally
Lower is healthier
ST8thUS1stDefinition & source ›
The estimated share of adults who report feeling lonely.
Full methodology ›Distance to a Superfund site
186.4 mi
in the top 1.2% nationally
Higher is healthier
ST57thUS99thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.
Full methodology ›Distance to a community health center
41.8 mi
in the top 1.9% nationally
Lower is healthier
ST88thUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›Housing-cost burden
0.00%
at the national minimum
Lower is healthier
ST1stUS1stDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Homeownership rate
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of occupied homes that are owned, rather than rented, by the people living in them.
Full methodology ›Natural-disaster risk
in the bottom 4.0% nationally
Lower is healthier
ST2ndUS4thDefinition & source ›
This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.
Full methodology ›Expected annual disaster loss
$0
in the bottom 5.1% nationally
Lower is healthier
ST1stUS5thDefinition & source ›
FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.
Full methodology ›Humid extreme heat
8.1 days/year
in the bottom 5.3% nationally
Lower is healthier
ST4thUS5thDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›Air-toxics cancer risk
15 per million
in the bottom 6.1% nationally
Lower is healthier
ST12thUS6thDefinition & source ›
The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.
Full methodology ›The read
In overall standing, Nekoma, North Dakota (ZIP 58355) comes out in the top 23% healthiest ZIPs nationally (7,472nd) and the top 27% of North Dakota (100th), based on limited data; treat as directional.
The profile opens balanced, with readings on either hand: fiber broadband lies at the national maximum, modeled loneliness sits in the bottom 1.0% nationally, and distance to a Superfund site settles in the top 1.2% nationally. Housing-cost burden registers at the national minimum, homeownership stands at the national maximum, and modeled disaster risk lands in the bottom 4.0% nationally. Modeled expected annual loss is in the bottom 5.1% nationally, and humid heat resides in the bottom 5.3% nationally. Modeled air-toxics cancer risk rests in the bottom 6.1% nationally. By contrast, distance to a community health center lies in the top 1.9% nationally.
In plain terms, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. The nearest healthier ZIP overall is ZIP 58249, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 99%
14%
Preventive Care
healthier than 87%
13%
Risk Behavior
healthier than 69%
11%
Mental Health
healthier than 96%
8%
Disability
healthier than 64%
7%
Climate / Disaster RiskPartial
healthier than 98%
5%
About typical
Social Need / SDOH
healthier than 54%
16%
Holding it back
Chronic Disease Burden
healthier than 33%
21%
Healthcare Access
in the bottom 0.8%
5%
Lifting this score
Environmental Hazard
in the top 0.00%
14%
Preventive Care
healthier than 92%
13%
Risk Behavior
healthier than 78%
11%
Mental Health
healthier than 94%
8%
Climate / Disaster RiskPartial
in the top 0.00%
5%
About typical
Disability
healthier than 51%
7%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Social Need / SDOH
healthier than 34%
16%
Healthcare Access
healthier than 11%
5%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
58229
North Dakotashares a border
Score 54.38
Closest healthier
58249
North Dakotashares a border
Score 57.06
Similar health profile
57738
South Dakota99% similar profile
Score 54.14
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 33.3% | 29.1–37.6 |
| High blood pressure among adults | 42.2% | 37.4–46.9 |
| Cancer (non-skin) or melanoma among adults | 11.7% | 10.4–13.0 |
| Current asthma among adults | 9.5% | 8.2–10.7 |
| Coronary heart disease among adults | 9.1% | 7.7–10.4 |
| Chronic obstructive pulmonary disease among adults | 7.5% | 6.1–9.1 |
| Depression among adults | 18.7% | 15.5–22.0 |
| Diagnosed diabetes among adults | 13.1% | 10.9–15.4 |
| High cholesterol among adults who have ever been screened | 42.8% | 38.0–47.7 |
