The Advanced Nursing Education-Nurse Practitioner Residency (ANE-NPR) “Transforming the Workforce” grant was a four-year, $1.57 million federal HRSA grant. The grant was an expansion of Essentia Health’s current Transition to Practice program and provided new graduate nurse practitioners clinical and academic enhancement for a 12-month residency program in rural and/or underserved populations. The collaboration between North Dakota State University (NDSU) School of Nursing and Essentia Health, a large regional health system in North Dakota, Minnesota, and Wisconsin better prepared new NP graduates for rural care practice through enhanced didactic content, simulation, and immersive clinical experiences. The residency finished its final year in September 2023 and 18 residents completed the program.