A comprehensive understanding of nitrogen pollution status, especially the identification of sources and fate of nitrate is essential for effective water quality management at the local scale. However, the nitrogen contamination of surface water across China was poorly understood at the national scale. A dataset related to nitrogen was established based on 111 pieces of literature from 2000 to 2020 in this study. The spatiotemporal variability, source tracing, health risk assessment, and drivers of China's surface water nitrogen pollution were analyzed by integrating multiple methods. These results revealed a significant spatiotemporal heterogeneity in the nitrogen concentration of surface water across China. Spatially, the Haihe River Basin and Yellow River Basin were the basins where surface water was seriously contaminated by nitrogen in China, while the surface water of Southwest Basin was less affected. Temporally, significant differences were observed in the nitrogen content of surface water in the Songhua and Liaohe River Basin, Pearl River Basin, Southeast Basin, and Yellow River Basin. There were 1%, 1%, 12%, and 46% probability exceeding the unacceptable risk level (HI＞1) for children in the Songhua and Liaohe River Basin, Pearl River Basin, Haihe River Basin, and Yellow River Basin, respectively. The primary sources of surface water nitrate in China were found to be domestic sewage and manure (37.7%), soil nitrogen (31.7%), and chemical fertilizer (26.9%), with a limited contribution from atmospheric precipitation (3.7%). Human activities determined the current spatiotemporal distribution of nitrogen contamination in China as well as the future development trend. This research could provide scientifically reasonable recommendations for the containment of surface water nitrogen contamination in China and even globally.