| Obesity among adults | 41.8% | 33.4–50.2 |
| Stroke among adults | 4.1% | 3.5–4.7 |
| All teeth lost among adults aged >=65 years | 7.8% | 6.0–9.7 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.0% | 5.2–9.4 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 82.7% | 79.7–85.4 |
| Visits to doctor for routine checkup within the past year among adults | 79.7% | 76.0–82.9 |
| Cholesterol screening among adults | 89.2% | 87.4–90.9 |
| Colorectal cancer screening among adults aged 45–75 years | 74.3% | 68.8–78.8 |
| Visited dentist or dental clinic in the past year among adults | 64.7% | 60.7–67.9 |
| Mammography use among women aged 50-74 years | 76.4% | 67.8–82.8 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 18.3% | 15.1–21.8 |
| Current cigarette smoking among adults | 13.2% | 10.4–16.4 |
| No leisure-time physical activity among adults | 23.8% | 18.9–29.1 |
| Short sleep duration among adults | 30.5% | 24.2–37.0 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 17.5% | 14.2–21.0 |
| Frequent mental distress among adults | 11.8% | 10.0–13.6 |
| Frequent physical distress among adults | 13.0% | 10.9–15.1 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 10.6% | 8.8–12.6 |
| Any disability among adults | 29.3% | 24.3–34.3 |
| Hearing disability among adults | 10.5% | 9.0–12.0 |
| Independent living disability among adults | 6.5% | 5.4–7.7 |
| Mobility disability among adults | 14.1% | 11.5–17.0 |
| Self-care disability among adults | 3.7% | 3.0–4.4 |
| Vision disability among adults | 4.3% | 3.6–5.0 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.1% | 16.7–24.2 |
| Food insecurity in the past 12 months among adults | 8.5% | 6.4–11.0 |
| Received food stamps in the past 12 months among adults | 5.0% | 3.6–6.7 |
| Housing insecurity in the past 12 months among adults | 7.1% | 5.6–8.9 |
| Lack of reliable transportation in the past 12 months among adults | 4.9% | 4.0–5.9 |
| Loneliness among adults | 25.9% | 21.4–31.3 |
| Utility services shut-off threat in the past 12 months among adults | 4.5% | 3.6–5.4 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | ND median (p10–p90) |
|---|---|---|---|
| Poverty rate | 4.5% | 10.6% (3.1–25.8%) n=32,364 | 8.0% (1.0–21.4%) n=380 |
| Uninsured 18–64 | 28.6% | 9.0% (1.5–24.3%) n=32,286 | 6.5% (0.0–19.2%) n=380 |
| No HS diploma (25+) | 9.1% | 7.9% (1.8–20.7%) n=32,505 | 6.3% (0.6–13.4%) n=382 |
| Bachelor's or higher (25+) | 18.2% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (12.5–41.0%) n=382 |
| Unemployment rate (16+) | 0.0% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–6.5%) n=382 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 1.5% (0.0–7.4%) n=379 |
| Broadband subscription | 86.7% | 89.3% (75.1–97.1%) n=32,322 | 88.7% (75.3–98.1%) n=379 |
| Housing cost burden (≥30% income) | 0.0% | 23.7% (10.6–40.0%) n=32,322 | 15.2% (4.0–28.2%) n=379 |
| Homeownership rate | 100.0% | 78.7% (51.7–94.0%) n=32,322 | 83.5% (59.2–98.7%) n=379 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.0% (0.0–4.6%) n=379 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.9% (0.0–5.7%) n=383 |
| Single-parent households | 100.0% | 53.6% (37.3–74.1%) n=32,087 | 59.3% (40.0–83.3%) n=377 |
| Population 65+ | 68.2% | 19.4% (10.8–33.6%) n=32,553 | 21.6% (9.1–38.9%) n=383 |
| Median age | 67.8 yr | 42.2 yr (33.0–56.3) n=32,292 | 42.9 yr (31.1–60.2) n=381 |
| Median household income | $104,375 | $72,070 ($46,039–$118,707) n=30,318 | $79,666 ($56,729–$115,391) n=354 |
| Median home value | $112,500 | $222,200 ($100,300–$579,820) n=30,049 | $159,750 ($88,870–$297,180) n=328 |
| Median gross rent | — | $1,021 ($677–$1,912) n=25,670 | $767 ($513–$1,222) n=212 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | ND median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 84.3 yr ± 2.18 | 78.9 yr (74.7–82.8) n=31,308 | 80.0 yr (77.6–84.0) n=379 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 2.18 years of 84.3, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured