Neottia bifolia is ranked
G5 (Secure) globally by
NatureServe, indicating that the species is widespread and not considered at risk of
extinction across its range. The species has not been evaluated by the
International Union for Conservation of Nature (IUCN) and does not have an official
IUCN Red List status. Despite its global security, the species is considered rare or
imperiled in parts of its range, particularly toward the northern limits of its distribution.
NatureServe lists state and provincial conservation ranks ranging from
S1 (critically imperiled) to
S4 (apparently secure) depending on region. The species occurs in more than 900 documented occurrences across
eastern North America. Potential threats include forest management activities,
land development, hydrological alteration,
invasive species, deer browse, and recreational disturbance. However, because of its broad geographic range, relatively large number of populations, and availability of suitable
wetland habitat, the species is not currently considered globally threatened. ==Genetics==